Authors | Institution | |
Yoshikazu Asada Shigeki Tsuzuku Katsuaki Suzuki Hiroshi Nakano |
Jichi Medical University Kumamoto University |
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Development of e-learning material with GBS (goal-based scenario) as a preliminary learning of multitasking training for new nurses |
- The blended (flipped learning) style might be important for simulation based training to make the course more effective and more efficient.
- Not only the subject matter expert (senior nurses in this case) but also the expert of the educational technology and instructional design are needed to design high-quality training course.
Health workers often have to decide priority on the fly and provide medical services. The training for such situation with on-the-job is so risky that training with simulation become popular in these days.
However, simulation training needs not only time and place but also the human resources such as instructor or operator of the simulator. It is not realistic to do all training with only by simulation. In addition, simulations are not best way to teach some kinds of learning outcomes such as intellectual skills, and the training should be designed as blended learning.
This work was supported by JSPS KAKENHI Grant Number 15K16261.
We have developed e-learning material with goal-based scenario to improve simulation training for new nurses. As a result of the formative evaluation of the e-learning material, we found that the concept is good but the number of scenarios should be increased.
We have added some scenarios and will start this style of training from this September.
In this research, the objective is to make improve the multitasking simulation for new nurses with e-learning material.
The e-learning was designed with goal-based scenario (GBS, developed by Roger Schank. see in "more detail") approach and developed for teaching intellectual skills as a scaffolding for simulation based training. This learning style is similar to the simulation that GBS is suitable for the blended learning with simulation. The learning material is developed with moodle (Learning Management System). Some nurses who educate freshpeople in the hospital advised as subject matter experts to make scenarios.
The learning objectives of "multitasking simulation" are:
- To determine priorities of patients in each situations
- To tell the seniors and get some help as needed
The training course is conducted as following :
- Learners (new nurses) study on e-learning. There are some stories of the multitasking situation (two patients asked to the nurse something or deteriorate rapidly at a time). They try the situations and prepare for the simulation training.
- After the e-learning, simulation is done in a small group at the simulation center. The simulation is provided almost the same situation as the e-learning, but the timing of talking is a little different. Learners think and performe on the fly.
(1) the setting of GBS
This table shows the setting of GBS about the e-learning course.
(2) e-learning contents
There were 4 scenarios on the trial version of the e-learning. Each scenario has about 3 scenes of decision making. This figure shows the screen transition of the contents. The whole contents was made with moodle. The GBS contents ( online simulation scenario ) is set up by using "lessons" activity.
As a result of formative evaluation of the e-learning, although there are points to be improved such as the number of stories or the behavior of the e-learning system, it is expected to improve the framework of the multitasking training by developing effective and efficient e-learning materials with GBS for learning scaffolding.
Some learners found a little difficult to learn online because they do not have enough experience about e-learning. Making simple manual to use moodle might also be needed for effective and efficienct e-learning course management.