Teaching clinical reasoning and decision-making skills to nursing students: Design, development, and usability evaluation of a serious game

International Journal of Medical Informatics

Volumn 94, Issue , 2016, Pages 39-48

  Johnsen, Hege Mari ^a   Fossum, Mariann ^a   Vivekananda Schmidt, Pirashanthie ^b   Fruhling, Ann ^c   Slettebø, Åshild ^a  

^a UNIVERSITY OF AGDER   (Norway)

^b UNIVERSITY OF SHEFFIELD   (United Kingdom)

^c UNIVERSITY OF NEBRASKA AT OMAHA   (United States)

Author keywords

Clinical decision making; Community health nursing; Computer simulation; Education; Problem based learning; User computer interface

Indexed keywords

COMPUTER SIMULATION; CURRICULA; DECISION MAKING; DESIGN; EDUCATION; EDUCATION COMPUTING; HEALTH CARE; HOME HEALTH CARE; INTERFACES (COMPUTER); LEARNING SYSTEMS; MEDICAL EDUCATION; NURSING; PERSONNEL TRAINING; PULMONARY DISEASES; SURVEYS; USABILITY ENGINEERING; USER CENTERED DESIGN;

CHRONIC OBSTRUCTIVE PULMONARY DISEASE; CLINICAL DECISION MAKING; COGNITIVE WALKTHROUGH; COMMUNITY HEALTH; HEALTH CARE PROFESSIONALS; PROBLEM BASED LEARNING; SIMULATION TECHNOLOGIES; USER-COMPUTER INTERFACES;

STUDENTS;

ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL DECISION MAKING; CLINICAL EDUCATION; CLINICAL PRACTICE; COMPUTER INTERFACE; COMPUTER SIMULATION; CONTENT ANALYSIS; CURRICULUM; HEURISTICS; HOME CARE; HUMAN; NURSING EDUCATION; NURSING STUDENT; PRIORITY JOURNAL; PROBLEM BASED LEARNING; REGISTERED NURSE; SKILL; VIDEORECORDING; CLINICAL COMPETENCE; EDUCATION; EVALUATION STUDY; LEARNING; MOTIVATION; NURSING; PROCEDURES; PSYCHOLOGY; TEACHING; VIDEO GAME;

CLINICAL COMPETENCE; CLINICAL DECISION-MAKING; CURRICULUM; EDUCATION, NURSING, BACCALAUREATE; EDUCATIONAL MEASUREMENT; HUMANS; LEARNING; MOTIVATION; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; STUDENTS, NURSING; TEACHING; USER-COMPUTER INTERFACE; VIDEO GAMES;

EID: 84978175134     PISSN: 13865056     EISSN: 18728243     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2016.06.014     Document Type: Article

References (59)

1. [1] Levett-Jones, T., Hoffman, K., Dempsey, J., Jeong, S.Y.-S., Noble, D., Norton, C.A., Roche, J., Hickey, N., The ‘five rights’ of clinical reasoning: an educational model to enhance nursing students’ ability to identify and manage clinically ‘at risk’ patients. Nurse Educ. Today 30 (2010), 515–520, 10.1016/j.nedt.2009.10.020.
2. [2] Hoffman, K., Dempsey, J., Levett-Jones, T., Noble, D., Hickey, N., Jeong, S., Hunter, S., Norton, C., The design and implementation of an Interactive Computerised Decision Support Framework (ICDSF) as a strategy to improve nursing students’ clinical reasoning skills. Nurse Educ. Today 31 (2011), 587–594, 10.1016/j.nedt.2010.10.012.
3. [3] Ministry of Health & Care Services, White Paper No. 47 (2008–2009), The Coordination Reform [Samhandlingsreformen: Rett behandling−på rett sted−tilrett tid], Ministry of Health & Care Services [Helse- og omsorgsdepartementet], Oslo (2009).
4. [4] Ministry of Health & Care Services, White Paper No. 29 (2012–2013), Future Care [Morgendagens omsorg], Ministry of Health & Care Services [Helse-ogomsorgsdepartementet], Oslo (2013).
5. [5] WHO, Chronic Obstructive Pulmonary Disease (COPD). 2015 http://www.who.int/respiratory/copd/en/ (accessed 18.02.16).
6. [6] Benner, P., Sutphen, M., Leonard, V., Day, L., Educating Nurses: A Call for Radical Transformation. 2010, Jossey-Bass, San Francisco, Calif.
7. [7] Higgs, J., Jones, M.A., Clinical decision making and multiple problem spaces. Higgs, J., Jones, M.A., Loftus, S., Christensen, N., (eds.) Clinical Reasoning in the Health Professions, 2008, Butterworth Heinemann ELSEVIER, UK, 3–17.
8. [8] WHO, Transforming and Scaling up Health Professionalś Training: WHO Education Guidelines. 2013 http://apps.who.int/iris/bitstream/10665/93635/1/9789241506502_eng.pdf (accessed 18.02.16).
9. [9] Ministry of Education & Research, White Paper No.13 (2011–2012), Education for Welfare: Interaction as Key [Utdanning for velferd: Samspill i praksis], Ministry of Education & Research [Kunnskapsdepartementet], Oslo (2012).
10. [10] Gaberson, K.B., Oermann, M.H., Shellenbarger, T., Clinical Teaching Strategies in Nursing. 2014, Springer, New York.
11. [11] Girard, C., Ecalle, J., Magnan, A., Serious games as new educational tools: how effective are they? A meta-analysis of recent studies. J. Comput. Assist. Learn. 29 (2013), 207–219, 10.1111/j.1365-2729.2012.00489.x.
12. [12] Ma, M., Jain, L.C., Anderson, P., Future trends of virtual, augmented reality, and games for health. Ma, M., Jain, L.C., Anderson, P., (eds.) Virtual, Augmented Reality and Serious Games for Healthcare 1, 2014, Springer, UK, 1–6.
13. [13] Connolly, T.M., Boyle, E.A., MacArthur, E., Hainey, T., Boyle, J.M., A systematic literature review of empirical evidence on computer games and serious games. Comput. Educ. 59 (2012), 661–686, 10.1016/j.compedu.2012.03.004.
14. [14] Ribaupierre, S.de, Kapralos, B., Haji, F., Stroulia, E., Dubrowski, A., Eagleson, R., Healthcare training enhancement through virtual reality and serious games. Ma, M., Jain, L.C., Anderson, P., (eds.) Virtual, Augmented Reality and Serious Games for Healthcare 1, 2014, Springer, UK, 9–27.
15. [15] Ricciardi, F., De Paolis, L.T., A comprehensive review of serious games in health professions. Int. J. Comput. Games Technol., 2014, 1–11, 10.1155/2014/787968.
16. [16] Cant, R.P., Cooper, S.J., Simulation in the internet age: the place of web-based simulation in nursing education. An integrative review. Nurse Educ. Today 34 (2014), 1435–1442, 10.1016/j.nedt.2014.08.001.
17. [17] Olsen, T., Procci, K., Bowers, C., Serious games usability testing: how to ensure proper usability, playability, and effectiveness. Marcus, A., (eds.) Design, User Experience, and Usability. Theory, Methods Tools and Practice, 2011, Springer, 625–634, 10.1007/978-3-642-21708-1_70.
18. [18] Moreno-Ger, P., Torrente, J., Hsieh, Y.G., Lester, W.T., Usability testing for serious games: making informed design decisions with user data. Adv. Hum. Comput. Interact., 2012, 1–13, 10.1155/2012/369637.
19. [19] de Freitas, S., Liarokapis, F., Serious games: a new paradigm for education. Ma, M., Oikonomou, A., Jain, L.C., (eds.) Serious Games and Edutainment Applications, 2011, Springer, London, 9–23, 10.1007/978-1-4471-2161-9_2.
20. [20] Stuckless, P., Hogan, M., Kapralos, B., Virtual simulations and serious games in community health nursing education: a review of the literature. Ma, M., Jain, L.C., Anderson, P., (eds.) Virtual, Augmented Reality and Serious Games for Healthcare 1, 2014, Springer, UK, 145–158.
21. [21] Lazar, J., Feng, J.H., Hochheiser, H., Research Methods in Human-Computer Interaction. 2010, John Wiley & Sons, UK.
22. [22] Wattanasoontorn, V., Boada, I., García, R., Sbert, M., Serious games for health. Entertain. Comput. 4 (2013), 231–247, 10.1016/j.entcom.2013.09.002.
23. [23] Foronda, C., Godsall, L., Trybulski, J., Virtual clinical simulation: the state of the science. Clin. Simul. Nurs. 9 (2013), e279–e286, 10.1016/j.ecns.2012.05.005.
24. [24] Hogan, M., Kapralos, B., Cristancho, S., Finney, K., Dubrowski, A., Bringing community health nursing education to life with serious games. Int. J. Nurs. Educ. Scholarsh. 8 (2011), 1–8, 10.2202/1548-923X.2072.
25. [25] Popil, I., Dillard-Thompson, D., A game-based strategy for the staff development of home health care nurses. J. Contin. Educ. Nurs. 46 (2015), 205–207, 10.3928/00220124-20150420-14.
26. [26] Petit dit Dariel, O.J., Raby, T., Ravaut Rothan-Tondeur, F.M., Developing the Serious Games potential in nursing education. Nurse Educ. Today 33 (2013), 1569–1575, 10.1016/j.nedt.2012.12.014.
27. [27] Barbosa, A.F.S., Pereira, P.N.M., Dias, J.A.F.F., Silva, F.G.M., A new methodology of design and development of serious games. Int. J. Comput. Games Technol. 2014 (2014), 1–8, 10.1155/2014/817167.
28. [28] O'Neill, E.S., Dluhy, N.M., Chin, E., Modelling novice clinical reasoning for a computerized decision support system. J. Adv. Nurs. 49 (2005), 68–77, 10.1111/j.1365-2648.2004.03265.x.
29. [29] The Norwegian Dictorate of Health, COPD: National guideline [KOLS: Nasjonal faglig retningslinje og veileder for forebygging, diagnostisering og oppfølging av personer med kols], The Norwegian Dictorate of Health [Helsedirektoratet], Oslo (2012).
30. [30] Almås, H., Bakkelund, J., Thorsen, B.H., Dichmann Storknæs, A., Sykepleie ved lungesykdommer [Nursing at Lung Diseases]. Almås, H., Stubberud, D.-G., Grønseth, R., Toverud, K.C., (eds.) Klinisk Sykepleie: 1, 2010, Gyldendal akademisk, Oslo, 107–163.
31. [31] Bloom, B.S., Engelhart, M.D., Furst, E.J., Hill, W.H., Krathwohl, D.R., Taxonomy of Educational Objectives: Handbook II Cognitive Domain. 1956, David McKay, New York, NY.
32. [32] Zhang, J., Walji, M.F., TURF Toward a unified framework of EHR usability. J. Biomed. Inform. 44 (2011), 1056–1067, 10.1016/j.jbi.2011.08.005.
33. [33] Annetta, L.A., The I's have it: a framework for serious educational game design. Rev. Gen. Psychol. 14 (2010), 105–112, 10.1037/a0018985.
34. [34] Laamarti, F., Eid, M., El Saddik, A., An overview of serious games. Int. J. Comput. Games Technol. 2014 (2014), 1–15, 10.1155/2014/358152.
35. [35] Kaczmarczyk, J., Davidson, R., Bryden, D., Haselden, S., Vivekananda-Schmidt, P., Learning decision making through serious games. Clin. Teach. 12 (2015), 1–6, 10.1111/tct.12426.
36. [36] Mayer, I., Bekebrede, G., Harteveld, C., Warmelink, H., Zhou, Q., Ruijven, T., Lo, J., Kortmann, R., Wenzler, I., The research and evaluation of serious games: toward a comprehensive methodology. Br. J. Educ. Technol. 45 (2014), 502–527, 10.1111/bjet.12067.
37. [37] Lewis, J.R., Psychometric evaluation of the PSSUQ using data from five years of usability studies. Int. J. Hum. Comput. Interact. 14 (2002), 463–488, 10.1080/10447318.2002.9669130.
38. [38] Polit, D.F., Beck, C.T., Essentials of Nursing Research: Appraising Evidence for Nursing Practice. 2010, Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia.
39. [39] Vivekananda-Schmidt, P., Ethics in the Design of Serious Games for healthcare and medicine. Arnab, S., Dunwell, I., Debattista, K., (eds.) Serious Games for Healthcare: Applications and Implications, 2013, Medical Information Science Reference, USA, 91–106.
40. [40] Anderson, M., Holmes, T.L., LeFlore, J.L., Nelson, K.A., Jenkins, T., Standardized patients in educating student nurses: one school's experience. Clin. Simul. Nurs. 6 (2010), e61–e66, 10.1016/j.ecns.2009.08.001.
41. [41] Kowitlawakul, Y., Chow, Y.L., Salam, Z.H.A., Ignacio, J., Exploring the use of standardized patients for simulation-based learning in preparing advanced practice nurses. Nurse Educ. Today 35 (2015), 894–899, 10.1016/j.nedt.2015.03.004.
42. [42] Diener, E., Hobbs, N., Simulating care technology-mediated learning in twenty-first century nursing education. Nurs. Forum 47 (2012), 34–38, 10.1111/j. 1744–6198.2011.00250.
43. [43] Buttussi, F., Pellis, T., Cabas Vidani, A., Pausler, D., Carchietti, E., Chittaro, L., Evaluation of a 3D serious game for advanced life support retraining. Int. J. Med. Inform. 82 (2013), 798–809, 10.1016/j.ijmedinf.2013.05.007.
44. [44] Liaw, Y.S., Wong, F.L., Chan, W.-C.S., Ho, Y.J.T., Mordiffi, Z.S., Ang, L.S.B., Goh, S.P., Ang, K.E.N., Designing and evaluating an interactive multimedia web-based simulation for developing nurses’ competencies in acute nursing care: randomized controlled trial. J. Med. Internet Res., 17, 2015, e5, 10.2196/jmir.3853.
45. [45] Cook, N.F., McAloon, T., O'Neill, P., Beggs, R., Impact of a web based interactive simulation game (PULSE) on nursing students’ experience and performance in life support training—a pilot study. Nurse Educ. Today 32 (2012), 714–720, 10.1016/j.nedt.2011.09.013.
46. [46] Richards, E.L., Simpson, V., Aaltonen, P., Krebs, L., Davis, L., Public health nursing student home visit preparation: the role of simulation in increasing confidence. Home Healthc. Nurse 28 (2010), 631–638, 10.1097/NHH.0b013e3181f85e10.
47. [47] Yeager, S.T., Gotwals, B., Incorporating high-fidelity simulation technology into community health nursing education. Clin. Simul. Nurs. 6 (2010), e53–e59, 10.1016/j.ecns.2009.07.004.
48. [48] Tiffany, J.M., Hoglund, B.A., Facilitating learning through virtual reality simulation: welcome to nightingale isle. Ma, M., Jain, L.C., Anderson, P., (eds.) Virtual, Augmented Reality and Serious Games for Healthcare 1, 2014, SpringerBerlin, Heidelberg, 159–174.
49. [49] Dreifuerst, K.T., Using debriefing for meaningful learning to foster development of clinical reasoning in simulation. J. Nurs. Educ. 51 (2012), 326–333, 10.3928/01484834-20120409-02.
50. [50] Nehring, W.M., Lashley, F.R., Nursing simulation a review of the past 40 years. Simul. Gaming 40 (2009), 528–552, 10.1177/1046878109332282.
51. [51] Thompson, C., Stapley, S., Do educational interventions improve nurses’ clinical decision making and judgement? A systematic review. Int. J. Nurs. Stud. 48 (2011), 881–893, 10.1016/j.ijnurstu.2010.12.005.
52. [52] Kato, P.M., The role of the researcher in making serious games for health. Arnab, S., Dunwell, I., Debattista, K., (eds.) Serious Games for Healthcare: Applications and Implications, 2013, Medical Information Science Reference, USA, 213–231.
53. [53] Fossum, M., Ehnfors, M., Fruhling, A., Ehrenberg, A., An evaluation of the usability of a computerized decision support system for nursing homes. Appl. Clin. Inform. 2 (2011), 420–436, 10.4338/ACI-2011-07-RA-0043.
54. [54] Fruhling, A.L., Lee, S.M., The influence of user interface usability on rural consumers’ trust of e-health services. Int. J. Electron. Healthc. 2 (2006), 305–321, 10.1504/IJEH.2006.010424.
55. [55] Jaspers, M.W., A comparison of usability methods for testing interactive health technologies: methodological aspects and empirical evidence. Int. J. Med. Inform. 78 (2009), 340–353, 10.1016/j.ijmedinf.2008.10.002.
56. [56] Zhang, J., Johnson, T.R., Patel, V.L., Paige, D.L., Kubose, T., Using usability heuristics to evaluate patient safety of medical devices. J. Biomed. Inform. 36 (2003), 23–30, 10.1016/S1532-0464(03)00060-1.
57. [57] López-Pérez, M.V., Pérez-López, M.C., Rodríguez-Ariza, L., Blended learning in higher education: students’ perceptions and their relation to outcomes. Comput. Educ. 56 (2011), 818–826, 10.1016/j.compedu.2010.10.023.
58. [58] Kirkley, S.E., Kirkley, J.R., Creating next generation blended learning environments using mixed reality, video games and simulations. Technol.Trends 49 (2004), 42–54.
59. [59] Cowan, B., Kapralos, B., A Survey of Frameworks and Game Engines for Serious Game Development, Advanced Learning Technologies (ICALT). IEEE 14th International Conference on, IEEE, 2014, 662–664, 10.1109/ICALT.2014.194.