Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Apr 9, 2021
Date Accepted: Jul 27, 2021
Use, Attitude and Demands of Nursing Interns in Regard to Diabetes Virtual Simulation Teaching Apps in China: National Web-Based Survey
ABSTRACT
Background:
Diabetes has placed heavy social and economic burdens on society and families worldwide. Insufficient knowledge and training of front-line medical staff (such as nursing staff, interns, and residents) may lead to an increase in acute and chronic complications of diabetic patients. However, interns have insufficient knowledge about diabetes management. The factors that affect the current level of diabetes-related knowledge of interns are still unclear. Therefore, understanding the behavioral intentions of interns is essential to supporting the development and promotion of the use of virtual simulation teaching applications.
Objective:
This study aimed to identify the determinants of nursing interns’ intention to use simulation-based education apps based on Zimmerman’s theory.
Methods:
From November 1, 2020 to February 28, 2021, the web-based survey tool Sojump (Changsha Xingxin Information Technology Co., Ltd.) was used to survey nursing interns in hospitals across China. Two survey links were sent to 37 partner schools in 23 major cities in China, and they were disseminated through their WeChat. Multiple regression analysis was used to determine the association between demographic information and basic disease information and the use of the application for treating adult patients.
Results:
Overall, 883 interns from 23 provinces responded to the survey. Among them, the virtual simulation utilization rate was 35.56% (314/883), and the awareness rate was 10.19% (90/883). Among these people, only 10.19% of interns(90/883) have correctly understood the concept of "virtual simulation", and most of them(89.8%, 793/883) believe that scenario simulation training or the use of models for teaching are all. Multiple regression analysis showed that the educational level, independent learning ability, and professional identity of the interns was related to application usage (P <.05). What interns most wanted to obtain included the treatment of hypoglycemia (59/883, 70.89%), functional test simulation (50/883, 69.08%), and blood glucose monitoring technology (48/197, 54.93%). A total of 60.84% (534/883) of interns wanted to acquire clinical thinking skills, while 15.97% (141/883) wanted to acquire operational skills. Nursing trainees believed that the greatest obstacles to virtual simulation included limited time (280/883, 31.71%), the degree of simulation (129/883, 14.61%), demand satisfaction (108/883, 12.23%) and test scores (66/883, 7.47%).
Conclusions:
The understanding of and usage rate of diabetes virtual simulation teaching apps by Chinese interns is very low. However, they have high requirements for this teaching method. Designing apps suitable for the needs of different nurse trainees and conducting high-quality randomized controlled trials will increase students' interest in learning and help improve the knowledge of diabetes among nursing interns.
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