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Learning Objective 1: The learner will be able to understand nursing students' knowledge of cardiovascular health assessment and CV health promotion and their confidence in those tasks.
Learning Objective 2: The learner will be able to understand how simulation and PBL may enhance nursing students' confidence in performing CV health assessment and CV health promotion.
Although cardiovascular (CV) health assessment and health promotion is a key topic in nursing curriculum, students are not enough confident in performing it in their clinical practicum. The study purpose is to describe a simulation module integrated with PBL to teach CV health assessment and health promotion and to evaluate its effectiveness on knowledge and self efficacy (SE) of CV health assessment and health promotion.
Methods:
This study was a quasi experimental study using pretest and posttest design to evaluate the effectiveness of a SIM-PBL: module for Korean undergraduate nursing students. Knowledge and SE was measured using a structured questionnaire. Knowledge of CV health assessment included total 13 items. SE of CV health assessment and health promotion consisted of 23 items including subjective data assessment (9 items), objective data assessment (5 items), critical thinking (4 items), and health promotion (5 items). The score of each item can range from 0 (not confident at all) to 10 (totally confident).
Results:
The data of 34 students in the control group and 25 students in the intervention group were analyzed. There was no statistically significant difference of knowledge in CV health assessment and health promotion between groups at pre and post intervention. Among four areas of SE in the intervention group, the biggest improvement occurred in objective data assessment (mean difference of total score of SE between pre- and post-intervention: 7.9±6.5, 95% CI: 5.2, 10.6), followed by health promotion (7.1±7.5, 95% CI: 4.0, 10.2), critical thinking (6.5±4.7, 95% CI: 4.5, 8.4) and subjective data assessment (1.3±7.4, 95% CI: -1.7, 4.4). These improvements were larger than those of control groups and all were statistically significant except subjective data assessment.
Conclusion: SIM-PBL is an innovative teaching strategy and may enhance nursing students’ confidence in performing CV health assessment and health promotion.