Abstract
Background
The objective is to introduce the creating a set of virtual patients (VPs) to support distance midwifery education as well as the impact of distance education by means of VPs on knowledge, skills, motivation, clinical practice, and student satisfaction.
Methods
VPs were created using OpenLabyrinth (OL). The impact of the distance education was assessed using a feedback questionnaire.
Results
When creating our own VPs, the design and development phase can be considered the most difficult. On a scale of 1 (agree) to 4 (disagree), the student feedback rates were mostly positive (1.04–2.13). A high degree of agreement was associated with the acquisition of theoretical knowledge (1.15–1.28) and skills (1.43).
Conclusions
The creation of our own VPs is challenging for teachers due to its unconventional character. The students expressed great satisfaction with distance learning, but lacked face-to-face contact with the patient.
Funding source: KEGA
Award Identifier / Grant number: KEGA n. 025UK-4/2018
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Research funding: This work was supported by Project KEGA n. 025UK-4/2018 ‘Multimedia support in the education of midwifery (virtual patient)’.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Ethical approval: The study was approved by the Ethics Committee at Jessenius Faculty of Medicine, Comenius University in Martin (protocol no. EK 75/2020).
References
Burgess, A., van Diggele, C., Roberts, C., & Mellis, C. (2020). Tips for teaching procedural skills. BMC Medical Education, 20, 458. https://doi.org/10.1186/s12909-020-02284-1.Search in Google Scholar PubMed PubMed Central
Candler, C. (2007). Effective use of educational technology in medical education. In Colloquium on educational technology: Recommendations and guidelines for medical educators. AAMC Institute for Improving Medical Education.Search in Google Scholar
Cook, D. A., Levinson, A. J., Garside, S., Dupras, D. M., Erwin, P. J., & Montori, V. M. (2010). Instructional design variations in internet-based learning for health professions education: A systematic review and meta-analysis. Academic Medicine: Journal of the Association of American Medical Colleges, 85(5), 909–922. https://doi.org/10.1097/acm.0b013e3181d6c319.Search in Google Scholar PubMed
Cook, D. A., & Triola, M. M. (2009). Virtual patients: A critical literature review and proposed next steps. Medical Education, 43(4), 303–311. https://doi.org/10.1111/j.1365-2923.2008.03286.x.Search in Google Scholar PubMed
Dunleavy, G., Nikolaou, C. K., Nifakos, S., Atun, R., Law, G., & Tudor Car, L. (2019). Mobile digital education for health professions: Systematic review and meta-analysis by the digital health education collaboration. Journal of Medical Internet Research, 21(2), e12937. https://doi.org/10.2196/12937.Search in Google Scholar PubMed PubMed Central
Gavora, P., Koledová, L., Dvorská, D., Pekárová, J., & Moravčík, M. (2010). Elektronická učebnica pedagogického výskumu (Electronic textbook of pedagogical research). Univerzita Komenského (Commenius University). http://www.e-metodologia.fedu.uniba.sk/ [Accessed 10 Nov 2021].Search in Google Scholar
George, P. P., Zhabenko, O., Kyaw, B. M., Antoniou, P., Posadzki, P., Saxena, N., Semwal, M., Tudor Car, L., Zary, N., Lockwood, C., & Car, J. (2019). Online digital education for postregistration training of medical doctors: Systematic review by the digital health education collaboration. Journal of Medical Internet Research, 21(2), e13269. https://doi.org/10.2196/13269.Search in Google Scholar PubMed PubMed Central
Hanáček, J., & Mokrý, J. (2018). Trendy v medicínskom vzdelávaní a hodnotení , výsledkov (Trends in medical education and evaluation of its outcomes). Osveta.Search in Google Scholar
Holly, C. (2009). The case for distance education in nursing. MERLOT Journal of Online Learning and Teaching, 5, 506–510.Search in Google Scholar
Isaza-Restrepo, A., Gómez, M. T., Cifuentes, G., & Argüello, A. (2018). The virtual patient as a learning tool: A mixed quantitative qualitative study. BMC Medical Education, 18, 297. https://doi.org/10.1186/s12909-018-1395-8.Search in Google Scholar PubMed PubMed Central
Kononowicz, A. A., Woodham, L. A., Edelbring, S., Stathakarou, N., Davies, D., Saxena, N., Tudor Car, L., Carlstedt-Duke, J., Car, J., & Zary, N. (2019). Virtual patient simulations in health professions education: Systematic review and meta-analysis by the digital health education collaboration. Journal of Medical Internet Research, 21(7), e14676. https://doi.org/10.2196/14676.Search in Google Scholar PubMed PubMed Central
Kvaltínyová, E., & Varga, F. (2017). Virtuálni pacienti. Úvod k problematike a návrhy na tvorbu (Virtual patients. Introduction to problems and designs for creation). Jessenius Faculty of Medicine, Comenius University in Bratislava. https://www.jfmed.uniba.sk/fileadmin/jlf/Pracoviska/simulacne-vyucbovecentrum/dokumenty/VP_rady_a_postup-fin.pdf.Search in Google Scholar
Kyaw, B. M., Posadzki, P., Dunleavy, G., Semwal, M., Divakar, U., Hervatis, V., & Car, L.T. (2019a). Offline digital education for medical students: Systematic review and meta-analysis by the digital health education collaboration. Journal of Medical Internet Research, 21(3), e13165. https://doi.org/10.2196/13165.Search in Google Scholar PubMed PubMed Central
Kyaw, B. M., Saxena, N., Posadzki, P., Vseteckova, J., Nikolaou, C., George, P., Divakar, U., Masiello, I., Kononowicz, A. A., Zary, N., & Car, L. T. (2019b). Virtual reality for health professions education: systematic review and meta-analysis by the digital health education collaboration. Journal of Medical Internet Research, 21(1), e12959. https://doi.org/10.2196/12959.Search in Google Scholar PubMed PubMed Central
Lahti, M., Hätönen, H., & Välimäki, M. (2014). Impact of e-learning on nurses’ and student nurses knowledge, skills, and satisfaction: A systematic review and meta-analysis. International Journal of Nursing Studies, 51(1), 136–149. https://doi.org/10.1016/j.ijnurstu.2012.12.017.Search in Google Scholar PubMed
Luyben, A., Fleming, V., & Vermeulen, J. (2020). Midwifery education in COVID-19- time: Challenges and opportunities. Midwifery, 89, 102776. https://doi.org/10.1016/j.midw.2020.102776.Search in Google Scholar PubMed PubMed Central
Makransky, G., Bone, M. T., Wulff, J. S. G., Wandall, J., Hood, M., Creed, P. A., Bache, I., Silahtaroglu, A., & Nørremølle, A. (2016). Simulation based virtual learning environment in medical genetics counseling: An example of bridging the gap between theory and practice in medical education. BMC Medical Education, 16, 98. https://doi.org/10.1186/s12909-016-0620-6.Search in Google Scholar PubMed PubMed Central
Mastrian, K., McGonigle, D., Mahan, W., & Bixler, B. (2011). Integrating technology in nursing education: Tools for the knowledge era. Jones & Bartlett Learning.Search in Google Scholar
Miovský, M. (2006). Kvalitativný přístup a metody v psychologickém výzkumu (Qualitative approach and methods in psychological research). Grada Publ.Search in Google Scholar
OpenLabyrinth. (2014). User guide for openLabyrinth version 3.2.1. https://demo.openlabyrinth.ca/documents/UserGuide.pdf.Search in Google Scholar
OpenLabyrinth. (2020). Virtual scenarios and education research. http://openlabyrinth.ca/.Search in Google Scholar
Rasmussen, K., Belisario, J. M., Wark, P. A., Molina, J. A., Loong, S. L., Cotic, Z., Papachristou, N., Riboli-Sasco, E., Tudor Car, L., Musulanov, E. M., Kunz, H., Zhang, Y., George, P. P., Heng, B. H., Wheeler, E. L., Al Shorbaji, N., Svab, I., Atun, R., Majeed, A., & Car, J. (2014). Offline eLearning for undergraduates in health professions: A systematic review of the impact on knowledge, skills, attitudes and satisfaction. Journal of global health, 4(1), 010405. https://doi.org/10.7189/jogh.04.010405.Search in Google Scholar PubMed PubMed Central
Semwal, M., Whiting, P., Bajpai, R., Bajpai, S., Kyaw, B. M., & Tudor Car, L. (2019). Digital education for health professions on smoking cessation management: Systematic review by the digital health education collaboration. Journal of Medical Internet Research, 21(3), e13000. https://doi.org/10.2196/13000.Search in Google Scholar PubMed PubMed Central
Urbanová, E. (2018). Virtuálny pacient ako multimediálna podpora výučby v pôrodnej asistencii (Virtual patient as a support in midwifery education). In Propojení a praxe v ošetřovatelství a porodní asistence (Connection of theory and practice in nursing and midwifery) (pp. 8–16). Masaryk University. https://munispace.muni.cz/library/catalog/book/1029.Search in Google Scholar
Vash, J. H., Yunesian, M., Shariati, M., Keshvari, A., & Harirchi, I. (2007). Virtual patients in undergraduate surgery education: A randomized controlled study. ANZ Journal of Surgery, 77(1–2), 54–59. https://doi.org/10.1111/j.1445-2197.2006.03978.x.Search in Google Scholar PubMed
Wheeler, S. (2012). Distance learning. In N. M. Seel (Ed.), Encyclopedia of the Sciences of Learning. Springer.10.1007/978-1-4419-1428-6_432Search in Google Scholar
WHO. (2015). eLearning for undergraduate health professional education: a systematic review informing a radical transformation of health workforce. World Health Organization. http://whoeducationguidelines.org/sites/default/files/uploads/eLearning?healthprof?report.pdf.Search in Google Scholar
Yang, Q. (2014). Students motivation in asynchronous online discussions with MOOC mode. American Journal of Educational Research, 2(5), 325–330. https://doi.org/10.12691/education-2-5-13.Search in Google Scholar
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