Effect of Psychoacoustic Learning on Cardiac Auscultation Proficiency in Nurse Practitioner Students.

Nurse Educ

Author Affiliations: Assistant Professor (Dr Cyphers), Professor (Dr Mest), and Associate Professor (Dr Doyle-Tadduni), Department of Nursing and Health, DeSales University, Center Valley, Pennsylvania.

Published: April 2019

Background: Assessment is a vital role of all nurses, yet cardiac murmur identification remains difficult for students. Cardiac auscultation is a technical, not intellectual, skill, and a psychoacoustic approach to learning is recommended. A psychoacoustic approach involves repetition of cardiac sounds to facilitate auditory perceptual learning.

Purpose: The purpose of this study was to determine the effectiveness of a psychoacoustic learning modality for identification of cardiac murmurs by nurse practitioner (NP) students.

Methods: A repeated-measures design was used. Following a pretest, NP students listened to repetitions of heart sounds, then took a posttest. Students were instructed to listen to the heart sounds weekly, then given posttests at 1 and 3 months.

Results: All posttest scores were higher than pretest scores; no significant difference in scores was noted between posttests.

Conclusions: Psychoacoustic learning may improve cardiac assessment. Further research is recommended with prelicensure nursing and NP students.

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Source
http://dx.doi.org/10.1097/NNE.0000000000000585DOI Listing

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