Paper
Friday, July 15, 2005
This presentation is part of : Critical Thinking -- Critical Decision-Making
The Impact of Utilizing High-Fidelity Human Patient Simulation on Critical Thinking Abilities and Learning Outcomes in Undergraduate Nursing Students
Lori Schumacher, PhD, RN, CCRN, Department of Advanced Practice Nursing, Medical College of Georgia, Augusta, GA, USA
Learning Objective #1: Examine the impact of instructional strategies on students' critical thinking abilities during a prescribed learning activity
Learning Objective #2: Examine the impact of instructional strategies on a student's learning outcomes during a prescribed learning activity

Purpose: To compare critical thinking abilities and learning outcomes of beginning undergraduate, baccalaureate nursing students when three instructional strategies (traditional didactic classroom, high-fidelity human patient simulation, and a combination of classroom and simulation) are used to illustrate the nursing care of clients experiencing an emergent cardiovascular or respiratory event during three learning activities.

Design & Methods: In this descriptive, quasi-experimental study, 36 nursing students, from the southeast United States, were randomized into three groups. Each group received a separate instructional strategy for each of the three learning activities. After the completion of each learning activity, critical thinking abilities and learning outcomes were measured through the administration of a customized HESI examination. One-way ANOVA calculations were conducted to determine the effect of instructional strategies on critical thinking abilities and learning outcomes. Bonferroni post hoc comparisons were employed to evaluate significant (p<0.05) differences between groups. Findings: There were no statistically significant differences between critical thinking abilities (p>0.08) or learning outcomes (p>0.12) of beginning nursing students when traditional didactic classroom instruction was utilized to deliver a learning activity. HESI exam scores were higher and statistically significant differences were detected between critical thinking abilities (p£0.002) and learning outcomes (p£0.001) of beginning nursing students when high-fidelity human patient simulation or a combination of classroom and simulation were utilized to deliver a learning activity.

Conclusion: The results of this study indicate that utilizing the instructional strategies of high-fidelity human patient simulation and a combination of classroom and simulation were effective for some learning activities. Further research is needed to examine the impact of high-fidelity human patient simulation on student's critical thinking abilities and learning outcomes.