Effects of web-based electrocardiography simulation on strategies and learning styles

Abstract

Objective:To identify the association between the use of web simulation electrocardiography and the learning approaches, strategies and styles of nursing degree students. Method: A descriptive and correlational design with a one-group pretestposttest measurement was used. The study sample included 246 students in a Basic and Advanced Cardiac Life Support nursing class of nursing degree. Results: No significant differences between genders were found in any dimension of learning styles and approaches to learning. After the introduction of web simulation electrocardiography, significant differences were found in some item scores of learning styles: theorist (p < 0.040), pragmatic (p < 0.010) and approaches to learning. Conclusion: The use of a web electrocardiogram (ECG) simulation is associated with the development of active and reflexive learning styles, improving motivation and a deep approach in nursing students. DESCRIPTORSSimulation; Electrocardiography; Internet; Computer-Assisted Instruction; Education, Nursing; Learning. Effects of web-based electrocardiography simulation on strategies and learning stylesEfeitos da simulação eletrocardiográfica em ambiente web sobre as estratégias e estilos de aprendizagem Efectos de la simulación electrocardiográfica en ambiente web acerca de las estrategias y estilos de aprendizaje INTRODUCTIONTraditionally, the electrocardiogram (ECG) has aided the diagnosis, treatment and monitoring of arrhythmias, coronary syndromes and cardiac revascularization (1) . These pathologies, often found in pre-hospital, accident and emergency and critical care settings, pose a life-threatening risk that requires quick diagnosis and treatment. ECG monitoring and interpretation skills are gained in medical education and strengthened by experience. However, the need for immediate pattern recognition and subsequent procedures involves nurses in the processes of evaluation, registration, and initiation of reperfusion therapies as well as in the detection of complications and the request for assistance.ECG interpretation requires high-order learning. Although the ECG has historically been taught in a traditional classroom, new methodologies have changed the teaching-learning process in response to the lack of time and resources. Health science educators should focus their teaching methods on the student, developing new learning processes and adapting their strategies to each context or discipline. In academic nursing education, this new status quo favors technology, motivation, active participation and simulation (2)(3) . Multiple technologies have been applied to ECG teaching in medicine, nursing and pharmacy degrees for both undergraduates and postgraduates, including a multimedia CD-ROM, videograms, computer programs, computer-assisted tutorials, multimedia teaching and interdisciplinary approaches (1,4) . Human simulation, web-based video and web simulation tools (5) have been used to develop ECG diagnostic skills in advanced cardiac life support (ACLS).The ECG diagnostic skills ar...

Design and validation of a three-instrument toolkit for the assessment of competence in electrocardiogram rhythm recognition

“…1,4,14 Consequently, nursing educators are faced with the challenge of promoting safe practice by developing valid and reliable assessments tools that can be used to rigorously assess nursing students' competence before being allowed to work without supervision. 6,37 It has been argued that accepting the holistic definition of competence could help nursing educators to develop more effective, valid and reliable assessment tools. 5,7,20,25 From this perspective, achieving a specific competence requires individuals not only to acquire and retain the knowledge and the skills needed to make the right decisions and correctly perform certain tasks, but also to adopt a confident attitude toward their own ability to do so.…”

“…1,4,14 Consequently, nursing educators are faced with the challenge of promoting safe practice by developing valid and reliable assessments tools that can be used to rigorously assess nursing students’ competence before being allowed to work without supervision. 6,37…”

“…2,3 Consequently, regardless of their expertise, nurses are expected to be competent in electrocardiogram (ECG) rhythm recognition. 1,2,[5][6][7] Nonetheless, this is not always the case and research suggests that qualified nurses often lack competence in ECG rhythm recognition. [8][9][10][11] In many countries, nursing education does not include a final licensing examination, which means that nurses are allowed to practise without supervision immediately after completing their undergraduate programmes.…”

E-learning in nursing education in Rwanda: A middle-range theory

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Desenvolvimento e Validação de um Aplicativo Móvel para o Ensino de Eletrocardiograma

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