%0 Journal Article
%@ 1438-8871
%I JMIR Publications Inc.
%V 17
%N 1
%P e5
%T Designing and Evaluating an Interactive Multimedia Web-Based Simulation for Developing Nurses’ Competencies in Acute Nursing Care: Randomized Controlled Trial
%A Liaw,Sok Ying
%A Wong,Lai Fun
%A Chan,Sally Wai-Chi
%A Ho,Jasmine Tze Yin
%A Mordiffi,Siti Zubaidah
%A Ang,Sophia Bee Leng
%A Goh,Poh Sun
%A Ang,Emily Neo Kim
%+ National University of Singapore, Level 2, Clinical Research Centre, Block MD 11, 10 Medical Drive, Singapore, 117597, Singapore, 65 65167451, nurliaw@nus.edu.sg
%K acute nursing care
%K authentic learning
%K clinical competency
%K deterioration
%K multimedia
%K instructional strategies
%K simulation
%K Web-based simulation
%D 2015
%7 12.01.2015
%9 Original Paper
%J J Med Internet Res
%G English
%X Background: Web-based learning is becoming an increasingly important instructional tool in nursing education. Multimedia advancements offer the potential for creating authentic nursing activities for developing nursing competency in clinical practice. Objective: This study aims to describe the design, development, and evaluation of an interactive multimedia Web-based simulation for developing nurses’ competencies in acute nursing care. Methods: Authentic nursing activities were developed in a Web-based simulation using a variety of instructional strategies including animation video, multimedia instructional material, virtual patients, and online quizzes. A randomized controlled study was conducted on 67 registered nurses who were recruited from the general ward units of an acute care tertiary hospital. Following a baseline evaluation of all participants’ clinical performance in a simulated clinical setting, the experimental group received 3 hours of Web-based simulation and completed a survey to evaluate their perceptions of the program. All participants were re-tested for their clinical performances using a validated tool. Results: The clinical performance posttest scores of the experimental group improved significantly (P<.001) from the pretest scores after the Web-based simulation. In addition, compared to the control group, the experimental group had significantly higher clinical performance posttest scores (P<.001) after controlling the pretest scores. The participants from the experimental group were satisfied with their learning experience and gave positive ratings for the quality of the Web-based simulation. Themes emerging from the comments about the most valuable aspects of the Web-based simulation include relevance to practice, instructional strategies, and fostering problem solving. Conclusions: Engaging in authentic nursing activities using interactive multimedia Web-based simulation can enhance nurses’ competencies in acute care. Web-based simulations provide a promising educational tool in institutions where large groups of nurses need to be trained in acute nursing care and accessibility to repetitive training is essential for achieving long-term retention of clinical competency. 
%M 25583029
%R 10.2196/jmir.3853
%U http://www.jmir.org/2015/1/e5/
%U https://doi.org/10.2196/jmir.3853
%U http://www.ncbi.nlm.nih.gov/pubmed/25583029