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Learning Objective 1: The learner will be more knowledgeable about educational idea by use of student-directed semi-automatic human patient simulators.
Learning Objective 2: The learner will be more knowledgeable about educational method on physical assessment skills.
A purpose of this study was to clarify effects of utilizing newly developed learner-directed semi-automatic human patient simulators for development of auscultation skill on lung sounds and heart sounds.
Methods:
To the nurses and nursing students who participated the three times consecutive series of workshops about physical assessment, by using newly developed learner-directed semi-automatic human patient simulators, evaluation examinations on auscultation skills on lung sounds and heart sounds had been repeated six times as follows: the first (initial pre-workshop), the second (at the initial post-workshop), the third (the second pre-workshop), the fourth (at the second post-workshop), the fifth (the third pre-workshop) and the sixth (at the third post-workshop). Total numbers of nurses and nursing students who participated all six sessions were 40.
Results:
Wheezes, rhonchi, fine crackles, normal breath sound, bronchial breath sound, and absent of right lung sound were shown the correct answer rates better by repeating lectures / practice / tests for auscultation skills on lung sounds. Regarding to rhonchi, wheezes and fine crackles, the more times repeating evaluation examination on auscultation skill, the better outcomes were. Identifying locations of those abnormal lung sounds was shown difficult. It appeared that coarse crackles had been difficult to distinguish with other lung sounds. Regarding to pleural friction rub, a repeating evaluation examination on auscultation skills did not improve the correct answer rate. By using newly developed learner-directed semi-automatic human patient simulators, participants showed improving heart sounds auscultation skills.
Conclusion:
Newly developed self-directing learner-directed human patient simulators are effective and powerful to develop physical assessment skills.
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