Ayşe DEMİRAY, Selin Keskin KIZILTEPE, Nagihan İLASLAN, Ayşegül AÇIL

Fiziksel Muayene Becerilerinin Geliştirilmesinde Yüksek Gerçeklikli Simülasyon Kullanımına Yönelik Hemşirelik Öğrencilerinin Görüşleri

Giriş: Öğrencilerin kazanmaları beklenen fiziksel muayene becerileri hemşirelik eğitiminin temel bileşenlerinden biri olarak değerlendirilmektedir. Çalışmanın amacı; Fiziksel Muayene Dersi uygulamasında akciğer, bağırsak ve kalp sesleri dinleme becerilerini yüksek gerçeklik düzeyine sahip simülatör ile gerçekleştiren hemşirelik öğrencilerinin simülasyon uygulamasına yönelik görüşlerini değerlendirmektir.Gereç ve yöntem: Tanımlayıcı tipte yapılan çalışma Fiziksel Muayene Dersi’ni alan 156 hemşirelik öğrencisi ile gerçekleştirilmiştir. Veriler araştırmacılar tarafından hazırlanan “Kişisel Bilgi Formu”, “Uygulamaya Yönelik Görüş Formu” kullanılarak toplanmıştır. Nicel veriler ortalama, standart sapma, ortanca, frekans şeklinde sunulmuştur. Verilerin analizinde Mann Whitney U testi kullanılmıştır. Bulgular: Verilerin analizinde öğrencilerin %58,3’ü Fiziksel Muayene Dersi’nin teorik ders saatini yeterli, %63,5’i uygulamanın gerçekleştirildiği ortamı uygun, %53,2’si uygulama için kullanılan simülatörü etkili ve yeterli ve %71,2’si uygulamalar sırasında öğretim elemanının desteğini yeterli olarak belirtmiştir. Ayrıca öğrencilerin %64,7’si uygulamalarda kullanılan simülatörde akciğer seslerini, %51,3’ü bağırsak seslerini, %71,8’i kalp seslerini rahatça duyabildiğini, %46,2’si akciğer seslerini rahatça ayırt edebildiğini ve %51,9’u simülatörde uygulama yapmanın gerçekmiş gibi hissettirdiğini belirtmiştir. Yine öğrencilerin %21,2’sinin simülatör kullanımını “gerçeğe yakın, uygun” olarak belirtmişlerdir.Sonuç: Fiziksel muayene becerileri açısından donanımlı öğrenciler yetiştirmek amacıyla ders uygulamalarına gerçeklik düzeyi yüksek simülatörler, öğrencilerin bilgi ve beceri entegrasyonunu geliştirecek simülasyon senaryoları dahil edilmelidir

Nursing Students" Views Towards The Use of High Fidelity Simulation In The Development of Physical Examination Skills

Introduction: The physical examination skills of students are considered as one of the basic components of nursing education. The purpose of this study is to evaluate the nursing students’ views about simulation applications who practice the sounds of the lung, intestine and heart sounds with high fidelity simulator.Materials and methods: A total of 191 nursing students who took the Physical Examination Course in the descriptive type of study were targeted, but 156 students participated. The data were collected by using the “Personal Information Form” and “Opinion Form About Practice” prepared by the researchers. Quantitative data are presented as mean, standard deviation, median and frequency. Mann- Whitney U test was used in the analysis of the data. Results: 58,3% of the students were satisfied with the theoretical hours of the Physical Examination lessons, 63,5% found the practice environment appropriate, 53,2% found the simulator effective and sufficient, 71,2% stated that the support of the lecturer was adequate during the applications. It was also found that in the simulator used in practice, 64,7% of students had heard lung sounds, 51,3% had heard intestinal sounds, and 71,8% had heard heart sounds easily; 46,2% stated that they distinguished the lung sounds easily and 51,9% felt that it was realistic. Again, 21,2% of them stated that the use of the simulator is “close to reality”.Conclusion: In order to train and equip students with physical examination skills, high fidelity simulators and scenarios that will develop the knowledge-skill integration of the students should be included in the courses

Keywords:

Nursing, nursing students, physical examination, simulation,

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