Based on Delphi method and Analytic Hierarchy Process to construct the Evaluation Index system of nursing simulation teaching quality.

BACKGROUND Simulation has been widely adopted in nursing education, as is known to all, the quality of simulation could be affected by many factors. Since there is not a comprehensive and scientific evaluation Index system, it is important to construct an evaluation Index system to guide high-quality simulation. OBJECTIVES To construct the Evaluation Index system of Nursing Simulation teaching Quality and determine the weight of each indicator. DESIGN It is a phenomenological research study. SETTINGS The study was mainly conducted in one universities in China. PARTICIPANTS 27 nursing education experts from China participated in this study. METHODS This study combines the Delphi method and Analytic Hierarchy Process method. RESULTS Evaluation Index system of Nursing Simulation teaching Quality is built using Delphi method, including five first level index (Teacher, Student, Simulation design characteristics, Educational practices and Outcomes), 14 secondary index and 62 tertiary index. It's determined through a two-rounded experts consultation involving 27 experts. The recovery rates of two rounds consultation questionnaire were respectively 96.43% and 100%, and coefficient authority was 0.89. The Kendall's W of second and third level index were respectively 0.515 and 0.589 (P < 0.001). And the weighted value of quality index are established at all levels with the consistency ratio (C.R.) <0.1, demonstrating that Teacher (0.4109) came first among the five first-level index followed by Student (0.2593), the Educational practices (0.1812), Simulation design characteristics (0.096) and Outcomes (0.0527). CONCLUSIONS The quality index of nursing simulation education is scientific and reliable, so as its weight assignment. It can be a guidance for high-quality simulation teaching, and it is a valid tool to evaluate the quality of simulation teaching in nursing.

[1]  Jacqueline A. Moss,et al.  Beginning and advanced students' perceptions of the use of low- and high-fidelity mannequins in nursing simulation. , 2016, Nurse education today.

[2]  R. Khalaila Simulation in nursing education: an evaluation of students' outcomes at their first clinical practice combined with simulations. , 2014, Nurse education today.

[3]  Ellen L. Onda Situated Cognition: Its Relationship to Simulation in Nursing Education , 2012 .

[4]  M. Bland,et al.  Effect of improving the realism of simulated clinical judgement tasks on nurses' overconfidence and underconfidence: evidence from a comparative confidence calibration analysis. , 2012, International journal of nursing studies.

[5]  Ming Liu,et al.  Findings From a Quantitative Approach of Nurses Possibly Related to the Nursing Shortage Before Policy Modification in Macao , 2012 .

[6]  Julie A. Manz,et al.  Improving Consistency of Assessment of Student Performance during Simulated Experiences , 2013 .

[7]  C. Thompson,et al.  The effects of clinical experience on nurses' critical event risk assessment judgements in paper based and high fidelity simulated conditions: a comparative judgement analysis. , 2011, International journal of nursing studies.

[8]  Y. Roh,et al.  Survey of factors influencing learner engagement with simulation debriefing among nursing students , 2017, Nursing & health sciences.

[9]  P. Jeffries,et al.  The NCSBN National Simulation Study: A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education , 2014 .

[10]  M. Amini,et al.  A comparison of educational strategies for the acquisition of nursing student’s performance and critical thinking: simulation-based training vs. integrated training (simulation and critical thinking strategies) , 2016, BMC medical education.

[11]  T. Saaty,et al.  The Analytic Hierarchy Process , 1985 .

[12]  Raymond Girard Tan,et al.  FSC College of Education , 2017 .

[13]  M. Woo,et al.  The effect of human patient simulation on critical thinking and its predictors in prelicensure nursing students. , 2013, Nurse education today.

[14]  Karin Hallin,et al.  High-fidelity simulation: Assessment of student nurses' team achievements of clinical judgment. , 2016, Nurse education in practice.

[15]  Jiyoung Park,et al.  The effect of simulation courseware on critical thinking in undergraduate nursing students: multi-site pre-post study. , 2015, Nurse education today.

[16]  Jin-Hwa Park,et al.  Effectiveness of patient simulation in nursing education: meta-analysis. , 2015, Nurse education today.

[17]  W. Nehring,et al.  Nursing Simulation: A Review of the Past 40 Years , 2009 .

[18]  G. Mitchell,et al.  Nursing Shortage or Nursing Famine: Looking Beyond Numbers? , 2001, Nursing science quarterly.

[19]  Gisoo Shin,et al.  Effects of nursing process-based simulation for maternal child emergency nursing care on knowledge, attitude, and skills in clinical nurses. , 2016, Nurse education today.

[20]  Tracy Levett-Jones,et al.  Quality indicators for the design and implementation of simulation experiences: a Delphi study. , 2013, Nurse education today.

[21]  L. O'mara,et al.  Challenging clinical learning environments: experiences of undergraduate nursing students. , 2014, Nurse education in practice.

[22]  Amanda L. Wilford,et al.  Integrating simulation training into the nursing curriculum. , 2006, British journal of nursing.

[23]  Sandra J Hartman,et al.  Strategic Analyses in Nursing Schools: Attracting, Educating, and Graduating More Nursing Students Part I-Strengths, Weaknesses, Opportunities, and Threats Analysis , 2008, The health care manager.

[24]  A. Gamble Simulation in undergraduate paediatric nursing curriculum: Evaluation of a complex 'ward for a day' education program. , 2017, Nurse education in practice.

[25]  Carol L Rossman,et al.  Satisfaction and self-confidence with nursing clinical simulation: Novice learners, medium-fidelity, and community settings. , 2017, Nurse education today.

[26]  M. Cunha,et al.  Costs and benefits of nursing clinical education for hospital institutions , 2014, Atencion primaria.

[27]  Sharon L. Farra,et al.  Preparing Nursing Students for Leadership Using a Disaster-Related Simulation , 2015, Nurse educator.

[28]  R. Dennick Constructivism: reflections on twenty five years teaching the constructivist approach in medical education , 2016, International journal of medical education.

[29]  P. Jeffries,et al.  NLN Jeffries Simulation Theory: Brief Narrative Description. , 2015, Nursing education perspectives.

[30]  Yasuharu Okuda,et al.  The utility of simulation in medical education: what is the evidence? , 2009, The Mount Sinai journal of medicine, New York.