Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
The Effect of Scenario-Based High Fidelity Simulation Training on Autonomy Levels, Team Collaboration and Problem Solving Ability of Last Grade Nursing and Medical Students: Experimental Study
Senaryo Temelli Yüksek Gerçeklikli Simülasyon Eğitiminin Son Sınıf Hemşirelik ve Tıp Öğrencilerinin Ekip İş Birliği, Problem Çözme Becerisi ve Otonomi Düzeyine Etkisi: Deneysel Çalışma
Şerife KARAGÖZOĞLUa , Ahmet ALTUNb , Selma AYDINc , Yusuf Kenan TEKİNd , Burcu Kübra SÜHAe , Hülya KOÇYİĞİTe , Fatma TOK YILDIZf , İlknur YILDIZg
aDepartment of Fundamentals of Nursing, Division of Nursing, Cumhuriyet University Faculty of Health Science, Sivas, Türkiye
bDepartment of Pharmacology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Türkiye
cDean of Medicine Education, Başkent University Faculty of Medicine, Ankara, Türkiye
dDepartment of Emergency Medicine, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Türkiye
eDepartment of Fundamentals of Nursing, Division of Nursing, Cumhuriyet University Faculty of Health Science, Sivas, Türkiye
fDeparment of Nursing, Cumhuriyet University Faculty of Health Science, Sivas, Türkiye
gDepartment of Medical Services and Techniques, Division of Anesthesia, Sivas Cumhuriyet University Vocational School of Health Services, Sivas, Türkiye
Turkiye Klinikleri J Med Sci. 2023;43(2):185-94
doi: 10.5336/medsci.2022-91484
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study is to determine the effect of scenario-based High-Fidelity Simulation (HFS) training on the level of team cooperation, problem solving skills and autonomy of senior nursing and medical students. Material and Methods: This research was carried out in the pre-posttest single-group experimental design model, at the Simulation Center. The sample of the study consisted of a total of 210 students studying in the last year of the faculty of health sciences, department of nursing (105) and faculty of medicine (105). Within the scope of the research, a total of 35 groups were formed in groups of 6 students. Each week, the training of a group was carried out in a total of 7 stages over 2 consecutive days. The study was carried out with a multidisciplinary team. Results: In the study, it was found that before the simulation training, the nursing students' attitude towards physician-nurse cooperation was more positive and their problem-solving skills were higher, but after the training, the positive attitudes of the medical students towards physician-nurse cooperation and their problem-solving skills increased, the autonomy level of the nursing students was lower before the simulation training, but the training It was found that thereafter it increased. After the simulation training, both nursing and medical students reported that they found the scenario applied to them sufficient and important in the training process. Conclusion: It has been concluded that with an effective scenario and a HFS training, the team cooperation, problem-solving skills and autonomy level of nursing and medical students can be increased.

Keywords: High-Fidelity Simulation training; nursing students; medical students; problem solving; professional autonomy
ÖZET
 Amaç: Bu çalışmanın amacı, senaryo temelli Yüksek Gerçeklikli Simülasyon (YGS) eğitiminin son sınıf hemşirelik ve tıp öğrencilerinin ekip iş birliği, problem çözme becerisi ve otonomi düzeyine etkisini belirlemektir. Gereç ve Yöntemler: Bu araştırma, ön-son test tek gruplu deneysel desen modelinde ve Simülasyon Merkezi'nde gerçekleştirilmiştir. Araştırmanın örneklemini, sağlık bilimleri fakültesi hemşirelik bölümü (105) ve tıp fakültesi (105) son sınıfında öğrenim gören toplam 210 öğrenci oluşturmuştur. Araştırma kapsamında, altışar kişilik gruplar hâlinde toplam 35 grup oluşturulmuştur. Her hafta bir grubun eğitimi ardışık 2 gün içinde toplam 7 aşamalı bir süreçte gerçekleştirilmiştir. Çalışma multidisipliner bir ekiple gerçekleştirilmiştir. Bulgular: Araştırmada, simülasyon eğitimi öncesinde hemşirelik öğrencilerinin hekim-hemşire iş birliği tutumunun daha pozitif ve problem çözme becerilerinin daha yüksek olduğu, ancak eğitim sonrasında tıp öğrencilerinin hekim-hemşire iş birliğine yönelik pozitif tutumlarının ve problem çözme becerilerinin arttığı, simülasyon eğitimi öncesinde hemşirelik öğrencilerinin otonomi düzeyinin daha düşük olduğu, ancak eğitim sonrasında arttığı sonucuna ulaşılmıştır. Simülasyon eğitimi sonrasında hem hemşirelik hem de tıp öğrencileri kendilerine uygulanan senaryoyu eğitim sürecinde yeterli ve önemli bulduğunu bildirmiştir. Sonuç: Etkili bir senaryo ve YGS eğitimi ile hemşirelik ve tıp öğrencilerinin ekip iş birliği, problem çözme becerisi ve otonomi düzeyinin artırılabileceği sonucuna ulaşılmıştır.

Anahtar Kelimeler: Yüksek Gerçekli Simülasyon uygulamaları; hemşirelik öğrencisi; tıp öğrencisi; problem çözme; profesyonel otonomi
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