Escola Anna Nery Revista de Enfermagem
https://app.periodikos.com.br/journal/ean/article/doi/10.1590/2177-9465-EAN-2019-0094
Escola Anna Nery Revista de Enfermagem
Pesquisa

Satisfaction and self-confidence in the learning of nursing students: Randomized clinical trial

Satisfacción y autoconfianza en el aprendizaje de estudiantes de enfermeria: Ensayo clínico aleatorizado

Satisfação e autoconfiança na aprendizagem de estudantes de enfermagem: Ensaio clínico randomizado

Raphael Raniere de Oliveira Costa; Soraya Maria de Medeiros; Verónica Rita Dias Coutinho; Alessandra Mazzo; Marília Souto de Araújo

Downloads: 0
Views: 0

Abstract

Objective: To identify and compare satisfaction and self-confidence in the learning of nursing students from the use of simulation and traditional teaching in adult immunization scenarios in the context of Primary Health Care

Methods: A randomized controlled clinical trial. Thirty-four undergraduate nursing students from a Brazilian federal public university participated in the study. The students were allocated in two groups: dialogical exposition and training of skills (control) and dialogical exposition, training of skills and simulation (experimental). Student Satisfaction and Self-Confidence in Learning scale was applied after receiving the interventions. In the analysis of satisfaction and self-confidence in learning, the Mann-Whitney test was used for a level of significance of 5%.

Results: Traditional teaching strategies and simulation promote satisfaction and self-confidence in students’ learning. The experimental group presented higher mean values in most of the variables of both subscales. However, there was no statistical significance in the learning satisfaction subscale (p-value ≥ 0.05) and self-confidence in learning (p-value ≥ 0.05) between the experimental and control groups.

Conclusion and implications for practice: Because they generate satisfaction and self-confidence, simulation and traditional strategies can be mutually used in nursing training.

Keywords

Simulation; Nursing education; Primary Health Care

Resumen

Objetivo: Identificar y comparar la satisfacción y la confianza propia en el aprendizaje de estudiantes de enfermería a partir del uso de la simulación y de la enseñanza tradicional en escenarios de inmunización de adultos en el contexto de la Atención Primaria a la Salud.

Métodos: Ensayo clínico controlado y aleatorizado. Participaron del estudio 34 estudiantes graduados en Enfermería de una universidad pública federal brasileña. Los estudiantes se asignaron a dos grupos: exposición dialógica y entrenamiento de habilidades (control) y exposición dialógica, entrenamiento de habilidades y simulación (experimental). Después de recibir las intervenciones, se aplicó la escala de Satisfacción y confianza propia de los estudiantes en el aprendizaje. En el análisis de la satisfacción y autoconfianza en el aprendizaje, se utilizó la prueba de Mann-Whitney, para un nivel de significancia del 5%.

Resultados: Las estrategias tradicionales de enseñanza y la simulación promueven la satisfacción y la confianza propia en el aprendizaje de los estudiantes. El grupo experimental presentó valores medios superiores en la mayoría de las variables de ambas subescalas. Sin embargo, no se registró significancia estadística en la subescala de satisfacción en el aprendizaje (valor p ≥ 0,05) y la confianza propia en el aprendizaje (valor p ≥ 0,05) entre los grupos experimental y control.

Conclusión e implicaciones para la práctica: Por generar satisfacción y confianza propia, la simulación y las estrategias tradicionales pueden utilizarse mutuamente en la enseñanza de Enfermería.

Palabras clave

Simulación; Enseñanza de Enfermería; Atención Primaria a la Salud

Resumo

Objetivo: Identificar e comparar a satisfação e autoconfiança na aprendizagem de estudantes de enfermagem a partir do uso da simulação e do ensino tradicional, em cenários de imunização de adultos, no contexto da Atenção Primária à Saúde.

Método: Ensaio clínico controlado e randomizado. Participaram do estudo 34 estudantes da graduação em enfermagem de uma universidade pública federal brasileira. Os estudantes foram alocados em dois grupos: exposição dialogada e treino de habilidades (controle), e exposição dialogada, treino de habilidades e simulação (experimental). Após receberem as intervenções, aplicou-se a escala Student Satisfaction and Self-Confidence in Learning. Na análise da satisfação e autoconfiança na aprendizagem, utilizou-se o teste de Mann - Whitney, considerando-se o nível de significância de 5%.

Resultados: As estratégias tradicionais de ensino e a simulação promovem a satisfação e autoconfiança na aprendizagem dos estudantes. O grupo experimental apresentou médias superiores, na maioria das variáveis, de ambas as subescalas. Porém, não houve significância estatística na subescala de satisfação na aprendizagem (p valor ≥ 0,05) e a autoconfiança na aprendizagem (p valor ≥ 0,05) entre os grupos experimental e controle.

Conclusão e implicações para a prática: Por serem geradoras de satisfação e autoconfiança, a simulação e as estratégias tradicionais podem ser utilizadas mutuamente na formação em enfermagem.

Palavras-chave

Simulação; Ensino de Enfermagem; Atenção Primária à Saúde

Referências

1 Morin EA. Cabeça bem-feita. Repensar a reforma, reformar o pensamento. Rio de Janeiro: Bertrand Brasil; 2014.

2 Costa RRO, Medeiros SM, Martins JCA, Coutinho VRD. A simulação no ensino de enfermagem: reflexões e justificativas à luz da bioética e dos direitos humanos. Acta Bioeth [Internet]. 2018 jun; [cited 2018 nov 10]; 24(1):31-8. Available from: http://dx.doi.org/10.4067/S1726-569X2018000100031

3 Foronda C, Liu S, Bauman EB. Evaluation of simulation in undergraduate nurse education: An integrative review. Clin Simul Nurs [Internet]. 2013 oct; [cited 2018 nov 10]; 9(10):e409-e16. Available from: https://doi.org/10.1016/j.ecns.2012.11.003

4 Almeida RGS, Mazzo A, Martins JCA, Baptista RCN, Girão FB, Mendes IAC. Validation to Portuguese of the Scale of Student Satisfaction and Self-Confidence in Learning. Rev Latino-Am Enfermagem [Internet]. 2015 dec; [cited 2018 nov 10]; 23(6):1007-13. Available from: http://dx.doi.org/10.1590/0104-1169.0472.2643

5 Kootler P. Administração de marketing: análise, planejamento, implementação e controle. 5ª ed. São Paulo: Atlas; 1998.

6 Kootler P, Clarke RN. Marketing for health care organizations. Englewood Cliffs, NJ: Prentice-Hall; 1987.

7 Lemos SIM. Análise da satisfação de estudantes num curso em e-learning no ensino superior [dissertação]. Lisboa: Universidade de Lisboa; 2011.

8 DeYoung S. Teaching strategies for nurse educators. Upper Saddle River: Prentice Hall Health; 2003.

9 Baptista RCN, Martins JCA, Pereira MFCR, Mazzo A. Students’ satisfaction with simulated clinical experiences: validation of an assessment scale. Rev Latino-Am Enfermagem [Internet]. 2014 oct; [cited 2018 nov 10]; 22(5):709-15. Available from: http://dx.doi.org/10.1590/0104-1169.3295.2471

10 Jeffries PR. A framework for designing, implementing, and evaluating: Simulations used as teaching strategies in nursing. Nurs Educ Perspect [Internet]. 2005 mar/apr; [cited 2018 nov 10]; 26(2):96-103. Available from: https://www.ncbi.nlm.nih.gov/pubmed/15921126

11 National League for Nursing (NLN). Simulation Innovation Resource Center. SIRC Glossary; 2013; [cited 2018 nov 10]. Available from: http://sirc.nln.org/mod/glossary/view.php?id=183

12 Costa RRO, Medeiros SM, Martins JCA, Cossi MS, Araújo MS. Percepção de estudantes da graduação em enfermagem sobre a simulação realística. Rev Cuid [Internet]. 2017 sep/dec; [cited 2018 nov 10]; 8(3):1799-1808. Available from: http://dx.doi.org/10.15649/cuidarte.v8i3.425

13 Norman J. Systematic Review of the Literature on Simulation in Nursing Education. ABNF Journal [Internet]. 2012; [cited 2018 nov 10]; 23(2):24-28. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22774355

14 Zapko KA, Ferranto MLG, Blasiman R, Shelestak D. Evaluating best educational practices, student satisfaction, and self-confidence in simulation: A descriptive study. Nurse Educ Today [Internet]. 2018 jan; [cited 2018 nov 10]; 60:28-34. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28987895

15 Campbell DT, Stanley JC. Delineamentos experimentais e quase-experimentais de pesquisa. São Paulo: USP/EPU; 1979.

16 Coutinho VRD, Martins JCA, Pereira MFCR. Construção e Validação da Escala de Avaliação do Debriefing associado à Simulação (EADaS). Rev Enf Ref [Internet]. 2014; [cited 2018 nov 10]; 4(2):41-50. Available from: http://dx.doi.org/10.12707/RIII1392

17 Almeida RGS, Mazzo A, Martins JCA, Coutinho VRD, Jorge BM, Mendes IAC. Validação para a língua portuguesa da Debriefing Experience Scale. Rev Bras Enferm [Internet]. 2016 aug; [cited 2018 nov 10]; 69(4):705-11. Available from: http://dx.doi.org/10.1590/0034-7167.2016690413i

18 Swenty CF, Eggleston BM. The Evaluation of Simulation in a Baccalaureate Nursing Program. Clin Simul Nurs [Internet]. 2011; [cited 2018 nov 10]; 7(5):e181-e7. Available from: https://doi.org/10.1016/j.ecns.2010.02.006

19 Omer T. Nursing students’ perceptions of satisfaction and self-confidence with clinical simulation experience. J Educ Pract [Internet]. 2016; [cited 2018 nov 10]; 7(5):131-8 Available from: https://eric.ed.gov/?id=EJ1092418

20 Xiaoying MA. BSN Students’ Perception of Satisfaction and Self-confidence After a Simulated Mock Code Experience: A Descriptive Study [these]. Cedarville: Centennial Library - School of Nursing, Cedarville University; 2013; [cited 2018 nov 10]. Available from: https://pdfs.semanticscholar.org/0be3/2a17e5ef22017865d4f80a9715e1dd4e4a72.pdf

21 Bandura A. Perceived self-efficacy in cognitive development and functioning. Educ Psych [Internet]. 1993; [cited 2018 nov 10]; 28(2):117-48. Available from: http://dx.doi.org/10.1207/s15326985ep2802_3

22 Bandura A. Self-efficacy in changing societies. New York: Cambridge University Press; 1995.

23 Perry P. Concept analysis: confidence/self-confidence. Nurs Forum [Internet]. 2011 oct/dec; [cited 2018 nov 10]; 46(4):218-30. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22029765

24 Akhu-zaheya LM, Gharaibeh MK, Alostaz ZM. Effectiveness of simulation on knowledge acquisition, knowledge retention, and self-efficacy of nursing students in Jordan. Clin Simul Nurs [Internet]. 2013; [cited 2018 nov 10]; 9(9):e335-e42. Available from: https://www.sciencedirect.com/science/article/pii/S1876139912000710

25 Warren JN, Luctkar-flude M, Godfrey C, Lukewich J. A systematic review of the effectiveness of simulation-based education on satisfaction and learning outcomes in nurse practitioner programs. Nurse Educ Today [Internet]. 2016 nov; [cited 2018 nov 10]; 46(1):99-108. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27621199

26 Liaw SY, Koh Y, Dawood R, Kowitlawakul Y, Zhou W, Lau ST. Easing student transition to graduate nurse: A simulated professional learning environment (SIMPLE) for final year student nurses. Nurse Educ Today [Internet]. 2014 mar; [cited 2018 nov 10]; 34(3):349-55. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23706963

27 Cummings C, Connelly LK. Improvement in Student Satisfaction and Confidence Levels through Simulation Activities [dissertação]. Florida: University of North Florida; 2017; [cited 2018 feb 22]. Available from: http://hdl.handle.net/10755/601810

28 Cummings C, Connelly LK. Can nursing students’ confidence levels increase with repeated simulation activities?. Nurse Educ Today [Internet]. 2016 jan; [cited 2018 feb 22]; 36:419-21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26599594

29 Stroup C. Simulation usage in nursing fundamentals: Integrative literature review. Clin Simul Nurs [Internet]. 2014 mar; [cited 2018 feb 22]; 10(3):e155-e64. Available from: https://www.sciencedirect.com/science/article/pii/S1876139913002351

30 Costa RRO, Medeiros SM, Martins JCA, Dias VR. Perceptions of nursing students on the structural dimensions of clinical simulation. Sci Med [Internet]. 2019; [cited 2018 feb 22]; 29(1):e32972. Available from: https://doi.org/10.15448/1980-6108.2019.1.32972
 


Submetido em:
31/03/2019

Aceito em:
16/09/2019

6807d2dba953952b3501b623 ean Articles

Esc. Anna Nery

Share this page
Page Sections