Highlights
- •Asynchronized online simulation offers flexibility to practice communication skill.
- •Deliberate practice can positively impact students' SBAR performance and confidence.
- •Students recommended including the online intervention in their program of study.
Abstract
Background
New nursing graduates rarely achieve practice-ready competency in reporting critical
information to other health care professionals.
Methods
This experimental group comparison study used an online asynchronized simulation intervention
based on deliberate practice incorporated with mastery learning to explore the impacts
on students’ critical incident reporting skill.
Results
The intervention group (n = 22) demonstrated higher performance and confidence levels
than the control group (n = 21), although few participants achieved mastery standard,
indicating more practice and/or a longer learning period was needed.
Conclusion
The online intervention offered flexible and safe opportunities for students to practice
a skill with limited real-life practice opportunities.
Keywords
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References
- Clinical skills in junior medical officers: A comparison of self-reported confidence and observed competence.Medical Education. 2004; 38: 358-367https://doi.org/10.1046/j.1365-2923.2004.01773.x
- Introduction to mastery learning: Theory and practice.in: Block J.H. Mastery learning: Theory and practice. Holt, Rinehat and Winston, New York1971: 2-12
- The relationship between confidence and competence in the development of surgical skills.Journal of Surgical Education. 2014; 71: 405-412https://doi.org/10.1016/j.jsurg.2013.08.009
- Recommendations for reporting mastery education research in medicine (ReMERM).Academic Medicine. 2015; 90: 1509-1514https://doi.org/10.1097/acm.0000000000000933
- Malpractice risks in communication failures: 2015 Annual benchmarking report.(Retrieved from)
- Quality and safety education for nurses.Nursing Outlook. 2007; 55: 122-131https://doi.org/10.1016/j.outlook.2007.02.006
- Simulation-based mastery learning for central venous line dressing changes.Clinical Simulation in Nursing. 2019; 27: 35-38https://doi.org/10.1016/j.ecns.2018.10.010
- The New Science of Learning: How to Learn in Harmony with Your Brain.Sterling, Virginia2013 (Stylus)
- Deliberate practice and acquisition of expert performance: A general overview.Academic Emergency Medicine. 2008; 15: 988-994https://doi.org/10.1111/j.1553-2712.2008.00227.x
- The role of deliberate practice in the acquisition of expert performance.Psychological Review. 1993; 100: 363-406
- A mixed-methods, international, multisite study to develop and validate a measure of nurse-to-physician communication in simulation.Nursing Education Perspectives. 2015; 36: 383-388https://doi.org/10.5480/15-1644
- Interprofessional communication in healthcare: An integrative review.Nurse Education in Practice. 2016; 19: 36-40https://doi.org/10.1016/j.nepr.2016.04.005
- An evaluation tool to measure interdisciplinary critical incident verbal reports.Nursing Education Perspectives. 2014; 35: 180-184https://doi.org/10.5480/12-957.1
- E-Learning and deliberate practice for oral case presentation skills: A randomized trial.Medical Teacher. 2012; 34: e820-e826https://doi.org/10.3109/0142159X.2012.714879
- Research into experiential learning in nurse education.British Journal of Nursing. 2017; 26: 932-938https://doi.org/10.12968/bjon.2017.26.16.932
- SBAR Toolkit by Kaiser Permanente.(Retrieved from)
- Core Competencies for Interprofessional Collaborative Practice: Report of An Expert Panel.Interprofessional Education Collaborative, Washington, D.C.2011
- Comparing three experiential learning methods and their effect on medical students’ attitudes to learning communication skills.Medical Teacher. 2012; 34: e198-e207https://doi.org/10.3109/0142159X.2012.642828
- Unskilled and unaware of it: How difficulties in recognizing one’s own incompetence lead to inflated self-assessments.Journal of Personality and Social Psychology. 1999; 77: 1121-1134
- Assessment for simulation learning outcomes: a comparison of knowledge and self-reported confidence with observed clinical performance.Nurse Education Today. 2012; 32: e35-e39https://doi.org/10.1016/j.nedt.2011.10.006
- How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal.Critical Care Medicine. 2012; 40: 2982-2986https://doi.org/10.1097/CCM.0b013e31825fe2cb
- Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence.Academic Medicine. 2011; 86: 706-711https://doi.org/10.1097/ACM.0b013e318217e119
- Lessons for continuing medical education from simulation research in undergraduate and graduate medical education: Effectiveness of continuing medical education: American College of chest physicians evidence-based educational Guidelines.Chest. 2009; 135: 62S-68Shttps://doi.org/10.1378/chest.08-2521
- Final-year veterinary students’ perceptions of their communication competencies and a communication skills training program delivered in a primary care setting and based on Kolb’s experiential learning theory.Journal of Veterinary Medical Education. 2014; 41: 371-383https://doi.org/10.3138/jvme.1213-162R1
- Evaluating a nursing communication skills training course: The relationship between self-rated ability, satisfaction, and actual performance.Nurse Education in Practice. 2010; 10: 374-378https://doi.org/10.1016/j.nepr.2010.05.007
- Effects of practice on competency in single-rescuer cardiopulmonary resuscitation.MedSurg Nursing. 2014; 23: 22-28
- Simulation-based education with deliberate practice may improve intraoperative handoff skills: A pilot study.Journal of Clinical Anesthesia. 2014; 26: 530https://doi.org/10.1016/j.jclinane.2014.03.015
- The effects of deliberate practice and feedback.Teaching and Learning in Medicine. 2013; 25: 279-284https://doi.org/10.1080/10401334.2013.827970
- Overlearning hyperstabilizes a skill by rapidly making neurochemical processing inhibitory-dominant.Nature Neuroscience. 2017; 20: 470https://doi.org/10.1038/nn.4490
- Nurse–physician communication – an integrated review.Journal of Clinical Nursing. 2017; 26: 3974-3989https://doi.org/10.1111/jocn.13832
- Sentinel event alert: inadequate hand-off communication.(Retrieved from)
- Designing and implementing asynchronous online deliberate practice to develop interprofessional communication competency.Nurse Education in Practice. 2019; 35: 21-26https://doi.org/10.1016/j.nepr.2018.12.011
Article info
Publication history
Published online: June 04, 2019
Footnotes
Ethical Approval: This study was reviewed by the University of North Carolina at Chapel Hill Institutional Review Board and found to be exempt.
Funding Source: This study was supported by a research grant from the Alpha Alpha Chapter of Sigma Theta Tau International Honor Society of Nursing.
Identification
Copyright
© 2019 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.