Measuring the impact of productive failure on nursing students' learning in healthcare simulation: A quasi-experimental study.

Previous research suggests that making errors in a non-threatening simulated environment can facilitate learning. Productive failure, which combines problem-solving tasks followed by instruction, enables students to learn from making mistakes. This teaching approach has demonstrated improved learnin...

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Publicado en:Nurse Education Today Vol. 101
Autores principales: Palominos, Evelyn, Levett-Jones, Tracy, Power, Tamara, Alcorn, Nadine, Martinez-Maldonado, Roberto
Formato: research randomized controlled trial Journal Article
Publicado: Elsevier B.V. Jun2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
      vid: 101
      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
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        149921666
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        10.1016/j.nedt.2021.104871
        149921666
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        atl: Measuring the impact of productive failure on nursing students' learning in healthcare simulation: A quasi-experimental study.
      aug:
        au:
          Palominos, Evelyn
          Levett-Jones, Tracy
          Power, Tamara
          Alcorn, Nadine
          Martinez-Maldonado, Roberto
        affil: Faculty of Health, University of Technology Sydney, 235 Jones St, Ultimo, NSW 2007, Australia
      sug:
        subj:
          Head Injuries Education
          Pediatric Care Education
          Teaching Methods
          Simulations
          Models, Anatomic
          Students, Nursing, Baccalaureate
          Learning Evaluation
          Student Knowledge Evaluation
          Outcomes of Education
          Human
          Randomized Controlled Trials
          Random Assignment
          Quasi-Experimental Studies
          Australia
          Students, Undergraduate
          Problem Solving
          Pretest-Posttest Control Group Design
          Descriptive Statistics
      ab: Previous research suggests that making errors in a non-threatening simulated environment can facilitate learning. Productive failure, which combines problem-solving tasks followed by instruction, enables students to learn from making mistakes. This teaching approach has demonstrated improved learning outcomes such as explanatory knowledge and transfer of knowledge compared to a direct instruction approach where students receive instruction prior to problem-solving tasks. However, no previous studies have examined the impact of productive failure on nursing students' learning in manikin-based simulation. To measure the impact of productive failure on nursing students' declarative knowledge, explanatory knowledge, and transfer of knowledge compared to a direct instruction approach in a paediatric closed head injury simulation. Second year undergraduate nursing students (n = 349) from one Australian university were invited to participate in the study. Consenting participants (n = 344) were randomised into two groups: productive failure and direct instruction. The intervention consisted of two paediatric closed head injury simulations separated by a simulation debrief. Knowledge tests were administered before and immediately after the simulation. Data from 331 participants were analysed. The productive failure group outperformed the direct instruction group in the post-test (p < 0.001). Learning gains for participants in the productive failure group were significantly higher than the direct instruction group for both explanatory knowledge (p < 0.001) and the ability to apply learning to solve novel clinical problems (p < 0.001). The difference in the median scores for declarative knowledge was not significant (p = 0.096). This study demonstrated that a productive failure simulation that leads learners to make mistakes before receiving instruction can facilitate deeper levels of explanatory knowledge and enable the transfer of learning to new clinical situations. These results suggest the need for further exploration of pedagogies that foster learning from errors in simulation-based learning.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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