Web Tabanlı Uygulamaya Dayalı Temel Yaşam Desteği Eğitiminin Algılanan Öğrenme, Bilgi, Memnuniyet ve Özgüven Üzerindeki Etkisi: Bir Karma Yöntem Çalışması

Yıl 2025, Cilt: 15 Sayı: 3, 340 - 347, 24.09.2025

Selin Keskin Kızıltepe , Atiye Erbaş , Aslı Kurtgöz

https://doi.org/10.33631/sabd.1624657

Öz

Amaç: Bilgisayar destekli öğrenme, öğrencilere materyale istedikleri zaman erişme ve tekrar kullanma olanağı sağlar ve öz-yönelimli öğrenmeyi destekler. Bu çalışma, temel yaşam desteği eğitimi için web tabanlı bir uygulamanın hemşirelik öğrencilerinin algılanan öğrenme, bilgi, memnuniyet ve özgüvenleri üzerindeki etkisini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntemler: Çalışmanın ilk aşamasında temel yaşam desteğini içeren bir uygulama geliştirilmiştir. Daha sonra, öğrenciler müdahale ve kontrol gruplarına ayrılmış ve veri toplama için kullanılan form ve ölçekler ön ve son test olarak uygulanmıştır. Nitel aşamada ise uygulamayı kullanan 12 öğrenci ile yarı yapılandırılmış görüşme formu kullanılarak odak grup görüşmeleri gerçekleştirilmiştir. Nicel veriler için betimsel analiz, nitel veriler için ise tematik analiz kullanılmıştır.
Bulgular: Uygulamayı kullanan öğrencilerin bilgi, algılanan öğrenme, memnuniyet ve özgüven puanları arasında anlamlı bir fark görülmezken, müdahale grubunun tüm puanları daha yüksek çıkmıştır. İki tema elde edilmiştir: (I) Deneyimlerden elde edilen kazanımlar, (II) Eleştiri ve uygulamanın geliştirilmesi.
Sonuç: Web tabanlı simülasyon uygulamasının bilişsel alanda öğrenme çıktılarına ulaşmada faydalı bir yöntem olduğu ve psikomotor uygulamaları da olumlu yönde etkilediği görülmüştür. Ayrıca uygulamanın bireysel kazanımlar sağladığı ve öğrenme deneyimlerini olumlu yönde etkilediği tespit edilmiştir.

Anahtar Kelimeler

Oyunlaştırma , Hemşirelik öğrencileri , Hemşirelik eğitimi , Öğretim yöntemi

Proje Numarası

2021.16.01.1267.

The Effect of Basic Life Support Training based on Web-Based Application on Perceived Learning, Knowledge, Satisfaction and Self-Confidence: A Mixed Method Study

Öz

Aim: Computer-assisted learning provides students with the opportunity to access and reuse the material at any time and supports self-directed learning. This study aims to evaluate the effect of a web-based application for basic life support training on nursing students' perceived learning, knowledge, satisfaction and self-confidence.
Material and methods: In the initial phase of the study, an application with basic life support was developed. Subsequently, students were divided into intervention and control groups, and the forms and scales used for data collection were administered as pre- and post-tests. In the qualitative phase, focus group discussions were conducted with 12 students who used the application, using a semi-structured interview form. Descriptive analysis was used for quantitative data and thematic analysis was used for qualitative data.
Results: Students using the application showed no significant difference between the knowledge, perceived learning, satisfaction and self- confidence scores, but all the scores of the intervention group were higher. Two themes were identified: (I) Gains from experiences, (II) Criticism and development of the application.
Conclusion: It has been observed that web-based simulation application is a useful method in achieving learning outcomes in the cognitive domain and also positively affects psychomotor applications. In addition, it has been found that the application provides individual gains and positively affects learning experiences.

Anahtar Kelimeler

Gamification , Nursing students , Nursing education , Teaching method

Etik Beyan

All procedures were approved by the ethics committee and the institution (Decision no 25.11.2021/: 2021-256). The research was conducted in accordance with ethical standards and the principles of the Declaration of Helsinki. We informed all participants about our study. Verbal and written informed consent was obtained from the students.

Destekleyen Kurum

Duzce University

Proje Numarası

2021.16.01.1267.

Teşekkür

We would like to thank all nursing students and experts who contributed to our study.

Kaynakça

• Hernon O, McSharry E, MacLaren I, Carr PJ. The use of educational technology in teaching and assessing clinical psychomotor skills in nursing and midwifery education: a state-of-the-art literature review. J Prof Nurs. 2023;45:35-50. https://doi.org/10.1016/j.profnurs.2023.01.005
• Jia Z, Balinas JM. Teaching strategies in psychiatric nursing based on bloom’s taxonomy of educational objectives. Cureus. 2024;16(4):e57759. https://doi.org/10.7759/cureus.57759
• Lee J, Campbell S, Choi M, Bae J. Authentic learning in healthcare education: a systematic review. Nurse Educ Today. 2022;119:105596. https://doi.org/10.1016/j.nedt.2022.105596
• Chatzea VE, Logothetis I, Kalogiannakis M, Rovithis M, Vidakis N. Digital educational tools for undergraduate nursing education: a review of serious games, gamified applications and non-gamified virtual reality simulations/tools for nursing students. Information (Basel). 2024;15(7):410. https://doi.org/10.3390/info15070410
• Li YY, Au ML, Tong LK, Ng WI, Wang SC. High-fidelity simulation in undergraduate nursing education: a meta-analysis. Nurse Educ Today. 2022;111:105291. https://doi.org/10.1016/j.nedt.2022.105291
• Mishra R, Trivedi D. Simulation-based learning in nursing curriculum-time to prepare quality nurses: a systematic review and meta-analysis. Heliyon. 2023;9(5):e16014. https://doi.org/10.1016/j.heliyon.2023.e16014
• Choi H, Lee U, Jeon YS, Kim C. Efficacy of the computer simulation-based, interactive communication education program for nursing students. Nurse Educ Today. 2020;91:104467. https://doi.org/10.1016/j.nedt.2020.104467
• Nascimento KGD, Ferreira MBG, Felix MMDS, Nascimento JDSG, Chavaglia SRR, Barbosa MH. Effectiveness of the serious game for learning in nursing: systematic review. Rev Gaucha Enferm. 2021;42:e20200274. https://doi.org/10.1590/1983-1447.2021.20200274
• Alrashidi N, Pasay-an E, Alrashedi MS, Alqarni AS., Gonzales F, Bassuni EM, et al. Effects of simulation in improving the self-confidence of student nurses in clinical practice: a systematic review. BMC Med Educ. 2023;23(1):815. https://doi.org/10.1186/s12909-023-04793-1
• Widiasih R, Komariah M, Pramukti I, Susanti RD, Agustina HS, Arifin H, et al. VNurs Lab 3D Simulator: a web-based nursing skills simulation of knowledge of nursing skill, satisfaction, and self-confidence among nursing students. Sustainability. 2022;14(9):4882. https://doi.org/10.3390/su14094882
• Dick-Smith F, Power T, Martinez-Maldonado R, Elliott D. Basic life support training for undergraduate nursing students: an integrative review. Nurse Educ Pract. 2021;50:102957. https://doi.org/10.1016/j.nepr.2020.102957
• Kassabry MF. The effect of simulation-based advanced cardiac life support training on nursing students’ self-efficacy, attitudes, and anxiety in Palestine: a quasi-experimental study. BMC Nurs. 2023;22(1):420. https://doi.org/10.1186/s12912-023-01588-z
• García-Suárez M, Méndez-Martínez C, Martínez-Isasi S, Gómez-Salgado J, Fernández-García D. Basic life support training methods for health science students: a systematic review. Int J Environ Res Public Health. 2019;16(5):768. https://doi.org/10.3390/ijerph16050768
• Creswell JW. A concise introduction to mixed methods research. 2nd ed. London: SAGE Publications, Inc; 2015.
• Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates, Publishers; 1988.
• Olasveengen TM, Semeraro F, Ristagno G, Castren M, Handley A, Kuzovlev A, et al. European resuscitation council guidelines: basic life support. Resuscitation. 2021;161:98-114. https://doi.org/10.1016/j.resuscitation.2021.02.009
• Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, et al. Part 3: adult basic and advanced life support: American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2020;142(16 Suppl 2):S366-S468. https://doi.org/10.1161/CIR.0000000000000916
• Franklin AE, Burns P, Lee CS. Psychometric testing on the NLN Student Satisfaction and Self-Confidence in Learning, Simulation Design Scale, and Educational Practices Questionnaire using a sample of pre-licensure novice nurses. Nurse Educ Today. 2014;34(10):1298-304. https://doi.org/10.1016/j.nedt.2014.06.011
• Karacay P, Kaya H. The Turkish adaptation of the student satisfaction and self-confidence in learning scale used in simulation education. Florence Nightingale J Nurs. 2017;25(2):95-103. https://doi.org/10.17672/fnhd.53359
• Rovai AP, Wighting MJ, Baker JD, Grooms LD. Development of an instrument to measure perceived cognitive, affective, and psychomotor learning in traditional and virtual classroom higher education settings. Internet High Educ. 2009;12(1):7-13. https://doi.org/10.1016/j.iheduc.2008.10.002
• Albayrak E, Gungoren ÖC, Horzum MB. Adaptation of Perceived Learning Scale to Turkish. Ondokuz Mayıs Univ J Educ Fac. 2014;33(1):1-14. https://doi.org/10.7822/egt252
• Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. https://doi.org/10.1093/intqhc/mzm042
• Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa
• Lincoln YS, Guba EG. Naturalistic Inquiry. Newberry Park: SAGE Publications, Inc; 1985.
• Özdemir KE, Dinç L. Game-based learning in undergraduate nursing education: a systematic review of mixed-method studies. Nurse Educ Pract. 2022;62:103375. https://doi.org/10.1016/j.nepr.2022.103375
• Shorey S, Ng ED. The use of virtual reality simulation among nursing students and registered nurses: a systematic review. Nurse Educ Today. 2021;98:104662. https://doi.org/10.1016/j.nedt.2020.104662
• Sim JJM, Rusli KDB, Seah B, Levett-Jones T, Lau Y, Liaw SY. Virtual simulation to enhance clinical reasoning in nursing: a systematic review and meta-analysis. Clin Simul Nurs. 2022;69:26-39. https://doi.org/10.1016/j.ecns.2022.05.006
• McKelvin R, McKelvin G. Immersive simulation training: comparing the impact on midwifery and paramedic students’ confidence to perform basic life support skills. Midwifery. 2020;87:102717. https://doi.org/10.1016/j.midw.2020.102717
• Rushton MA, Drumm IA, Campion SP, O'Hare JJ. The use of immersive and virtual reality technologies to enable nursing students to experience scenario-based, basic life support training—exploring the impact on confidence and skills. Comp Inform Nurs. 2020;38(6):281-93. https://doi.org/10.1097/CIN.0000000000000608
• Ka Ling F, Lim Binti Abdullah K, Seng Chiew G, Danaee M, Chan CMH. The impact of high Fidelity patient simulation on the level of knowledge and critical thinking skills in code blue management among undergraduate nursing students in Malaysia. SAGE Open. 2021;11(2):21582440211007123. https://doi.org/10.1177/21582440211007123
• Keys E, Luctkar-Flude M, Tyerman J, Sears K, Woo K. The integration of virtual simulation gaming into undergraduate nursing resuscitation education: a pilot randomised controlled trial. Clin Simul Nurs. 2021;54:54-61. https://doi.org/10.1016/j.ecns.2021.01.013
• Makinen H, Haavisto E, Havola S, Koivisto JM. User experiences of virtual € reality technologies for healthcare in learning: an integrative review. Behav Inform Technol. 2022;41(1):1-17. https://doi.org/10.1080/0144929X.2020.1788162