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Nursing students’ experiential learning processes using an online 3D simulation game

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Abstract

The growing use of game-based simulation in healthcare education reflects the opportunities afforded to learners by serious games, which simulate real-world situations and enable students to emulate the roles of healthcare professionals in a safe and engaging learning environment. As part of a design-based research project to design, test, and evaluate an online 3D simulation game for use in game-based simulation in healthcare education, the present study applied Kolb’s experiential learning theory to investigate nursing students’ experiential learning processes during a 3D simulation game. The data, collected from eight nursing students, comprised audio and video recordings from gaming sessions and focus group interviews. The results indicate that in 3D simulation game, patient-related experiences were supported by audiovisual authenticity, the authenticity of scenarios, and interactivity. Feedback triggered students to reflect on their own learning processes. Students conceptualised knowledge by applying nursing theory, and they internalised procedures that can be used in real life. They also had an opportunity to experiment by exploring and making decisions in the gaming environment. One of the main issues arising from these findings is that 3D simulation games used in game-based simulation should share familiar characteristics of leisure games to ensure an engaging learning experience.

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References

  • Alinier, G. (2007). A typology of educationally focused medical simulation tools. Medical Teacher, 29(8), e243–e250 [Online]. doi:10.1080/01421590701551185.

    Article  Google Scholar 

  • Amiel, T., & Reeves, T. C. (2008). Design-based research and educational technology: rethinking technology and the research agenda. Educational Technology & Society, 11(4), 29–40.

    Google Scholar 

  • Barab, S., & Squire, K. (2004). Design-based research: putting a stake in the ground. Journal of the Learning Sciences, 13(1), 1–14. doi:10.1207/s15327809jls1301_1.

    Article  Google Scholar 

  • Bauman, E. B. (2012). Game-based teaching and simulation in nursing and healthcare. New York: Springer Publishing Company. ProQuest ebrary Accessed 15 August 2015.

    Google Scholar 

  • Bellotti, F., Berta, R., De Gloria, A., Ott, M., Arnab, S., de Freitas, S., & Kiili, K. (2011). Designing Serious Games for education: from Pedagogical principles to Game Mechanisms. Proceedings 5th European Conference on Game-Based Learning (pp. 26–34), Oct 2011, Athens, Greece. Reading: Academic Publ. Ltd.

  • Blakely, G., Skirton, H., Cooper, S., Allum, P., & Nelmes, P. (2009). Educational gaming in the health sciences: a systematic review. Journal of Advanced Nursing, 65(2), 259–269.

    Article  Google Scholar 

  • Blakely, G., Skirton, H., Cooper, S., Allum, P., & Nelmes, P. (2010). Use of educational games in the health professions: a mixed-methods study of educators’ perspectives in the UK. Nursing and Health Sciences, 12, 27–32.

    Article  Google Scholar 

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. doi:10.1191/1478088706qp063oa.

    Article  Google Scholar 

  • Bulman, C., Lathlean, J., & Gobbi, M. (2012). The concept of reflection in nursing: Qualitative findings on student and teacher perspectives. Nurse Education Today, 32(5), e8–e13. doi:10.1016/j.nedt.2011.10.007.

    Article  Google Scholar 

  • Burns, N., & Grove, S. K. (2005). The practice of nursing research. Conduct, critique, and utilization. St. Louis: Elsevier Saunders.

    Google Scholar 

  • Cant, R. P., & Cooper, S. J. (2014). Simulation in the internet age: the place of web-based simulation in nursing education. An integrative review. Nurse Education Today, 34, 1435–1442.

    Article  Google Scholar 

  • Carlson-Sabelli, L. L., Giddens, J. F., Fogg, L., & Fiedler, R. A. (2011). Challenges and benefits of using a virtual community to explore nursing concepts among baccalaureate nursing students. International Journal of Nursing Education Scholarship, 8(1), 1–14.

    Article  Google Scholar 

  • Cook, D. A., Erwin, P. J., & Triola, M. M. (2010). Computerized virtual patients in health professionals’ education: a systematic review and meta-analysis. Academic Medicine, 85(10), 1589–1602.

    Article  Google Scholar 

  • Cook, D. A., Hatala, R., Brydges, R., Zendejas, B., Szostek, J. H., Wang, A. T., et al. (2011). Technology-enhanced simulation for health professions education. A systematic review and meta-analysis. The Journal of the American Medical Association, 306(9), 978–988.

    Article  Google Scholar 

  • de Freitas, S. (2006). Using games and simulations for supporting learning. Learning, Media and Technology, 31(4), 343–358. doi:10.1080/17439880601021967.

    Article  Google Scholar 

  • de Freitas, S. (2007). Learning in Immersive Worlds: A review of game-based learning. JICS. http://videogamelc.bgsu.wikispaces.net/file/view/de%20Freitas%202007.pdf/364559316/de%20Freitas%202007.pdf.

  • de Freitas, S., & Jarvis, S. (2006). A framework for developing serious games to meet learner needs. Interservice/Industry Training, Simulation, and Education Conference (I/ITSEC) 2006. Paper No. 2742.

  • Derry, S. J., Pea, R. D., Barron, B., Engle, R. A., Erickson, F., Goldman, R., et al. (2010). Conducting video research in the learning sciences: guidance on selection, analysis, technology, and ethics. Journal of the Learning Sciences, 19(1), 3–53. doi:10.1080/10508400903452884.

    Article  Google Scholar 

  • Foronda, C., Gattamorta, K., Snowden, K., & Bauman, E. B. (2014). Use of virtual clinical simulation to improve communication skills of baccalaureate nursing students: a pilot study. Nurse Education Today, 34(6), 53–57.

    Article  Google Scholar 

  • Forsberg, E., Georg, C., Ziegert, K., & Fors, U. (2011). Virtual patients for assessment of clinical reasoning in nursing—a pilot study. Nurse Education Today, 31, 757–762.

    Article  Google Scholar 

  • Gaba, D. M. (2004). The future vision of simulation in health care. Quality and Safety in Health Care, 13(suppl 1), i2–i10.

    Article  Google Scholar 

  • Graafland, M., Schraagen, J. M., & Schijven, M. P. (2012). Systematic review of serious games for medical education and surgical skills training. British Journal of Surgery, 99, 1322–1330.

    Article  Google Scholar 

  • Guise, V., Chambers, M., Conradi, E., Kavia, S., & Välimäki, M. (2012). Development, implementation and initial evaluation of narrative virtual patients for use in vocational mental health nurse training. Nurse Education Today, 32, 683–689. doi:10.1136/qshc.2004.009878.

    Article  Google Scholar 

  • Heinrich, W. L. R., Youngblood, P., Harter, P. M., & Dev, P. (2008). Simulation for team training and assessment: case studies of online training with virtual worlds. World Journal of Surgery, 32(2), 161–170.

    Article  Google Scholar 

  • Heinrich, C., Pennington, R. R., & Kuiper, R. (2012). Virtual case studies in the classroom improve student knowledge. Clinical Simulation in Nursing, 8(8), 353–361.

    Article  Google Scholar 

  • Hogan, M., Kapralos, B., Cristancho, S., Finney, K., & Dubrowski, A. (2011). Bringing community health nursing education to life with serious games. International Journal of Nursing Education Scholarship, 8(1), 2072. doi:10.2202/1548-923X.

    Article  Google Scholar 

  • Ketamo, H., & Suominen, M. (2010). Learning-by-teaching in educational game: educational outcome, user experience and social networks. Journal of Interactive Learning Research, 21(2), 237–255.

    Google Scholar 

  • Kiili, K. (2005). Digital game-based learning: towards an experiential gaming model. The Internet and Higher Education, 8(1), 13–24.

    Article  Google Scholar 

  • Kolb, D. A. (1984). Experiential learning. Experience as the source of learning and development. New Jersey: Prentice-Hall.

    Google Scholar 

  • LeFlore, J.-L., Anderson, M., Zielke, M. A., Nelson, K. A., Thomas, P. E., Hardee, G., et al. (2012). Can a virtual patient trainer teach student nurses how to save lives—teaching nursing students about pediatric respiratory diseases. Simulation in Healthcare Simulations: The Journal of The Society for Medical Simulation, 7(1), 10–17.

    Article  Google Scholar 

  • Petit Dit Dariel, O. J., Raby, T., Ravaut, F., & Rothan-Tondeur, M. (2013). Developing the serious games potential in nursing education. Nurse Education Today, 33(12), 1569–1575.

    Article  Google Scholar 

  • Roh, Y. S., Lee, W. S., Chung, H. S., & Park, Y. M. (2013). The effects of simulation-based resuscitation training on nurses’ self-efficacy and satisfaction. Nurse Education Today, 33, 123–128.

    Article  Google Scholar 

  • Shaffer, D. W., Squire, K., Halverson, R., & Gee, J.P. (2005). Video games and the future of learning. WCER Working Paper No. 2005–4.

  • Susi, T., Johannesson, M., & Backlund, P. (2007). Serious games: An overview (Technical Report HS-IKI-TR-07-001). Skövde: University of Skövde [Online]. http://www.diva-portal.org/smash/get/diva2:2416/FULLTEXT01.pdf.

  • Ulrich, D., Farra, S., Smith, S., & Hodgson, E. (2014). The student experience using virtual reality simulation to teach decontamination. Clinical Simulation in Nursing, 10(11), 546–553.

    Article  Google Scholar 

  • Vottero, B. A. (2014). Proof of concept: virtual reality simulation of a Pyxis machine for medication administration. Clinical Simulation in Nursing, 10(6), 325–321.

    Article  Google Scholar 

  • Wang, F., & Hannafin, M. J. (2005). Design-based research and technology-enhanced learning environments. Educational Technology Research & Development, 53(4), 5–23 ISSN 1042-1629.

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Faculty of Behavioural Sciences, University of Helsinki, P.O. Box 9, FI-00014, Helsinki, Finland

    Jaana-Maija Koivisto & Hannele Niemi

  2. Tampere University of Technology, Pohjoisranta 11A, FI-28100, Pori, Finland

    Jari Multisilta

  3. Department of Nursing Science, University of Turku, 20014, Turku, Finland

    Elina Eriksson

Authors
  1. Jaana-Maija Koivisto
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  2. Hannele Niemi
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  3. Jari Multisilta
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  4. Elina Eriksson
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Correspondence to Jaana-Maija Koivisto.

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Koivisto, JM., Niemi, H., Multisilta, J. et al. Nursing students’ experiential learning processes using an online 3D simulation game. Educ Inf Technol 22, 383–398 (2017). https://doi.org/10.1007/s10639-015-9453-x

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