Exploring students’ views on clinical simulation in the acupuncture programme at a South African university

Year 2022, Volume: 10 Issue: 2, 251 - 263, 30.06.2022

Zijing Hu , Roy Venketsamy

https://doi.org/10.17478/jegys.1092471

Cited By: 5

Abstract

Students’ competencies in clinical practice is vital in health sciences. Clinical simulation is one approach used to support students’ learning in clinical practice. There is a lack of research on clinical simulation in acupuncture programmes in the African context. This paper explored the experiences of acupuncture students’ views towards clinical simulation in the acupuncture programme to strengthen clinical teaching using the Technological Pedagogical Content Knowledge Framework as a theoretical lens. A qualitative research approach with an interpretivist paradigm was adopted. A single case study design was selected. Six undergraduate students voluntarily agreed to participate. The data were analysed inductively using the thematic analysis approach. Findings revealed that students were optimistic about clinical simulation because it assisted them in their practice. The findings highlighted students’ views regarding the lack of knowledge and skills among instructors and poor infrastructure. The study also found that students gained more confidence in the clinical simulation since they were aware that the patients are not harmed. It is recommended that clinical simulation should be included and standardised in the acupuncture curriculum. To improve clinical simulation, the authors recommended that clinical simulations should be carefully planned and coordinated; training facilities needed upgrading to accommodate COVID-19 regulations and a detailed handbook on clinical simulation should be developed to standardise the simulation process.

Keywords

clinical simulation, acupuncture, students’ experiences, Technological Pedagogical Content Knowledge, higher education

Supporting Institution

University of Johannesburg

References

• Amod, H.B. & Brysiewicz. P. 2017. Developing, implementing and evaluating a simulation learning package on post-partum haemorrhage for undergraduate midwifery students in KwaZulu-Natal. Health SA Gesonheid, 22: 194-201. http://dx.doi.org/10.1016/j.hsag.2016.11.004
• Aristovnik, A., Kerzic, D., Ravšelj, D., Tomaževic, N. & Umek, L. 2020. Impacts of the COVID-19 Pandemic on life of higher education students: A global perspective. Sustainability, 12(20). 8438. https://doi.org/10.3390/su12208438
• Bewley, W.L. & O’Neil, H.F. 2013. Evaluation of Medical Simulations. Military Medicine, 178(10): 64-75.
• Bogossian, F., Cooper, S., Kelly, M., Levett-Jones, T., McKenna, L., Slark, J. & Seaton, P. 2017. Best practice in clinical simulation education − are we there yet? A cross-sectional survey of simulation in Australian and New Zealand pre-registration nursing education. Collegian, 25: 327–334. https://doi.org/10.1016/j.colegn.2017.09.003
• Chick, R.C., Clifton, G.T., Peace, K.M., Propper, B.W., Hale, D.F., Alseidi, A.A. & Vreeland, T.J. 2020. Using Technology to Maintain the Education of Residents During the COVID-19 Pandemic. Journal of Surgical Education, 77(4):729-732.
• Cohen, L., Manion, L. & Morrison, K. 2018. Research Methods in Education (8 nds). Routledge.
• Cook, D.A., Hatala, R., Brydges, R., Zendejas, B., Szostek, J.H., Wang, A.T., Erwin, P.J. & Hamstra, S.J. 2011. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. Journal of the American Medical Association, 306(9):978-988. DOI: 10.1001/jama.2011.1234
• Creswell, J.W. 2014. Research design: Qualitative, quantitative and mixed methods approaches, 4th Ed. California: Sage Publications Inc.
• Goris, S., Bilgi, N. & Bayındır, K.S. 2014. The use of simulators in nursing education. Düzce University Health Sciences Institute Journal, 4(2): 25-29.
• Hannaway, D. (2019). Mind the gaps: Professional perspectives of technology-based teaching and learning in the Foundation Phase. South African Journal of Childhood Education, 9(1), 1-11.
• Harris, J., Phillips, M., Koehler, M., & Rosenberg, J. 2017. TPCK/TPACK research and development: Past, present, and future directions. Australasian Journal of Educational Technology, 33(3): i–viii. https://doi.org/10.14742/ajet.3907.
• Hedding, D.W., Greve, M., Breetzke, G.D., Nel, W. & Jansen van Vuuren, B. 2020. COVID-19 and the academe in South Africa: Not business as usual. South African Journal of Science, 116(7/8), https://doi.org/10.17159/sajs.2020/8298
• Kapucu, S. 2017. The effects of using simulation in nursing education: A thorax trauma case scenario. International Journal of Caring Sciences,10(2)
• Koehler, M. J., & Mishra, P. 2009. What is technological pedagogical content knowledge? Contemporary Issues in Technology and Teacher Education, 9(1), 60-70.
• Maree, K. (Ed). 2020. First Steps of Research. Pretoria: Van Schaik Publishers.
• Martinez, M.C.R., Sepulveda, J.M., Gambaro, G.M. & Jelvez, M.R. 2020. Constructed meanings of clinical simulation practices by nursing students. Enfermería: Cuidados Humanizados, 9(2): 243-254.
• Mellor, J.W. 2014. High rural population density Africa- What are the growth requirements and who participates. Food Policy, 48, 66-75. https://doi.org/10.1016/j.foodpol.2014.03.002
• Mishra, P. & Koehler, M.J. 2006. Technological pedagogical content knowledge: A framework for teacher knowledge. Teacher College Record, 108(6):1017-1054.
• Motola, I., Devine, L.A., Chung, H.S., Sullivan, J.E. & Issenberg, S.B. (2013) Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82. Medical Teacher, 35(10): e1511-e1530. DOI: 10.3109/0142159X.2013.818632
• Munroe, B., Buckley, T., Curtis, K. & Morris, R. 2016. Designing and implementing full immersion simulation as a research tool. Australasian Emergency Nursing Journal 19: 90-105. http://dx.doi.org/10.1016/j.aenj.2016.01.001
• National Institute for Communicable Diseases (NICD). 2020. First case of COVID-19 coronavirus reported in SA. https://www.nicd.ac.za/first-case-of-covid-19-coronavirus-reported-in-sa/#:~:text=This%20morning%2C%20Thursday%20March%205,to%20Italy%20with%20his%20wife.
• Padilha, J.M., Machado, P.P., Ribeiro, A., Ramos, J. & Costa, P. 2019. Clinical Virtual Simulation in Nursing Education: Randomized Controlled Trial. Journal of Medical Internet Research. 21(3):e11529. http://www.jmir.org/2019/3/e11529/
• Persico, L. 2018. A Review: Using simulation-based education to substitute traditional clinical rotations. JOJ Nursing & Health Care, 9(3): 555762. DOI: 10.19080/JOJNHC.2018.09.555762
• Paideya, V. 2020. Understanding remote teaching and learning challenges amidst the COVID-19 pandemic to enhance professional development: A systematic review of peer-reviewed journal articles, 2012–2020. In Mkhize, N., Ndimande-Hlongwa, N., Ramrathan, L. &
• Smit, J.A. (eds). Teaching and Learning in Higher Education in the Time of COVID-19. Pietermarizburg: CSSALL Publishers (Pty) Ltd
• So, H.Y., Chen, P.P., Wong, G.K.C. & Chan, T. T. N. 2019. Simulation in medical education. Journal of Royal College of Physicians of Edinburgh. 49(1):52-57.
• Venketsamy, R. & Wilson, C. 2020. Voices from the classrooms: Early grade teachers’ experience in the use of digital technology in mathematics teaching. In P. Vale, L. Westaway, Z. Nhase & I. Schudel (Eds.). Book of Proceedings of the 28th Annual Conference of the Southern African Association for Research in Mathematics, Science and Technology Education (pp. 169-181). Eastern Cape: SAARMSTE.
• Weston, J. & Zauche, L.H. 2020. Comparison of virtual simulation to clinical practice for prelicensure nursing students in pediatrics. Nurse Educator. doi: 10.1097/NNE.0000000000000946.
• Thaba-Nkadimene, K.L. 2020. Editorial: COVID-19 and e-learning in higher education. Journal of African Education, 1(2):5-11.
• Ting, D.S.W., Carin, L., Dzau, V. & Wong, T.Y. (2020). Digital technology and COVID-19. Nature Medicine, 26:459–461. https://doi.org/10.1038/s41591-020-0824-5
• Tosterud, R. 2015. Simulation used as a learning approach in nursing education (Doctoral dissertation, Karlstad University, Karlstad, Sweden). Retrieved from http://www.diva-portal.org/smash/record.jsf?pid=diva2%3A760893&dswid=-4300
• Yin, R.K. 2018. Case Study Research and Applications: Design and Methods (6nd). The United States of America: SAGE.
• Zalat, M.M, Hamed, M.S. & Bolbol, S.A. 2021. The experiences, challenges, and acceptance of e-learning as a tool for teaching during the COVID-19 pandemic among university medical staff. PLoS ONE, 16(3): e0248758.https://doi.org/10.1371/journal.pone.0248758