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Developing Nursing Students’ Practice Readiness with Shadow Health® Digital Clinical Experiences\(^{\textrm{TM}}\): A Transmodal Analysis

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Advances in Quantitative Ethnography (ICQE 2023)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 1895))

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Abstract

This study applied Transmodal Analysis (TMA), a newly developed quantitative ethnographic approach, to examine whether and how virtual patient simulations can aid in educating undergraduate nursing students with competencies that exemplify practice-ready nurses. Multimodal transcripts capturing patient interactions, exam actions, and documentation were obtained from two students who used Elsevier’s Shadow Health® Digital Clinical Experiences\(^{\textrm{TM}}\) (DCE) in Fall 2022 and Spring 2023. Patient scenarios were situated in three content areas (Gerontology, Mental Health, and Community Health) and two assignment types (focused exam and contact tracing). In each scenario, similar patterns of engagement were observed for both students as they completed learning activities such as collecting patient data and establishing a caring relationship. These activities—guided by the instructional design of DCE—indicated how students practiced recognizing and analyzing cues, subjective assessment, diagnosing and prioritizing hypotheses, generating solutions, evaluating outcomes, therapeutic communication, and care coordination and management in relation to each patient’s needs and conditions. A statistical difference was observed between competencies practiced while completing focused exam and contact tracing assignments. This study provides evidence for using simulations to facilitate competency-based education in nursing. Additionally, it provides motivation for using Transmodal Analysis combined with Ordered Network Analysis (T/ONA) to advance quantitative ethnography research in health care and health professions education.

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Acknowledgments

This work was funded in part by the National Science Foundation (DRL-2100320, DRL-2201723, DRL-2225240), the Wisconsin Alumni Research Foundation, and the Office of the Vice Chancellor for Research and Graduate Education at the University of Wisconsin-Madison. The opinions, findings, and conclusions do not reflect the views of the funding agencies, cooperating institutions, or other individuals.

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Authors and Affiliations

  1. University of Wisconsin-Madison, Madison, USA

    Yeyu Wang, Muhammad Ashiq, Brendan Eagan & David Williamson Shaffer

  2. Elsevier, Amsterdam, The Netherlands

    Mamta Shah, Francisco A. Jimenez & Cheryl Wilson

Authors
  1. Yeyu Wang
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  2. Mamta Shah
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  3. Francisco A. Jimenez
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  4. Cheryl Wilson
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  5. Muhammad Ashiq
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  6. Brendan Eagan
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  7. David Williamson Shaffer
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Corresponding author

Correspondence to Yeyu Wang .

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Editors and Affiliations

  1. Clemson University, Clemson, SC, USA

    Golnaz Arastoopour Irgens

  2. University of Technology Sydney, Ultimo, NSW, Australia

    Simon Knight

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Wang, Y. et al. (2023). Developing Nursing Students’ Practice Readiness with Shadow Health® Digital Clinical Experiences\(^{\textrm{TM}}\): A Transmodal Analysis. In: Arastoopour Irgens, G., Knight, S. (eds) Advances in Quantitative Ethnography. ICQE 2023. Communications in Computer and Information Science, vol 1895. Springer, Cham. https://doi.org/10.1007/978-3-031-47014-1_25

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  • DOI: https://doi.org/10.1007/978-3-031-47014-1_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-47013-4

  • Online ISBN: 978-3-031-47014-1

  • eBook Packages: Computer ScienceComputer Science (R0)

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