Many on-the-job training courses for nursing education have been converted to online courses due to the pandemic. However, the emergency and intensive training courses emphasize the provision of real situations to promote the learners’ ability to make accurate observations and instant judgments based on the patient’s situations. This research developed an online educational simulation game that uses Gather Town platform and Google Jamboard application to build a virtual emergency room scenes and patient complaints of different severity for learners to learn how to evaluate the consciousness and muscle strength of critically ill patients and establish peer scaffolding to improve the consistency of evaluation and provide a contextual and true learning environment. By providing a description of the patient’s condition in a simulated emergency room, the ability and consistency of the correct assessment of consciousness and muscle strength according to the patient’s condition are expected to be improved. The trainees were also required to identify the principle of urgently receiving based on the main complaint and clinical evaluation of each patient. After the preliminary analysis of the empirical evidence, it is found that the learning effectiveness of the learners has been significantly improved. The flow state and technical acceptance of all learners were also analyzed. The results showed that the overall flow and game acceptance were all higher than the median (median of the five-point scale = 3). Most of the learners also mentioned that using this game activity is more helpful for problem solving skills than not using the game.
Wen-Lin Chen, National Taiwan University of Science and Technology, Taiwan
Pei-Ching Ngu, National Taiwan University of Science and Technology, Taiwan
Huei-Tse Hou, National Taiwan University of Science and Technology, Taiwan