Learning Objective 1: The learner will be able to understand the importance and issue of the elderly with delirium
Learning Objective 2: The learner will be able to realize the effect of applying the situated learning theory in nursing education
Methods: This is a quasi-experimental study. Totally, 95 NS were involved in this study. There were 48 NS in the experimental group (gr1), and 47 in the control group (gr2). The e-learning program was given to the experimental group, but the control group attained the traditional teaching method. Pre- and post-tests were given before and after the program. The situated theory was applied in the study. Each scenario was generated based on a true clinical situation, so NS would have chance to ‘experience” the delirious patients.
Results: There is no difference between 2 groups, in demographic data. Those in gr1 spent less time in decision making (P<0.05), and gained higher scores in identifying patients with delirium (P<0.01).The gr1 was able to distinguish patients with hypoactive subtype of delirium (p<0.001).
Conclusion: The “situation-based simulation e- learning program” seemed to effectively improve the clinical judgment ability of NS on delirious patients. Both groups did poorly on hypoactive subtype of delirium initially, but NS in gr1 were able to more accurately identify hypoactive patients after receiving the program. Teaching abstract concept (e.g. delirium), the traditional on-way teaching did not work well. This innovated model could be a reference for similar studies or programs in the future.
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