Use of simulation for global health pre-departure training.

Advanced practice nursing Experiential learning Global health Nursing Pre-departure Simulation Students Study abroad

Journal

Nurse education today
ISSN: 1532-2793
Titre abrégé: Nurse Educ Today
Pays: Scotland
ID NLM: 8511379

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 22 02 2020
revised: 15 07 2020
accepted: 08 09 2020
pubmed: 28 9 2020
medline: 22 6 2021
entrez: 27 9 2020
Statut: ppublish

Résumé

Opportunities for students to participate in global health mission trips have expanded. However, lack of pre-departure training is often reported and has been associated with negative outcomes for participants. Simulation is an effective method for providing customized situational learning. To evaluate the effectiveness of a Pre-Departure Training program incorporating simulation for advanced practice registered nursing (APRN) students prior to a global health mission trip. This program employed a pre-posttest design with surveys administered at baseline, after a computer-based learning module, and after a simulation-based learning experience. A university in the Southeastern United States. Twenty-two APRN students in their first clinical rotation of the program. APRN students with interest in global health missions partake in a pre-departure training program. Pre-departure training includes a computer-based learning module followed by an outdoor simulation replicating a low-income setting. Pre-posttest surveys assessed students' perceptions of confidence, skill, knowledge and comfort regarding global health. A skills checklist was used to evaluate student clinical patient presentation during the simulation. Students' preparedness scores increased after the computer-based learning and significantly increased after the simulation. In the simulation, 42% of students successfully completed their patient presentation during their first attempt while 58% required remediation. After the pre-departure program, students felt more confident in their global health knowledge, and felt significantly more prepared to provide health care in a low-income country. Schools of nursing offering global health mission trips or study abroad programs should consider implementing pre-departure programs using simulation as a teaching method.

Sections du résumé

BACKGROUND BACKGROUND
Opportunities for students to participate in global health mission trips have expanded. However, lack of pre-departure training is often reported and has been associated with negative outcomes for participants. Simulation is an effective method for providing customized situational learning.
OBJECTIVE OBJECTIVE
To evaluate the effectiveness of a Pre-Departure Training program incorporating simulation for advanced practice registered nursing (APRN) students prior to a global health mission trip.
DESIGN METHODS
This program employed a pre-posttest design with surveys administered at baseline, after a computer-based learning module, and after a simulation-based learning experience.
SETTING METHODS
A university in the Southeastern United States.
PARTICIPANTS METHODS
Twenty-two APRN students in their first clinical rotation of the program.
METHODS METHODS
APRN students with interest in global health missions partake in a pre-departure training program. Pre-departure training includes a computer-based learning module followed by an outdoor simulation replicating a low-income setting. Pre-posttest surveys assessed students' perceptions of confidence, skill, knowledge and comfort regarding global health. A skills checklist was used to evaluate student clinical patient presentation during the simulation.
RESULTS RESULTS
Students' preparedness scores increased after the computer-based learning and significantly increased after the simulation. In the simulation, 42% of students successfully completed their patient presentation during their first attempt while 58% required remediation.
CONCLUSION CONCLUSIONS
After the pre-departure program, students felt more confident in their global health knowledge, and felt significantly more prepared to provide health care in a low-income country. Schools of nursing offering global health mission trips or study abroad programs should consider implementing pre-departure programs using simulation as a teaching method.

Identifiants

pubmed: 32980609
pii: S0260-6917(20)31447-7
doi: 10.1016/j.nedt.2020.104597
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

104597

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Auteurs

Catherine Nadeau (C)

12901 Bruce B. Downs Blvd., MDC 22 | Tampa, FL 33612, United States of America. Electronic address: cnadeau2@usf.edu.

Kenya Snowden (K)

University of Miami School of Nursing and Health Studies, 5030 Brunson Dr. Suite 319, Coral Gables, FL 33146, United States of America. Electronic address: ksnowden@miami.edu.

Karina A Gattamorta (KA)

University of Miami, School of Nursing and Health Studies, 5030 Brunson Drive, Coral Gables, FL 33146, United States of America. Electronic address: kgattamorta@miami.edu.

Cynthia L Foronda (CL)

University of Miami School of Nursing and Health Studies, 5030 Brunson Dr. Suite 319, Coral Gables, FL 33146, United States of America. Electronic address: c.foronda@miami.edu.

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