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...

Comparative study of virtual and traditional teaching methods on the interpretation of cardiac dysrhythmia in nursing students

“…The results of this quasi-experimental study indicated that both traditional and virtual methods have increased students’ knowledge about cardiac dysrhythmia, but the virtual education method has had a greater impact. In the results, it must be mentioned that both groups indicated no significant difference in the level of knowledge in the pre-intervention stage, which is consistent with the findings of many other previous studies such as the study of Mohammadi et al ,[30] Baghaei et al ,[32] and Granero et al [8] Reviewing the research population of this study and its related literature, it can be accepted that nursing students in the pre-intervention phase did not have much knowledge about the subject. In addition, lack of any difference between the two groups was an indication of similarity between the two groups of virtual and traditional education in the present study and above-mentioned ones.…”

“…The virtual method could increase students’ knowledge regarding cardiac dysrhythmia more than the traditional method. The results of this study are correspond to those of Chang and Hsu[40] and Granero-Molina et al ,[8] which indicated a significant difference after intervention in virtual method, while the results of the study by Badanara et al indicated the effectiveness of the traditional method,[41] which is incompatible with the results of this study. Although various studies report the success of the virtual education method, it should also be noted that this type of training for independent and self-governing students who are more intended to these learning strategies is more effective naturally.…”

“…[8] It is clear that the analysis and interpretation of the ECG are difficult and require significant training. [3] The teaching of interpretation of the ECG is an essential part of medical education.…”

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

“…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.…”

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

“…In a study conducted by Granero-Molina et al 34 using an electrocardiogram simulation in a Web environment, it was possible to stimulate the theoretical learning style, which aims to understand the theory before the practice, and the pragmatic style, where how to apply the knowledge in the real world is what it is necessary to know. The "ECG Fácil" app supplies theoretical information about ECG interpretation on opening the first tabs and then uses clinical cases, aiming to illustrate the application of knowledge to clinical practice.…”