Simulation Learning: PC-Screen Based (PCSB) versus High Fidelity Simulation (HFS).

摘要

This project developed and tested a model to compare different types of simulation supported training for trauma nursing skills among military and civilian nurses. Evaluation outcomes included measurement and comparison of changes in learning, knowledge, skills & critical thinking, and attitudes (KSA), and cost effectiveness for PC screen based (PCSB) vs. high fidelity (HF) simulation. HF and PCSB training sessions (cervical spine immobilization, CAT tourniquet application, nasopharyngeal airway insertion) and a model for assessing learning and cost benefit outcomes were developed and pilot tested. We found that both military and civilian nurses had an equal improvement in learning regardless of assigned simulation training group (HF or PCSB), and HF simulation is more expensive ($410) per session, compared to PCSB training ($55). Based on these findings, we conclude that for simple trauma nursing skill training, PCSB simulation supported training is cost effective and achieves the same learning outcomes when compared to HF simulation supported training. We recommend that HF simulation should be reserved for more complex training needs that require significant teamwork and human interaction. Limitations include a small sample; we recommend that this model be validated with a larger sample.