The impact of telehealth objective structured clinical evaluations in intraprofessional nursing education: A mixed methods study
George T.P.; Munn A.C.; Phillips T.A.; Marty Hucks J.
2021
Nurse Education Today
2
10.1016/j.nedt.2021.104978
Background: Telehealth is an expanding modality of providing care. In 2018, the National Organization of Nurse Practitioner Faculties (NONPF) released a white paper encouraging the inclusion of telehealth into nurse practitioner education. It is important for nursing students to gain experience with telehealth so that they are prepared to provide care via telehealth. Objectives: The purpose of this project was to evaluate the impact of incorporating telehealth simulation into objective structured clinical examinations (OSCEs) in the family nurse practitioner (FNP) and bachelor of science in nursing (BSN) programs. Setting: This study was conducted at a public, liberal arts university in a rural area of the Southeast United States. Participants: The FNP and BSN students participated in this study. The FNP program is a hybrid master's degree program, which has a two-year plan of study. The BSN program is a traditional campus-based program, which includes two years of upper-division nursing courses. Methods: This mixed-methods study included a pre- and post-survey design utilizing both quantitative and qualitative measures to evaluate undergraduate and graduate nursing students understanding of and comfort with telehealth and their perceptions of a simulated intradisciplinary telehealth OCSE experience. Results: Students' telehealth knowledge, skills, and confidence were improved after the telehealth OSCE experience. Directed content analysis of the responses revealed three themes: increased knowledge of telehealth, technical difficulties, and teamwork/communication. Conclusions: It is beneficial for both undergraduate and family nurse practitioner students to have exposure to telehealth in their respective curriculums. © 2021 Elsevier Ltd
Nursing education research; Nursing students; Simulation; Telehealth
American Telemedicine Association, Telehealth nursing: a position statement, (2019); Arends R., Gibson N., Marckstadt S., Britson V., Nissen M.K., Voss J., Enhancing the nurse practitioner curriculum to improve telehealth competency, J. Am. Assoc. Nurse Pract., (2019); Beckham N.D., Objective structures clinical evaluation effectiveness in clinical evaluation for family nurse practitioner students, Clin. Simul. Nurs., 9, 10, pp. e453-e459, (2013); Bengtsson M., How to plan and perform a qualitative study using content analysis, NursingPlus Open, 2, pp. 8-14, (2016); Hesse-Biber S.H., The Practice of Qualitative Research: Engaging Students in the Research Process, (2017); Hsieh H.-F., Shannon S.E., Three approaches to qualitative content analysis, Qual. Health Res., 15, 9, pp. 1277-1288, (2017); IBM Corp, IBM SPSS Statistics for Windows, Version 27.0, (2020); International Nursing Association for Clinical Simulation and Learning (INACSL) Standards Committee, INACSL standards of best practice: simulation design, Clin. Simul. Nurs., 12S), pp. S5-S12, (2016); Kim M., Mallory C., Statistics for Evidence-Based Practice in Nursing, (2017); Kirkpatrick A., Ball S., Connelly S., Hercinger M., Hanks J., Potthoff M., Banzhaf S., McCafferty K., Intraprofessional simulation's impact on advanced practice and baccalaureate student self-efficacy, Clin. Simul. Nurs., 16, pp. 33-39, (2018); Loomis J.A., Expanding the use of simulation in nurse practitioner education: a new model for teaching health assessment, J. Nurse Pract., 12, 4, pp. e151-e157, (2016); Miller B., Carr K.C., Integrating standardized patients and objective structured clinical examinations into a nurse practitioner curriculum, J. Nurse Pract., 12, 5, pp. e201-e210, (2016); Ndiwane A.N., Baker N.C., Makosky A., Reidy P., Guarino A.J., Use of simulation to integrate cultural humility into advanced health assessment for nurse practitioner students, J. Nurs. Educ., 6, 9, pp. 567-571, (2017); Palmer R.T., Rdesinski R.E., Galper A., Cantone R.E., Shaver J., Symkowick M., Biagioli F.E., Assessing the impact of a telemedicine simulation on clinical learners, J. Family Med. Community Health, 4, 5, (2017); Phillips T.A., Munn A.C., George T.P., Assessing the impact of telehealth objective structured clinical evaluations in graduate nursing education, Nurse Educ., (2019); Registered Nurses'' Association of Ontario, Intra-professional collaborative practice among nurses (2nd ed.), (2016); Rutherford-Hemming T., Jennrich J.A., Using standardized patients to strengthen nurse practitioner competency in the clinical setting, Nurs. Educ. Perspect., 34, 2, pp. 118-121, (2013); Rutledge C., Pitts C., Poston R., Schweickert P., NONPF supports telehealth in nurse practitioner education, (2018); Swenty C.L., Titzer J.L., A sense of urgency: integrating technology and informatics in advance practice nursing education, J. Nurse Pract., 10, 10, pp. e57-e67, (2014)
Churchill Livingstone
Article
Scopus