The purpose of this study was to evaluate the impact of computer-based simulation on prelicensure senior second semester undergraduate baccalaureate nursing students' knowledge and satisfaction. The goal was to explore the current state of nursing education in relation to the nursing student's experience with interruptions and interruption management as interruptions and interruption management are an underexplored area of the nursing education experience, yet interruptions impact nursing performance and patient safety. Including effective interruption management in nursing education is the ultimate aim of this effort. The design of the study was a descriptive case study with mixed methods including quantitative and qualitative data collection and analysis. The quantitative analysis encompassed pretest and posttest drug calculation knowledge tests and a satisfaction survey. The qualitative portion of the study involved a focus group discussion relating to the nursing student's experience with interruptions and interruption management. The study results demonstrated that the participants were satisfied with the computer-based simulation. Furthermore, the results demonstrated that the professional nursing education of the study participants was devoid of interruption and interruption management education in the classroom, lab, and high-fidelity simulation. The themes that emerged from this study describe the current state of the second semester nursing student's experience with interruptions and interruption management and inform the need for interruption and interruption management education in professional nursing educational programs.

Varying the delivery rate of audio-based text within web-based training increases the effectiveness of the learning process and improves retention when compared with a fixed audio-based text delivery rate. To answer this question, two groups of 20 participants and one group of 10 participants were tested using the Web-based Anatomy & Physiology course modules developed by Medsn, Inc. The control group received the static speed of 128 words per minute while the experimental group received the initial speed of 128 words per minute with the option to change the speed of the audio-based text. An additional experimental group received the initial speed of 148 words per minute also having the option to vary the speed of the audio-based text. A three way single variable Analysis of Variance (ANOVA) was utilized to examine speed of voice presentation differences. The results were significant, F (2, 47) = 4.67, p=0.014, ç2 = 0.166. The mean for the control group was (M = 7.2, SD = 1.69) with the experimental groups at, (M = 8.4, SD = 1.31) and with extra groups at (M = 8.6, SD = 1.26).

No description available.

No / The use of Computer-based simulation (CBS), a form of simulation which utilises digital and web based platforms, is widely acknowledged in healthcare education. This literature review explores the current evidence relating to CBS activities in supporting radiographer education in CT and MRI. Key findings: Journal articles published between 2010 and 2020 were reviewed (n ¼ 663). The content was evaluated and summarised with the following headings; current utility, overview of CBS types, knowledge acquisition and evaluation, and student perspective. CBS utility in CT and MRI radiography education is limited. Its current use is for pre-registration education, and the interfaces used vary in design but are predominantly used as a preclinical learning tool to support the training of geometric scan planning, image acquisition and reconstruction, and associated technical skills. CBS was positively acknowledged by student radiographers; based on its inherent flexibility, self-paced learning and the ability to practice in a safe environment. Nonetheless, the educational validation of CBS in CT and MRI education pertaining to knowledge and skill acquisition has not been fully assessed through rigorous academic assessments and metrics. Conclusion: The current use of CBS in CT and MRI education is limited. The development of software programmes with functionality and capability that correlates with current clinical practice is imperative; and to enable more research in CBS utility to be undertaken to establish the efficacy of this pedagogical approach. Implications for practice: Due to limited placement opportunities, the use of simulation is increasing and evolving; in line with the approach to design and deliver high quality Simulation Based Education (SBE) in Diagnostic Radiography education. The continued development, utility and evaluation of CBS interfaces to support student radiographers at pre and post registration level is therefore essential.

There is currently an international shortage of Audiologists (McIntyre, 2010). Audiology is a professional degree undertaken at a postgraduate level at most universities around the world. Students have training in anatomy and physiology, hearing aids, cochlear implants, electrophysiology and acoustics; combined with a clinical component to the course. The clinical component is undertaken throughout the entirety of the course and involves a mixture of observation and supervised clinical practice in a variety of settings. Clinical training often begins with students crowded around a single piece of equipment, such as an audiometer for testing puretone-hearing thresholds or by pairing up and simulating a hearing loss. This process creates time and access constraints for students as it restricts their ability to practice performing audiometry, particularly if there is a shortage of equipment, and also limits their exposure to a wide variety of hearing loss pathologies. The potential for universities worldwide to use Virtual Reality and Computer Based Simulations to provide Audiology students with basic clinical skills without relying on extensive support from external clinics warrants further investigation. In particular, it needs to be determined whether Audiology students value these simulations as a useful supplement to their clinical training, and whether the use of these simulations translates into measurable improvements in student abilities in real clinical placements. A computer based training program for Audiology students developed at the Human Interface Technology Lab (HITLAB) New Zealand is evaluated in this study as an educational tool at the University of Canterbury, New Zealand. The present study aims to determine if a sample of twelve first year Audiology students felt their interactions with Virtual Patients improved their ability to interact with clients and perform masking which is often part of a basic audiometric assessment for a patient with hearing loss. The study measures the students’ competency in performing masking in puretone audiometry on the Virtual Patient and then on a patient in a real-world setting to see whether the Audiology Simulator training tool improved the student’s basic audiometry skills (a training effect) and whether these skills were maintained after a period of four weeks (a maintenance effect). Statistical analysis is applied to determine any training and maintenance effects. Students also gave subjective feedback on the usefulness of the simulator and suggestions for ways in which it could be improved. Results indicated that there was no statistically significant training effect between students that had used the Audiology Simulator and those that hadn’t. Once all students had used the Virtual Patient there was an overall maintenance effect present in that student’s scores stayed the same or improved even for those students who had not used the Virtual Patient for a period of time. Students overall reported that they found the Virtual Patient to be ‘Moderately Useful’ and had many recommendations for ways in which it could be improved to further assist their learning.The present study indicates that computer based simulation programs like the Virtual Patient are able to present and simulate realistic hearing losses to an acceptable level of complexity for students studying in the field of audiology and that the Audiology Simulator can be a useful and complementary training tool for components of audiological clinical competence, such as puretone audiometry and masking.

<p>  </p> <p>With fewer speech-language pathology (SLP) clinical training opportunities, it is difficult for students to gain the experience necessary to display proficiency and confidence in treating patients with dysphagia. To address this gap, many educators have turned to simulation-based training (SBT). This project examined the impact of a novel computer-based simulation dysphagia training implemented into Purdue University’s core Dysphagia course on students’ confidence and competence. During this training, students completed a comprehensive bedside swallowing evaluation and analysis of a videofluoroscopic swallow study (VFSS) of 2 simulated patients. </p> <p>A repeated measure design was utilized. Data were collected on 27 SLP graduate students (n=27; 26 females, 1 male; age range: 21-27 years) at baseline, Post-Simulation 1 and Post-Simulation 2. We evaluated confidence and clinical knowledge through the following outcome measures: students’ self-rated confidence levels rated using an adapted Self-Efficacy survey, and agreement levels with our gold standard rater on clinical evaluation forms. Data for students’ self-rated confidence were collected at three time points (baseline, Post-Simulation 1, Post-Simulation 2), and organized into three composite areas (Treatment, Evaluation, and Personal & Interpersonal Skills). Clinical knowledge was measured at two time points (Post-Simulation 1 and Post-Simulation 2 ) using clinical evaluation forms, which were completed for each of our two simulated patients. Clinical evaluation forms included a cranial nerve exam form, a videofluoroscopic swallow study (VFSS) analysis form, and an Overall Impressions and Recommendations form, including the Functional Oral Intake Scale (FOIS) and a recommendation list. </p> <p>Significant increases in confidence in the Evaluation (t(26)= -8.22, p < .0001), Treatment (t(26)= -5.06 , p < .0001) and Personal & Interpersonal (t(26)= -10.31, p < .0001) composite areas of the Self-Efficacy survey were seen from baseline to Post-Simulation 2. While students did not show significant improvements in clinical performance for FOIS ratings and VFSS analysis, they did show significant improvements in their ratings for the cranial nerve exam (t(26)= -5.728, p < .0001), and in their choice of recommendations (t(26) = -5.247, p < .000 1) between the first and the second simulation. </p> <p>In this sample of participants, students had significant improvements in confidence and clinical competence in several clinical knowledge areas. These paired results suggest that these participants benefitted from completing our SBT dysphagia training. Although our findings provide some initial insight into the impact of this novel computer-based SBT for graduate dysphagia education, additional research is required to further validate these findings. </p>

This study demonstrates that hybrid methods can be used for measuring the risk severity of technology-induced errors (TIE) that result from use of health information technology (HIT). The objectives of this research study include: 1. Developing an integrated conceptual risk assessment model to measure the risk severity of technology-induced errors. 2. Analyzing the criticality and risk thresholds associated with TIE’s contributing factors. 3. Developing a computer-based simulation model that could be used to undertake various simulations of TIE’s problems and validate the results. Using data from published papers describing three sample problems related to usability and technology-induced errors, hybrid methods were developed for assessing the risk severity and thresholds under various simulated conditions. A risk assessment model (RAM) and its corresponding steps were developed. A computer-based simulation of risk assessment using the model was also developed, and several runs of the simulation were carried out. The model was tested and found to be valid. Based on assumptions and published statistics obtained by publically available databases, we measured the risk severity and analyzed its criticality to classify risks of contributing factors into four different classes. The simulation results validated the efficiency and efficacy of the proposed methods with the sample problems. / Graduate / 0723 / 0680 / 0769 / tschio2011@gmail.com

Orientador: Antonio Batocchio / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Engenharia Mecanica / Made available in DSpace on 2018-08-08T16:29:28Z (GMT). No. of bitstreams: 1 Pinto_ClaudioRicardoMonteiro_M.pdf: 1016323 bytes, checksum: 092608f0049fe6576d6787fc00dd93ca (MD5) Previous issue date: 2006 / Resumo: Atualmente o aumento da competitividade industrial e da concorrência, está gerando uma busca constante de produtos inovadores e de baixo custo. Alguns seguimentos industriais também tem sentido o poder das 'commodities', onde grande parte dos custos envolvidos nos processos, principalmente matérias-primas, não são de controle da empresa dificultando e reduzindo a sua margem de atuação frente a concorrência. Existem diversas técnicas administrativas que demonstram excelentes resultados com as suas implementações, como a Teoria das Restrições (TOC), Manufatura Enxuta, Manufatura Agil, etc e estes sistemas podem ser tratados de forma integrada e comparativa (Godinho Fº e Fernandes, 2005). O objetivo deste trabalho é avaliar a aplicação destas ferramentas em uma empresa com regime de produção semi-contínuo de condutores elétricos, analisando os resultados das implementações realizadas através de métricas aplicadas ao setor. A Empresa estudada é uma empresa multinacional do ramo Eletroeletrônico, mais especificamente Condutores Elétricos, que atua principalmente no segmento de Energia e a linha de produtos selecionada para este estudo foi a de cabos flexíveis. Realizou-se o levantamento do fluxo de valor da empresa adotando a metodologia da Manufatura Enxuta e avaliou-se o impacto de cada fase do processo em relação ao processo como um todo, através deste levantamento determinou-se o ponto de restrição do sistema, e a partir daí foram definidas algumas ações de controle, como kanban, supermercado de peças e planos de manutenção preventiva nos equipamentos. Como resultado atingiu-se um incremento de 100% de capacidade de fabricação de cabos flexíveis com um aumento de produtividade na ordem de 90%, uma redução do nível de inventário de 33% e uma melhoria de qualidade com a redução de 20% no nível de ppm?s gerados por falhas. Outro fator importante foi a redução no tempo de dimensionamento e implementação dos novos processos com o auxílio da Simulação por computador. Foi possível observar que é viável o uso conjunto da TOC e da Manufatura Enxuta comprovando a aplicabilidade destas teorias em um processo de fabricação de condutores elétricos / Abstract: The increasing degree of industrial competitivity and competition has been generating recently a constant search for innovative and low-cost products. Some industrial segments have also been affected by the power of 'commodities', in relation to which a significant part of process-related costs, chiefly raw-materials, are not controlled by the enterprise, something that makes difficult and reduces its margins for maneuver before competition. There are several managing techniques that present optimum implementation results, as is the case of the Theory of Constraints - TOC), Lean Manufacturing and Agile Manufacture, systems that can be approached in a integrated and comparative way (Godinho Fº e Fernandes, 2005). This work aims to evaluate the application of these tools in a company producing electric conductors in a semi-continuous production regime by means of the evaluation the results of implementations introduced by metrics applied to the sector. The Enterprise studied is an Electronics multinational that produces electrical conductors, chiefly for the Power segment, and we selected for this study the production of flexible cables. The value flow of the company was evaluated adopting the "Lean Manufacture" philosophy and we examined the impact of each phase of the process in relation to the process as a whole. This survey allowed determining the system?s point of restriction, and the identification of the system?s restrictions allowed to define some controlling actions, like kanban, parts supermarket and preventive equipment-maintenance plans. As a result, an increment of 100% in manufacture capacity of flexible cables was reached, with an increase in productivity of 90%, a reduction in the level of inventory of 33% and a quality improvement with the reduction of 20% in the level of failure-induced PPMs. Another important factor was the reduction in the time of dimensioning and implementation of the new processes with the help of computer-based simulation. The work showed the joint use of TOC and Lean Manufacturing to be possible, proving these theories to be applicable to a manufacturing process of electric cables production / Mestrado / Materiais e Processos de Fabricação / Mestre em Engenharia Mecânica

Problématique : L’avènement de la documentation infirmière des soins dans les dossiers cliniques informatisés (DCI) engendre des changements dans la pratique infirmière actuelle. Le personnel infirmier devra acquérir les habiletés et savoirs nécessaires pour documenter électroniquement la démarche de soins infirmiers. À cet effet, des chercheurs de l’Université de Sherbrooke, en collaboration avec une compagnie informatique, ont développé un logiciel de simulation nommé Environnement Virtuel d’Apprentissage (EVA). Ce dernier vise à permettre aux personnes étudiantes infirmières, au moyen d’un simulateur sur écran, de pratiquer, à partir d’histoires de cas, l’évaluation clinique, l’examen physique, de même que la documentation électronique de la démarche de soins infirmiers, tout en se familiarisant avec une terminologie infirmière standardisée. But : Cette étude visait à évaluer l’impact du système EVA sur le sentiment d’auto-efficacité d'étudiants et étudiantes en sciences infirmières concernant leur performance clinique associée à la documentation électronique de la démarche de soins infirmiers. Méthodologie : Un devis quasi-expérimental avant-après a permis de décrire le sentiment d’auto-efficacité du groupe témoin et expérimental. Une appréciation concernant les fonctionnalités d’EVA a aussi été documentée par le groupe expérimental. Analyses et résultats : L’échantillon était composé majoritairement de femmes entre 21 et 30 ans ayant moins d’un an d’expérience en soins infirmiers. Un total de 63 personnes étudiantes ont rempli le questionnaire d’enquête au pré-test. Les résultats sur le sentiment d’auto-efficacité initial étaient similaires chez les groupes témoin et expérimental. En raison d’une importante perte de sujets, les calculs en post-test et pour la comparaison des groupes dans le temps ne sont pas significatifs. Une présentation graphique et une comparaison descriptive des données de quatre sujets ont été possibles pour décrire l’évolution du sentiment d’auto-efficacité dans le temps. Conclusion : Malgré quelques embûches concernant la participation du groupe expérimental, nous avons décrit le sentiment d’auto-efficacité avant et après l’utilisation du logiciel, effectué des comparaisons inter et intra groupe et fourni une rétroaction au développeur du logiciel. / Abstract : Issue: The advent of nursing care documentation in computerized clinical records generates changes in the current nursing practice. Nurses will need to acquire the skills and knowledge required to electronically document the nursing process. To this end, researchers at the University of Sherbrooke, in collaboration with an IT company, have developed a simulation software called Environnement Virtuel d’Apprentissage (EVA). The purpose of this program is to enable nursing students, using a simulation software, to practice, from case histories, clinical assessment, physical examination, as well as electronic documentation of the nursing process while becoming familiar with the nursing terminology. Purpose: This study aimed to assess the impact of the software EVA on the self-efficacy of nursing students about their clinical performance associated with electronic documentation of the nursing process. Methods: A quasi-experimental design before and after allowed to describe the feeling of self- efficacy in the control and experimental sample. An appreciation regarding EVA’s features was described by the experimental sample. Findings: The sample was predominantly composed of females between 21 and 30 years of age with less than one year of experience in nursing. A total of 63 students completed the survey questionnaire in the pretest. The results for the initial self-efficacy measure were similar in for the control and experimental group. Due to a significant loss of participants, our calculations regarding the post-test and comparison of groups over time were not significant. A graphic presentation and a descriptive comparison of four subjects was possible to describe the evolution of self- efficacy over time. Conclusion: Despite some difficulties concerning the participation of the experimental sample, we described the feeling of self-efficacy before and after using the software, made inter and intra-group comparisons and provided feedback to the software developer.