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Sanal Gerçeklik Tabanlı Öğrenme Aracının Hemşirelik Öğrencilerinin Toraks ve Akciğer Fiziksel Muayene Bilgi ve Becerilerine Etkisi: Tek Kör Paralel Grup Randomize Kontrollü Çalışma Protokolü

Yıl 2024, Cilt: 4 Sayı: 3, 100 - 112, 30.12.2024

Öz

Amaç: Araştırma, sanal gerçeklik (VR) tabanlı toraks ve akciğer fiziksel muayene öğrenme aracının hemşirelik öğrencilerinin bilgi ve becerilerine etkisini değerlendirmek amacıyla tasarlanmıştır.
Yöntem: Çalışma; tek kör, ön test-son test, kontrol gruplu, paralel grup randomize kontrollü bir araştırma olarak planlanmıştır. Araştırma, SPIRIT 2013’e göre hazırlanmış ve NCT06536361 numarası ile clinicalTrials.gov adresine kayıt edilmiştir. Araştırmaya, bir devlet üniversitesinin hemşirelik fakültesinde “Sağlığın Değerlendirmesi” dersini alan ve araştırma kriterlerini karşılayan, cinsiyet ve ders başarı puanlarına göre tabakalandırılarak randomize edilmiş 40 deney ve 40 kontrol grubundan oluşan, 80 öğrenci dahil edilmiştir. Veriler; “Tanıtıcı Özelikler Formu”, “Toraks ve Akciğer Fiziksel Muayene Bilgi Testi”, “Toraks ve Akciğer Fiziksel Muayene Beceri Kontrol Formu” ve “Öğrenci Görüş Formu” kullanılarak toplanmıştır. Uygulama öncesi tüm öğrencilere teorik ve beceri eğitimi verilerek, demonstrasyon videoları izletilmiştir. Araştırmanın hazırlık aşaması tamamlandığında, öğrencilere konu tekrarı yapmaları için ön okuma materyalleri ve demonstrasyon videoları gönderilmiştir. Konu tekrarından yedi gün sonra öğrencilerin ilk bilgi ve ilk beceri ölçümleri yapılmıştır. İlk ölçümlerden yedi gün sonra deney grubu öğrencilerine sanal gerçeklik tabanlı öğrenme aracını ile kontrol grubu öğrencilerine ise küçük grup çalışması ile eğitim verilmiştir. Uygulamadan yedi gün sonra tüm öğrencilerin son bilgi ve son beceri ölçümleri yapılmış ve deney grubu öğrencilerinin öğrenme aracı hakkında görüşleri “Öğrenci Görüş Formu” kullanılarak toplanmıştır. Verilerin değerlendirilmesinde, parametrik ve/veya non parametrik testler, tekrarlı ölçümlerde varyans analizi kullanılacaktır.
Sonuç: Araştırmanın tamamlanmasıyla, sanal gerçeklik teknolojisinin hemşirelik eğitimindeki rolüne dair farkındalığın artması beklenmektedir. Araştırma ile sanal gerçeklik tabanlı öğrenme aracının geleneksel eğitime entegrasyonuna dair bir örnek teşkil ederek literatüre katkı sağlaması öngörülmektedir.

Etik Beyan

Araştırmanın yürütülebilmesi için Gazi Üniversitesi Etik Komisyonu’ndan etik onay alınmıştır (02.08.2023/karar sayısı: E-77082166-302.08.01-711267).

Destekleyen Kurum

Gazi Üniversitesi

Proje Numarası

Bu araştırma, Gazi Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğü tarafından TDK-2024-9040 proje numarası ile desteklenmiştir.

Teşekkür

Gazi BAP’a mali destek ve teşvikleri için içten teşekkürlerimizi sunarız

Kaynakça

  • 1. Ahmad, S., Sultana, N., & Jamil, S. (2020). Behaviorism vs constructivism: A paradigm shift from traditional to alternative assessment techniques. Journal of Applied Linguistics and Language Research, 7(2), 19-33. https://www.jallr.com/index.php/JALLR/article/view/1092/1261
  • 2. Akın, B., & Koçoğlu, D. (2017). Randomize kontrollü deneyler. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 4(1), 73-92. https://dergipark.org.tr/en/pub/hunhemsire/issue/27606/331915
  • 3. Atthill, S., Witmer, D., Luctkar-Flude, M., & Tyerman, J. (2021). Exploring the impact of a virtual asynchronous debriefing method after a virtual simulation game to support clinical decision-making. Clinical Simulation in Nursing, 50, 10-18. https://doi.org/10.1016/j.ecns.2020.06.008
  • 4. Bálint, L. A. P., Macías, L. H. P., & Althoefer, K. (2019). Virtual reality simulator for medical auscultation training. In Proceedings of the Towards Autonomous Robotic Systems (TAROS) 2019 (Vol. 11649, pp. 389-397). Springer. https://doi.org/10.1007/978-3-030-23807-0_32
  • 5. Barteit, S., Lanfermann, L., Bärnighausen, T., Neuhann, F., & Beiersmann, C. (2021). Augmented, mixed, and virtual reality-based head-mounted devices for medical education: A systematic review. JMIR Serious Games, 9, e29080. https://doi.org/10.2196/29080
  • 6. Bayram, S. B., & Caliskan, N. (2019). Effect of a game-based virtual reality phone application on tracheostomy care education for nursing students: A randomized controlled trial. Nurse Education Today, 79, 25-31. https://doi.org/10.1016/j.nedt.2019.05.007
  • 7. Benzaghta, M. A., Elwalda, A., Mousa, M., Erkan, I., & Rahman, M. (2021). SWOT analysis applications: An integrative literature review. Journal of Global Business Insights, 6(1), 55–73. https://doi.org/10.5038/2640-6489.6.1.1148
  • 8. Boutron, I., Altman, D. G., Moher, D., Schulz, K. F., & Ravaud, P. (2017). CONSORT statement for randomized trials of nonpharmacologic treatments: A 2017 update and a CONSORT extension for nonpharmacologic trial abstracts. Annals of Internal Medicine, 167(1), 40–47. https://doi.org/10.7326/M17-0026
  • 9. Chan, A.-W., Tetzlaff, J. M., Gøtzsche, P. C., Altman, D. G., Mann, H., Berlin, J. A., & Parulekar, W. R. (2013). SPIRIT 2013 explanation and elaboration: Guidance for protocols of clinical trials. BMJ, 346, e7586. https://doi.org/10.1136/bmj.e7586
  • 10. Chao, Y. C., Hu, S. H., Chiu, H. Y., Huang, P. H., Tsai, H. T., & Chuang, Y. H. (2021). The effects of an immersive 3D interactive video program on improving student nurses' nursing skill competence: A randomized controlled trial study. Nurse Education Today, 103, 104979. https://doi.org/10.1016/j.nedt.2021.104979
  • 11. Chaplen, R. (2019). Thorax and lung assessment. In S. Jensen (Ed.), Nursing health assessment: A best practice approach (3rd ed., pp. 668-682). Lippincott Williams & Wilkins.
  • 12. Cho, S.-H., Lee, J.-Y., You, S. J., Song, K. J., & Hong, K. J. (2020). Nurse staffing, nurses' prioritization, missed care, quality of nursing care, and nurse outcomes. International Journal of Nursing Practice, 26(1), e12803. https://doi.org/10.1111/ijn.12803
  • 13. Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155
  • 14. Çalışkan, N., Doğan, N., Cihan Erdoğan, B., Sucu Çakmak, N. C., Kublashvili, A. N., Eyüboğlu, G., & Ark, V. (2020). Hemşirelerin ve hemşirelik öğrencilerinin fiziksel değerlendirme becerilerini kullanma durumları: Karşılaştırmalı bir çalışma. HUHEMFAD-JOHUFON, 7(3), 206-214.
  • 15. Davis, F. D. (1992). Perceived usefulness, perceived ease of use, and user acceptance of information technology. Management Information Systems Quarterly, 13(3), 319-340.
  • 16. Dotsenko, E., Sholkava, M., & Novikova, T. (2022). Implementation of virtual reality for teaching auscultation to 3rd year medical students. Preprint, 1-15. https://doi.org/10.22541/au.166458335.10616348
  • 17. Eppich, W., & Cheng, A. (2015). Promoting excellence and reflective learning in simulation (PEARLS): Development and rationale for a blended approach to health care simulation debriefing. Simulation in Healthcare, 10(2), 106-115. https://doi.org/10.1097/SIH.0000000000000096
  • 18. Eyüboğlu, G., & Çalışkan, N. (2019). Hemşirelerin fiziksel muayene becerilerini kullanmalarındaki engeller. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 8(2), 57-61.
  • 19. Gawlik, K. S., Melnyk, B. M., & Teal, A. M. (Eds.). (2021). Evidence-based physical examination: Best practices for health and well-being assessment (Ch. 1). Springer Publishing Company. xxvii, xxix, 3–42. https://www.springerpub.com/evidence-based-physical-examination-9780826164537.html
  • 20. Giuffrida, S., Silano, V., Ramacciati, N., Prandi, C., Baldon, A., & Bianchi, M. (2023). Teaching strategies of clinical reasoning in advanced nursing clinical practice: A scoping review. Nurse Education in Practice, 67, 103548. https://doi.org/10.1016/j.nepr.2022.103548
  • 21. Görgülü, R. S. (2014). Hemşireler için fiziksel muayene yöntemleri (1st ed., pp. 79–94). İstanbul Medikal Yayıncılık.
  • 22. Hamari, L., Holopainen, A., Nyman, J., Pukkila, H., Siltanen, H., & Parisod, H. (2024). Actualization of evidence-based nursing in primary, specialized, and social care settings—A cross-sectional survey. Worldviews on Evidence-Based Nursing, 21(2), 137-147. https://doi.org/10.1111/wvn.12701
  • 23. Hogan-Quigley, B., Palm, M. L., & Bickley, L. S. (2012). Bates’ nursing guide to physical examination and history taking (5th ed.). Lippincott Williams & Wilkins.
  • 24. Hogan-Quigley, B., Palm, M. L., & Bickley, L. S. (2019). Bates' guide to physical examination and history taking (12th ed.). Wolters Kluwer.
  • 25. Hooda, M., Rana, C., Dahiya, O., Rizwan, A., & Hossain, S. (2022). Artificial intelligence for assessment and feedback to enhance student success in higher education. Mathematical Problems in Engineering, 2022, Article ID 5215722. https://doi.org/10.1155/2022/5215722
  • 26. International Nursing Association for Clinical Simulation and Learning (INACSL). (2021). Best practice simulation design standards for health services. Retrieved from https://www.inacsl.org
  • 27. Janatolmakan, M., & Khatony, A. (2022). Explaining the consequences of missed nursing care from the perspective of nurses: A qualitative descriptive study in Iran. BMC Nursing, 21, 59. https://doi.org/10.1186/s12912-022-00839-9
  • 28. Jennings, N. S., & Givens, J. (2020). Simulation-based learning and the role of debriefing in critical care education. Critical Care Nurse, 40(1), e1-e10. https://doi.org/10.4037/ccn2020617
  • 29. Lytvynova, S., & Soroko, N. (2023). Interaction in an educational environment with virtual and augmented reality. ICT and Learning Tools in Secondary Education, 98(6), 13-30. https://doi.org/10.33407/itlt.v98i6.5433
  • 30. Marougkas, A., Troussas, C., Krouska, A., & Sgouropoulou, C. (2023). Virtual reality in education: A review of learning theories, approaches, and methodologies for the last decade. Electronics, 12(13), 2832. https://doi.org/10.3390/electronics12132832
  • 31. Mousavinasab, S., Aghaei, M., & Momeni, S. (2020). The role of physical assessment in nursing care. Journal of Nursing Research, 15(3), 201-210. https://doi.org/10.1016/j.jnur.2020.06.008
  • 32. Pardue, C., & Kegler, S. (2023). Virtual reality simulation in nursing education: A review of the literature. Nurse Education Today, 126, 105712. https://doi.org/10.1016/j.nedt.2023.105712
  • 33. Pereira, P., Gomes, S., Faria, R., & Cruz-Correia, M. (2016). Coimbra: Teaching cardiopulmonary auscultation in workshops using a virtual patient simulation technology. IEEE Global Engineering Education Conference (EDUCON), 2016, 317-322. https://doi.org/10.1109/EDUCON.2016.7474593
  • 34. Vargas-Orjuela, M., Uribe-Quevedo, A., & Rojas, D. (2017). A mobile immersive virtual reality cardiac auscultation app. In IEEE 6th Global Conference on Consumer Electronics (GCCE 2017) (pp. 1-2). https://doi.org/10.1109/GCCE.2017.8229276
  • 35. Vincent, Y. T. C., Tang, Y. M., & Karen, K. L. C. (2023). Medical students' perception of the application of a virtual reality training model to acquire vaginal examination skills. International Journal of Gynecology & Obstetrics, 161(3), 827–832. https://doi.org/10.1002/ijgo.14670
  • 36. World Medical Association. (2013). Declaration of Helsinki: Ethical principles for medical research involving human subjects. Retrieved from https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/
  • 37. Wu, C., Zhang, X., & Xu, Q. (2022). Comparative study of virtual reality-based and traditional methods for teaching physical examination skills in medical students. Journal of Medical Education and Curricular Development, 9, 2382120522110779. https://doi.org/10.1177/2382120522110779
  • 38. Ylimäki, S., Oikarinen, A., Kääriäinen, M., Pölkki, T., Mikkonen, K., Holopainen, A., Kaakinen, P., Kanste, O., Meriläinen, M., Jansson, M., Immonen, K., & Tuomikoski, A.-M. (2024). Advanced practice nurses' evidence-based healthcare competence and associated factors: A systematic review. Journal of Clinical Nursing, 33(5-6), 2069–2083. https://doi.org/10.1111/jocn.17075

The Effect of Virtual Reality-Based Learning Tool on Nursing Students' Knowledge and Skills in Thorax and Lung Physical Examination: A Single-Blind, Parallel-Group, Randomized Controlled Trial Protocol

Yıl 2024, Cilt: 4 Sayı: 3, 100 - 112, 30.12.2024

Öz

Objective: This study aims to evaluate the impact of a virtual reality (VR)-based thorax and lung physical examination learning tool on nursing students' knowledge and skills.
Method: Designed as a single-blind, pretest-posttest, parallel group randomized controlled trial, this study adheres to SPIRIT 2013 guidelines and is registered on ClinicalTrials.gov (NCT06536361). The study involved 80 nursing students enrolled in the “Health Assessment” course at the Faculty of Nursing of a public university, who meet the study criteria. These participants were stratified by gender and academic performance, then randomly assigned to either the experimental group (n=40) or the control group (n=40). Data were collected using the “Descriptive Characteristics Form”, “Thorax and Lung Physical Examination Knowledge Test”, “Thorax and Lung Physical Examination Skills Checklist’’, and “Student Feedback Form”. All students received theoretical and skill-based training and watched demonstration videos before the intervention. Pre-reading materials and demonstration videos were given to the students for study post-preparation phase. Initial knowledge and skill assessments were conducted after seven days. Seven days later these assessments, the experimental group trained with the virtual reality-based learning tool, while the control group received small group training. Final assessments were conducted seven days post-training, and feedback from the experimental group was collected. Data will be analyzed using parametric/non-parametric tests and analysis of variance in repeated measures.
Conclusion: The study is expected to enhance awareness of the role of virtual reality technology in nursing education and contribute to the literature by demonstrating an example of integrating virtual reality-based learning tools into traditional education.

Etik Beyan

The study received ethical approval from the Gazi University Ethics Commission on August 2, 2023 (decision number: E-77082166-302.08.01-711267).

Destekleyen Kurum

Gazi University

Proje Numarası

Bu araştırma, Gazi Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğü tarafından TDK-2024-9040 proje numarası ile desteklenmiştir.

Teşekkür

We would like to express our sincere gratitude to Gazi University Scientific Research Projects Coordination Unit (Gazi BAP) for their financial support and encouragement.

Kaynakça

  • 1. Ahmad, S., Sultana, N., & Jamil, S. (2020). Behaviorism vs constructivism: A paradigm shift from traditional to alternative assessment techniques. Journal of Applied Linguistics and Language Research, 7(2), 19-33. https://www.jallr.com/index.php/JALLR/article/view/1092/1261
  • 2. Akın, B., & Koçoğlu, D. (2017). Randomize kontrollü deneyler. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 4(1), 73-92. https://dergipark.org.tr/en/pub/hunhemsire/issue/27606/331915
  • 3. Atthill, S., Witmer, D., Luctkar-Flude, M., & Tyerman, J. (2021). Exploring the impact of a virtual asynchronous debriefing method after a virtual simulation game to support clinical decision-making. Clinical Simulation in Nursing, 50, 10-18. https://doi.org/10.1016/j.ecns.2020.06.008
  • 4. Bálint, L. A. P., Macías, L. H. P., & Althoefer, K. (2019). Virtual reality simulator for medical auscultation training. In Proceedings of the Towards Autonomous Robotic Systems (TAROS) 2019 (Vol. 11649, pp. 389-397). Springer. https://doi.org/10.1007/978-3-030-23807-0_32
  • 5. Barteit, S., Lanfermann, L., Bärnighausen, T., Neuhann, F., & Beiersmann, C. (2021). Augmented, mixed, and virtual reality-based head-mounted devices for medical education: A systematic review. JMIR Serious Games, 9, e29080. https://doi.org/10.2196/29080
  • 6. Bayram, S. B., & Caliskan, N. (2019). Effect of a game-based virtual reality phone application on tracheostomy care education for nursing students: A randomized controlled trial. Nurse Education Today, 79, 25-31. https://doi.org/10.1016/j.nedt.2019.05.007
  • 7. Benzaghta, M. A., Elwalda, A., Mousa, M., Erkan, I., & Rahman, M. (2021). SWOT analysis applications: An integrative literature review. Journal of Global Business Insights, 6(1), 55–73. https://doi.org/10.5038/2640-6489.6.1.1148
  • 8. Boutron, I., Altman, D. G., Moher, D., Schulz, K. F., & Ravaud, P. (2017). CONSORT statement for randomized trials of nonpharmacologic treatments: A 2017 update and a CONSORT extension for nonpharmacologic trial abstracts. Annals of Internal Medicine, 167(1), 40–47. https://doi.org/10.7326/M17-0026
  • 9. Chan, A.-W., Tetzlaff, J. M., Gøtzsche, P. C., Altman, D. G., Mann, H., Berlin, J. A., & Parulekar, W. R. (2013). SPIRIT 2013 explanation and elaboration: Guidance for protocols of clinical trials. BMJ, 346, e7586. https://doi.org/10.1136/bmj.e7586
  • 10. Chao, Y. C., Hu, S. H., Chiu, H. Y., Huang, P. H., Tsai, H. T., & Chuang, Y. H. (2021). The effects of an immersive 3D interactive video program on improving student nurses' nursing skill competence: A randomized controlled trial study. Nurse Education Today, 103, 104979. https://doi.org/10.1016/j.nedt.2021.104979
  • 11. Chaplen, R. (2019). Thorax and lung assessment. In S. Jensen (Ed.), Nursing health assessment: A best practice approach (3rd ed., pp. 668-682). Lippincott Williams & Wilkins.
  • 12. Cho, S.-H., Lee, J.-Y., You, S. J., Song, K. J., & Hong, K. J. (2020). Nurse staffing, nurses' prioritization, missed care, quality of nursing care, and nurse outcomes. International Journal of Nursing Practice, 26(1), e12803. https://doi.org/10.1111/ijn.12803
  • 13. Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155
  • 14. Çalışkan, N., Doğan, N., Cihan Erdoğan, B., Sucu Çakmak, N. C., Kublashvili, A. N., Eyüboğlu, G., & Ark, V. (2020). Hemşirelerin ve hemşirelik öğrencilerinin fiziksel değerlendirme becerilerini kullanma durumları: Karşılaştırmalı bir çalışma. HUHEMFAD-JOHUFON, 7(3), 206-214.
  • 15. Davis, F. D. (1992). Perceived usefulness, perceived ease of use, and user acceptance of information technology. Management Information Systems Quarterly, 13(3), 319-340.
  • 16. Dotsenko, E., Sholkava, M., & Novikova, T. (2022). Implementation of virtual reality for teaching auscultation to 3rd year medical students. Preprint, 1-15. https://doi.org/10.22541/au.166458335.10616348
  • 17. Eppich, W., & Cheng, A. (2015). Promoting excellence and reflective learning in simulation (PEARLS): Development and rationale for a blended approach to health care simulation debriefing. Simulation in Healthcare, 10(2), 106-115. https://doi.org/10.1097/SIH.0000000000000096
  • 18. Eyüboğlu, G., & Çalışkan, N. (2019). Hemşirelerin fiziksel muayene becerilerini kullanmalarındaki engeller. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 8(2), 57-61.
  • 19. Gawlik, K. S., Melnyk, B. M., & Teal, A. M. (Eds.). (2021). Evidence-based physical examination: Best practices for health and well-being assessment (Ch. 1). Springer Publishing Company. xxvii, xxix, 3–42. https://www.springerpub.com/evidence-based-physical-examination-9780826164537.html
  • 20. Giuffrida, S., Silano, V., Ramacciati, N., Prandi, C., Baldon, A., & Bianchi, M. (2023). Teaching strategies of clinical reasoning in advanced nursing clinical practice: A scoping review. Nurse Education in Practice, 67, 103548. https://doi.org/10.1016/j.nepr.2022.103548
  • 21. Görgülü, R. S. (2014). Hemşireler için fiziksel muayene yöntemleri (1st ed., pp. 79–94). İstanbul Medikal Yayıncılık.
  • 22. Hamari, L., Holopainen, A., Nyman, J., Pukkila, H., Siltanen, H., & Parisod, H. (2024). Actualization of evidence-based nursing in primary, specialized, and social care settings—A cross-sectional survey. Worldviews on Evidence-Based Nursing, 21(2), 137-147. https://doi.org/10.1111/wvn.12701
  • 23. Hogan-Quigley, B., Palm, M. L., & Bickley, L. S. (2012). Bates’ nursing guide to physical examination and history taking (5th ed.). Lippincott Williams & Wilkins.
  • 24. Hogan-Quigley, B., Palm, M. L., & Bickley, L. S. (2019). Bates' guide to physical examination and history taking (12th ed.). Wolters Kluwer.
  • 25. Hooda, M., Rana, C., Dahiya, O., Rizwan, A., & Hossain, S. (2022). Artificial intelligence for assessment and feedback to enhance student success in higher education. Mathematical Problems in Engineering, 2022, Article ID 5215722. https://doi.org/10.1155/2022/5215722
  • 26. International Nursing Association for Clinical Simulation and Learning (INACSL). (2021). Best practice simulation design standards for health services. Retrieved from https://www.inacsl.org
  • 27. Janatolmakan, M., & Khatony, A. (2022). Explaining the consequences of missed nursing care from the perspective of nurses: A qualitative descriptive study in Iran. BMC Nursing, 21, 59. https://doi.org/10.1186/s12912-022-00839-9
  • 28. Jennings, N. S., & Givens, J. (2020). Simulation-based learning and the role of debriefing in critical care education. Critical Care Nurse, 40(1), e1-e10. https://doi.org/10.4037/ccn2020617
  • 29. Lytvynova, S., & Soroko, N. (2023). Interaction in an educational environment with virtual and augmented reality. ICT and Learning Tools in Secondary Education, 98(6), 13-30. https://doi.org/10.33407/itlt.v98i6.5433
  • 30. Marougkas, A., Troussas, C., Krouska, A., & Sgouropoulou, C. (2023). Virtual reality in education: A review of learning theories, approaches, and methodologies for the last decade. Electronics, 12(13), 2832. https://doi.org/10.3390/electronics12132832
  • 31. Mousavinasab, S., Aghaei, M., & Momeni, S. (2020). The role of physical assessment in nursing care. Journal of Nursing Research, 15(3), 201-210. https://doi.org/10.1016/j.jnur.2020.06.008
  • 32. Pardue, C., & Kegler, S. (2023). Virtual reality simulation in nursing education: A review of the literature. Nurse Education Today, 126, 105712. https://doi.org/10.1016/j.nedt.2023.105712
  • 33. Pereira, P., Gomes, S., Faria, R., & Cruz-Correia, M. (2016). Coimbra: Teaching cardiopulmonary auscultation in workshops using a virtual patient simulation technology. IEEE Global Engineering Education Conference (EDUCON), 2016, 317-322. https://doi.org/10.1109/EDUCON.2016.7474593
  • 34. Vargas-Orjuela, M., Uribe-Quevedo, A., & Rojas, D. (2017). A mobile immersive virtual reality cardiac auscultation app. In IEEE 6th Global Conference on Consumer Electronics (GCCE 2017) (pp. 1-2). https://doi.org/10.1109/GCCE.2017.8229276
  • 35. Vincent, Y. T. C., Tang, Y. M., & Karen, K. L. C. (2023). Medical students' perception of the application of a virtual reality training model to acquire vaginal examination skills. International Journal of Gynecology & Obstetrics, 161(3), 827–832. https://doi.org/10.1002/ijgo.14670
  • 36. World Medical Association. (2013). Declaration of Helsinki: Ethical principles for medical research involving human subjects. Retrieved from https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/
  • 37. Wu, C., Zhang, X., & Xu, Q. (2022). Comparative study of virtual reality-based and traditional methods for teaching physical examination skills in medical students. Journal of Medical Education and Curricular Development, 9, 2382120522110779. https://doi.org/10.1177/2382120522110779
  • 38. Ylimäki, S., Oikarinen, A., Kääriäinen, M., Pölkki, T., Mikkonen, K., Holopainen, A., Kaakinen, P., Kanste, O., Meriläinen, M., Jansson, M., Immonen, K., & Tuomikoski, A.-M. (2024). Advanced practice nurses' evidence-based healthcare competence and associated factors: A systematic review. Journal of Clinical Nursing, 33(5-6), 2069–2083. https://doi.org/10.1111/jocn.17075
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Aslı Yılmaz

Nurcan Çalışkan

Proje Numarası Bu araştırma, Gazi Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğü tarafından TDK-2024-9040 proje numarası ile desteklenmiştir.
Erken Görünüm Tarihi 27 Aralık 2024
Yayımlanma Tarihi 30 Aralık 2024
Gönderilme Tarihi 8 Ağustos 2024
Kabul Tarihi 22 Kasım 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 4 Sayı: 3

Kaynak Göster

APA Yılmaz, A., & Çalışkan, N. (2024). Sanal Gerçeklik Tabanlı Öğrenme Aracının Hemşirelik Öğrencilerinin Toraks ve Akciğer Fiziksel Muayene Bilgi ve Becerilerine Etkisi: Tek Kör Paralel Grup Randomize Kontrollü Çalışma Protokolü. Güncel Hemşirelik Araştırmaları Dergisi, 4(3), 100-112.

Güncel Hemşirelik Araştırmaları Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.