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    Effect of a simulation game on nursing students' reflective thinking skills: a mixed methods study
    (Bmc, 2024) Acil, Aysegul; Kececi, Ayla
    Background This study aimed to investigate the effect of a simulation game called The Ward on reflective thinking skills of senior nursing students. Methods A convergent mixed methods parallel research design was conducted between February-April 2018. The sample for this study was a convenience sample (n = 23) of senior nursing students. Student Information Form, Reflective Thinking Scale and a structured interview form were used as data collection tools. During study, simulation game was played once a week for seven weeks. Descriptive statistics (frequency, percentage, mean) were used for analyzing data, t test for dependent groups tests were applied to determine differences within group and qualitative data was analyzed with content analysis. Results After playing the simulation game, nursing students' reflective thinking scores (pre-test = 39.70 +/- 5.15; post-test = 67.39 +/- 8.13) increased significantly (p < 0.05). It was found students noticed their shortcomings and mislearnings by comparing their existing knowledge in setting of teamwork and cooperation created by the game, and consequently students' motivation increased or decreased. The teamwork and collaboration created with in the simulation game caused students to gain self-confidence, to expand their perspectives, to develop effective decision-making skills, to increase their motivation, to discover their own incomplete knowledge, skills or mislearnings. Conclusions These results support that the simulation games can be used to improve reflective thinking level of students. This finding shows that nursing education curriculum needs to be restructured using new methods such as simulation games aimed at improving students' reflective thinking skills. In this direction nurse educators should be involved with policy making and policy makers to develop strategies to ensure that graduated nursing students should gain reflective thinking skills. In addition nurse executives should encourage using simulation and simulation games in service training to improve nurses' reflective thinking skills and life long learning.
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    Turkish Adaptation of Nursing Students Competence Instrument
    (Marmara Univ, Inst Health Sciences, 2023) Cakar, Merve; Acil, Aysegul; Ilaslan, Nagihan; Sisman, Nuriye Yildirim
    Objective: The study was conducted to examine the validity and reliability of the Nursing Students Competence Instrument, which was developed in order to evaluate the competences of nursing students, for the Turkish society.Methods: This methodological study was conducted with the participation of 224 third and fourth-year nursing students studying at a state university in Turkey. Identifying Information Form and Nursing Students Competence Instrument were used for data collection. In order to determine the validity of the scale, linguistic content validity analysis and confirmatory factor analysis were performed. In order to identify the reliability of the scale, test-retest and Cronbach's alpha analysis were used.Results: In line with the validity and reliability analyses of the scale, it was determined that the model was compatible according to fit indices of confirmatory factor analysis (X2/sd= 2.42, RMSEA= 0.08, SRMR= 0.07). The Cronbach's alpha coefficient of the scale was determined to be 0.96, and the Cronbach's alpha coefficients of the subscales varied between 0.92 and 0.94.Conclusion: It was determined that the Turkish adaptation of the Nursing Students Competence Instrument was a valid and reliable scale for measuring the competence levels of nursing students. It is recommended to administer the scale to larger samples and to plan interorganizational comparative studies in order to identify nursing students' competences.
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    Web-based standardized patient simulation for taking anamnesis: an approach in nursing education during the pandemic
    (Bmc, 2023) Demiray, Ayse; Ilaslan, Nagihan; Kiziltepe, Selin Keskin; Acil, Aysegul
    Background To address the challenges in nursing education brought about by the pandemic, this study aimed to evaluate the use of a web-based standardized patient practice in the development of nursing students' anamnesis taking skills and their views about its application.Method We conducted a descriptive intervention study with 39 s-year nursing students. The students completed anamnesis using the standardized patient practice in line with a scenario with real standardized patients in a web-based environment with audio and video.Results The total scores of students' anamnesis skills were low. The agreement between the total scores, scores obtained from the health patterns, and each item in the control list was statistically significant (p < 0.05).Conclusion Web-based standardized patient practice is an alternative for clinical practice facilitating the gaining of competencies in making holistic nursing diagnoses under conditions that limit face-to-face interactions, such as pandemics.