The effects of using a human patient simulator compared to a CD-ROM in teaching critical thinking and performance.

US Army Med Dep J

US Army Graduate Program in Anaesthesia Nursing, Fort Sam Houston, Texas.

Published: April 2014

Background: Military healthcare personnel, including nurse anesthetists, must have the knowledge and skills to care for the extensive, severe injuries incurred on the battlefield. No studies have compared the 2 teaching strategies of using the human patient simulator (HPS) and a CD-ROM in caring for combat injuries relative to critical thinking and performance using nurse anesthesia participants.

Methods: A prospective, pretest-posttest experimental, mixed design (within and between) was used to determine if there were statistically significant differences in HPS and CD-ROM educational strategies relative to caring for patients who have trauma. Two instruments were used: critical thinking, which consisted of multiple-choice questions; and a combat performance instrument that measured ability to care for patients.

Results: A repeated analysis of variance and a least significant difference post-hoc test were used to analyze the data. The HPS group performed better than the CD-ROM and control groups relative to performance (P=.000) but not on critical thinking (P=.239). There was no difference between the CD-ROM and control group (P=.171) on the combat performance instrument.

Conclusion: In this study, the HPS method of instruction was a more effective method of teaching than the CD-ROM approach.

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