Effectiveness of online simulation with decision-based branching video learning on nurses' knowledge and clinical reasoning in chest trauma: A randomized controlled trial

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-06-20 DOI:10.1016/j.nepr.2025.104436

Ching-Ching Lien , Chu-Yu Huang , Ming-Shun Hsieh , Ming-Zhong Li , Shih-Fen Tseng , Su-Fen Cheng

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引用次数: 0

Abstract

Background

Accidental injuries, especially thoracic trauma, are a leading cause of death worldwide. Nurses need systematic training to improve trauma care competency. Traditional approaches limit instructor involvement and learner participation. Integrating online simulation with decision-branch may enhance clinical reasoning and improve learning outcomes.

Objective

This study aimed to evaluate the effectiveness of an online simulation-based learning approach with decision-branching videos (Online SimuBranch) in enhancing nurses' knowledge of thoracic trauma care and clinical reasoning ability.

Design

Randomized controlled trial with two-group repeated measures design was used.

Methods

A convenience sample of 95 nurses from a regional hospital in Taiwan was randomly assigned to either experimental (n = 49). or control group (n = 46). The experimental group received a thoracic trauma care course using Online SimuBranch, while the control group received traditional lecture-based instruction. Data were collected at pre-intervention, one-week post-intervention and twelve-week post-intervention. Instruments used were a demographic information sheet, Thoracic Trauma Knowledge Scale and Clinical Reasoning Ability Scale. Results were analyzed using Generalized Estimating Equations (GEE).

Results

The experimental group showed a significant improvement in thoracic trauma knowledge (p < .001), sustained for twelve weeks. Their clinical reasoning scores were higher than the control group but not statistically significant (p > .05).

Conclusion

This study found that the Online SimuBranch enhances thoracic trauma knowledge. Although not statistically significant, the intervention enhanced nurses' reasoning ability and confidence in trauma care. Future initiatives are recommended to incorporate Online SimuBranch into continuous education to strengthen the connection between knowledge and practice.

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基于决策的分支视频学习在线模拟对胸外伤护士知识和临床推理的有效性：一项随机对照试验

背景：意外伤害，尤其是胸部创伤，是世界范围内死亡的主要原因。护士需要系统的培训来提高创伤护理能力。传统的方法限制了教师的参与和学习者的参与。将在线模拟与决策分支相结合可以增强临床推理能力，提高学习效果。目的评价基于决策分支视频的在线模拟学习方法（online SimuBranch）在提高护士胸外伤护理知识和临床推理能力方面的效果。设计采用随机对照试验，两组重复测量设计。方法选取台湾省某地区医院的95名护士作为方便样本，随机分为两组（n = 49）。对照组（n = 46）。实验组采用在线SimuBranch进行胸外伤护理课程，对照组采用传统的授课式教学。在干预前、干预后1周和干预后12周收集数据。使用的工具是人口统计信息表、胸外伤知识量表和临床推理能力量表。用广义估计方程（GEE）对结果进行分析。结果实验组患者胸外伤知识明显改善（p <； .001），且持续12周。两组临床推理评分均高于对照组，但差异无统计学意义（p >； .05）。结论本研究发现在线SimuBranch提高了胸外伤知识。虽然没有统计学意义，但干预提高了护士的推理能力和对创伤护理的信心。建议未来采取措施，将在线模拟分支纳入继续教育，以加强知识与实践的联系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.