J. Med. Internet Res. - Web-based virtual patients in nursing education: development and validation of theory-anchored design and activity models.

Tópicos

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Resumo

CKGROUND: Research has shown that nursing students find it difficult to translate and apply their theoretical knowledge in a clinical context. Virtual patients (VPs) have been proposed as a learning activity that can support nursing students in their learning of scientific knowledge and help them integrate theory and practice. Although VPs are increasingly used in health care education, they still lack a systematic consistency that would allow their reuse outside of their original context. There is therefore a need to develop a model for the development and implementation of VPs in nursing education.OBJECTIVE: The aim of this study was to develop and evaluate a virtual patient model optimized to the learning and assessment needs in nursing education.METHODS: The process of modeling started by reviewing theoretical frameworks reported in the literature and used by practitioners when designing learning and assessment activities. The Outcome-Present State Test (OPT) model was chosen as the theoretical framework. The model was then, in an iterative manner, developed and optimized to the affordances of virtual patients. Content validation was performed with faculty both in terms of the relevance of the chosen theories but also its applicability in nursing education. The virtual patient nursing model was then instantiated in two VPs. The students' perceived usefulness of the VPs was investigated using a questionnaire. The result was analyzed using descriptive statistics.RESULTS: A virtual patient Nursing Design Model (vpNDM) composed of three layers was developed. Layer 1 contains the patient story and ways of interacting with the data, Layer 2 includes aspects of the iterative process of clinical reasoning, and finally Layer 3 includes measurable outcomes. A virtual patient Nursing Activity Model (vpNAM) was also developed as a guide when creating VP-centric learning activities. The students perceived the global linear VPs as a relevant learning activity for the integration of theory and practice.CONCLUSIONS: Virtual patients that are adapted to the nursing paradigm can support nursing students' development of clinical reasoning skills. The proposed virtual patient nursing design and activity models will allow the systematic development of different types of virtual patients from a common model and thereby create opportunities for sharing pedagogical designs across technical solutions.

Resumo Limpo

ckground research shown nurs student find difficult translat appli theoret knowledg clinic context virtual patient vps propos learn activ can support nurs student learn scientif knowledg help integr theori practic although vps increas use health care educ still lack systemat consist allow reus outsid origin context therefor need develop model develop implement vps nurs educationobject aim studi develop evalu virtual patient model optim learn assess need nurs educationmethod process model start review theoret framework report literatur use practition design learn assess activ outcomepres state test opt model chosen theoret framework model iter manner develop optim afford virtual patient content valid perform faculti term relev chosen theori also applic nurs educ virtual patient nurs model instanti two vps student perceiv use vps investig use questionnair result analyz use descript statisticsresult virtual patient nurs design model vpndm compos three layer develop layer contain patient stori way interact data layer includ aspect iter process clinic reason final layer includ measur outcom virtual patient nurs activ model vpnam also develop guid creat vpcentric learn activ student perceiv global linear vps relev learn activ integr theori practiceconclus virtual patient adapt nurs paradigm can support nurs student develop clinic reason skill propos virtual patient nurs design activ model will allow systemat develop differ type virtual patient common model therebi creat opportun share pedagog design across technic solut

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