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A Cognitive Load Theory Simulation Design to Assess and Manage Deteriorating Patients

Say, R ORCID: 0000-0002-8586-9703, Visentin, D ORCID: 0000-0001-9961-4384, Betihavas, V and Minutillo, S 2019 , 'A Cognitive Load Theory Simulation Design to Assess and Manage Deteriorating Patients' , International journal of nursing education scholarship, vol. 16, no. 1 , doi: 10.1515/ijnes-2019-0009.

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Abstract

Background:Cognitive load theory (CLT) uses an understanding of brain architecture for educational design, withimplications for simulation. Since working memory is limited, minimising extraneous cognitive loadimproves learning of new tasks (intrinsic load) and use of existing knowledge (germane load). Thisstudy evaluates the effectiveness of low-fidelity simulation (LFS) utilising CLT principles in theassessment and management of the deteriorating patient (AMDP).Method:CLT design principles informed the choice of LFS and simulation design. The self-rated ability of13 undergraduate nurses across seven aspects of AMDP was measured in a pre-post design.ResultsSelf-rated ability increased from 2.98 (SD = 0.19) to 4.47 (SD = 0.12) (p Conclusion:This study indicates that CLT informed design has benefits for simulation. LFS may be preferred toHFS for AMDP teaching and medical simulation for novice learners.

Item Type: Article
Authors/Creators:Say, R and Visentin, D and Betihavas, V and Minutillo, S
Keywords: simulation, cognitive load, low fidelity, nursing, education
Journal or Publication Title: International journal of nursing education scholarship
Publisher: Berkeley Electronic Press
ISSN: 1548-923X
DOI / ID Number: 10.1515/ijnes-2019-0009
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