Students’ experiences of learning manual clinical skills through simulation
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Learning manual skills is a fundamental part of health care education, and motor, sensory and cognitive learning processes are essential aspects of professional development. Simulator training has been shown to enhance factors that facilitate motor and cognitive learning. The present study aimed to investigate the students’ experiences and thoughts about their learning through simulation skills training. The study was designed for an educational setting at a clinical skills centre. Ten third-year undergraduate nursing students performed urethral catheterisation, using the virtual reality simulator UrecathVision™, which has haptic properties. The students practised in pairs. Each session was videotaped and the video was used to stimulate recall in subsequent interviews. The interviews were analysed using qualitative content analysis. The analysis from interviews resulted in three themes: what the students learn, how the students learn, and the simulator’s contribution to the students’ learning. Students learned manual skills, how to perform the procedure, and professional behaviour. They learned by preparing, watching, practising and reflecting. The simulator contributed by providing opportunities for students to prepare for the skills training, to see anatomical structures, to feel resistance, and to become aware of their own performance ability. The findings show that the students related the task to previous experiences, used sensory information, tested themselves and practised techniques in a hands-on fashion, and reflected in and on action. The simulator was seen as a facilitator to learning the manual skills. The study design, with students working in pairs combined with video recording, was found to enhance opportunities for reflection.
KeywordsLearning theory Professional development Qualitative content analysis Simulation Skills training Undergraduate nursing education
We thank the students who participated in this study and Sofia McGarvey for revising the English language in the quotes. This study was supported by the Centre for Educational Development and Research, Faculty of Health Sciences, and the Division of Community Medicine, Medical Education and the Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Sweden.
- Cioffi, J., Purcal, N., & Arundell, F. (2005). A pilot study to investigate the effect of a simulation strategy on the clinical decision making of midwifery students. Journal of Nursing Education, 44(3), 185–191.Google Scholar
- Denzin, N. K., & Lincoln, Y. S. (2000). Handbook of qualitative research (2nd ed.). Thousand Oaks: Sage Publications.Google Scholar
- Jeffries, P. R. (2005). Guest Editorial. Technology trends in nursing education: Next steps. Journal of Nursing Education, 44(1), 1–4.Google Scholar
- Kolb, D. A. (1984). Experiential learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
- Kvale, S. (2007). Doing interviews. California: Sage Publications.Google Scholar
- Lincoln, Y. S., & Guba, E. G. (1986). But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. In D. D. Williams (Ed.), Naturalistic evaluation (pp. 73–84). New Directions for Program Evaluation, 30. San Francisco, CA: Jossey-Bass.Google Scholar
- Marton, F., & Booth, S. (1997). Learning and awareness. Mahwah, New Jersey: Lawrence Erlbaum Associates, Inc.Google Scholar
- Melerit UrecathVision. Product information of the computer simulator UrecathVision. Retrieved May 10, 2011, from http://www.meleritmedical.com.
- Polanyi, M. (1966). The tacit dimension. Gloucester, Mass: Doubleday & Company, Inc.Google Scholar
- Polit, D. E., & Beck, C. T. (2008). Nursing research. Generating and assessing evidence for nursing practice (8th ed.). Philadelphia: Lippincott Williams & Wilkins.Google Scholar
- Schön, D. (1987). Educating the reflective practitioner. San Francisco: Jossey Bass.Google Scholar
- Shumway-Cook, A., & Woollacott, M. J. (2007). Motor control. Translating research into clinical practice (3rd ed.). Philadelphia: Lippincott Williams & Wilkins.Google Scholar
- Silén, C. (2003). Responsibility and independence in learning: What is the role of the educators and the framework of the educational programme? In C. Rust (Ed.), Improving student learning: Improving student learning—theory, research and practice (pp. 249–262). Oxford: The Oxford Centre for Staff and Learning Development.Google Scholar
- Weidner, T. G., & Popp, J. K. (2007). Peer-assisted learning and orthopaedic evaluation psychomotor skills. Journal of Athletic Training, 42(1), 113–119.Google Scholar