การพัฒนารูปแบบการจัดการเรียนรู้โดยใช้สถานการณ์จำลองเสมือนจริงในรายวิชาการพยาบาลอนามัยชุมชนเพื่อส่งเสริมความสามารถในการตัดสินใจทางคลินิกและความมั่นใจของนักศึกษาพยาบาล

Saijai  Jarujit; Saowapa  Lekwong; Ratree  Aramsin

Authors

Saijai Jarujit Phrapokklao Nursing College, Chanthaburi
Saowapa Lekwong Phrapokklao Nursing College, Chanthaburi
Ratree Aramsin Phrapokklao Nursing College, Chanthaburi

Keywords:

simulation, clinical decision-making ability, confidence

Abstract

This study employed a research and development design to create a learning management model using virtual simulation scenarios in the subject of community health nursing. It also aimed to evaluate the effects of this model on promoting clinical decision-making ability and self-confidence among nursing students. The research instrument was the learning management model based on virtual simulation scenarios. The quality of the model was evaluated by three experts, with a content validity index (CVI) of .91. The first trial was conducted with third-year nursing students in the academic year 2020. Based on the findings, the model was revised and then tested again in 2021 with another group of third-year nursing students. Data collection tools included a clinical decision-making ability test and a self-confidence assessment. The Cronbach’s alpha coefficient of these tools was .90 and .89, respectively. Data were analyzed using percentage, mean, and repeated measures MANOVA.

The research findings were:

1. The learning management model using virtual simulation scenarios comprised four situations:
(1) Home visits for elderly patients, (2) Home visits for patients with chronic illnesses, (3) Student health checkups, and (4) Home visits for preschool children. Teaching activities were conducted in small groups of eight students. Each scenario lasted 60 minutes, divided into three phases: a 10-minute introduction, 20 minutes of scenario-based practice, and a 30-minute learning reflection session.

2. The implementation of the learning management model using virtual simulation scenarios revealed that the use of the virtual simulation-based learning model significantly improved both clinical decision-making ability and self-confidence compared to before the model was applied, with statistical significance at the .05 level.

It is suggested that nursing education institutions adopt this virtual simulation-based learning model to better prepare students for community health nursing practicum in order to effectively enhance students’ decision-making skills and build their confidence in clinical practice.

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