History-taking level and its influencing factors among nursing undergraduates based on the virtual standardized patient testing results: Cross sectional study.

History-taking is an essential skill for nurses. In nursing education, it is necessary to objectively assess history-taking skills in a way that accurately reflects differences among students. Current history-taking evaluation methods lack objectivity, consistency and standardization, which makes it...

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Publicado en:Nurse Education Today Vol. 111
Autores principales: Du, Jingrong, Zhu, Xiaowen, Wang, Juan, Zheng, Jing, Zhang, Xiaomin, Wang, Ziwen, Li, Kun
Formato: research Journal Article
Publicado: Elsevier B.V. Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2022
      vid: 111
      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
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        155996856
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        10.1016/j.nedt.2022.105312
        155996856
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        atl: History-taking level and its influencing factors among nursing undergraduates based on the virtual standardized patient testing results: Cross sectional study.
      aug:
        au:
          Du, Jingrong
          Zhu, Xiaowen
          Wang, Juan
          Zheng, Jing
          Zhang, Xiaomin
          Wang, Ziwen
          Li, Kun
        affil: School of Nursing, Sun Yat-sen University, Guangzhou, China
      sug:
        subj:
          Patient History Taking
          Patient Simulation
          Competency Assessment
          Students, Nursing, Baccalaureate
          Human
          Cross Sectional Studies
          Students, Undergraduate
          Convenience Sample
          Self-Efficacy
          Critical Thinking
          Communication Skills
          Questionnaires
          Scales
          Univariate Statistics
          Pearson's Correlation Coefficient
          Multiple Linear Regression
          Descriptive Statistics
          Ethnology
          Academic Performance
      ab: History-taking is an essential skill for nurses. In nursing education, it is necessary to objectively assess history-taking skills in a way that accurately reflects differences among students. Current history-taking evaluation methods lack objectivity, consistency and standardization, which makes it difficult to identify factors that influence history-taking skill. A virtual standardized patient (VSP) can provide history-taking practice with repeatability and consistency. It can make objective and standardized assessment possible by eliminating the subjectivity of different teachers and patients. To evaluate the history-taking skills of nursing undergraduates using a VSP, and to explore its independent influencing factors. A cross-sectional design was employed with a sample of convenience from 3 universities. All 174 nursing undergraduates had their history-taking level evaluated using one VSP via computer or mobile terminal. For each query raised by the students, the VSP could give a preset response. The responses were assigned corresponding scores according to their importance, with a total score of 100. The students' general demographics were documented, and their self-efficacy, critical thinking and communication skills were measured online with the Nursing History-taking Self-Efficacy Questionnaire, Yoon's Critical Thinking Disposition Instrument and the Supportive Communicative Scale. Univariate analysis, Pearson correlation analysis and multiple linear regression were performed. The mean total history-taking score was 58.53 ± 14.32. History-taking scores were well discriminated among the students tested, with 10% of the students scoring above 80, 37% between 60 and 80, 22% between 50 and 60 and 31% scored below 50. The history-taking level of the nursing students was significantly associated with ethnicity, previous academic performance, and Supportive Communicative Scale scores. Using the VSP as a history-taking assessment method is an effective way to achieve a relatively objective, standardized and consistent assessment of history-taking education. Ethnicity, previous academic performance and supportive communication skills independently influenced the students' history-taking level. Mature history-taking skills require not only solid theoretical knowledge but good communication skills.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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