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KMID : 1149420230110020121
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Journal of Korean Society for Simulation in Nursing
2023 Volume.11 No. 2 p.121 ~ p.136
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Analysis of Nursing Students’ CPR Learning Experience Using Web-based Virtual Simulation: Focusing on Reflection Journals Based on Feedback Log
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Jang Myoung-Sun
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Abstract
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Purpose: This study aimed to explore nursing students' experience of learning cardiopulmonary resuscitation (CPR) in a web-based virtual simulation (vSim) through analysis of the reflection journals.
Method: From June to July 2020, data were collected from 48 fourth-year nursing students who performed the simulation by reviewing prompt feedback on their CPR performance.
The contents of the reflection journals were analyzed using NVivo qualitative data analysis software.
Results: Nursing students experienced unfamiliarity with the English-based virtual environment as well as psychological pressure and anxiety about emergencies. Incorrect interventions were identified in the following order of frequency: violation of defibrillator guidelines, missing fundamental nursing care, error in applying an electrocardiogram monitor, inadequate initial response to cardiac arrest, insufficient chest compression, and inadequate ventilation. Lastly, the participants learned the importance of embodied knowledge, for knowing and acting accurately and reacting immediately, and their attitudes as nurses, such as responsibility, calmness, and attentiveness. Learning strategies included memory retention through repetition, real-time feedback analysis, pre-learning, and imagining action sequences in advance. The level of achievement, time required, CPR quality, and confidence improved with behavior-modification strategies developed through self-reflection.
Conclusion: Educational interventions that are based on understanding accurate algorithms can strengthen self- awareness of mistakes to improve efficient imparting of CPR education.
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KEYWORD
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Cardiopulmonary Resuscitation, Feedback, Nursing Students, Simulation Training, Virtual Reality
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