An analysis of virtual simulations from the TPACK perspective
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INTRODUCTION. Virtual simulations (VS) have increased their presence in the higher education training actions during the last years and has been consolidated as a result of the COVID-19 pandemic as a powerful tool that allow us to overcome many of the limitations of the face to face simulation rooms, related to costs and replicability. However, there is a lack of studies about the use of theoretical models, such as the TPACK, for the analysis of VS. METHOD. In this article a systematic review of the literature is conducted with the main aim of analysing the characteristics of the VS used in higher education during the last decade (2012-2022) from the optic of the TPACK model. RESULTS. The main findings are the big use of VS in Health-related areas and especially in the American continent (Unite States and Canada); the screen-based and computer-based simulation played online as the most common technological features; and the Experiential learning, the Situated learning and the Problem-based learning as the most common theories for the pedagogical justification of VS in higher education. DISCUSSION. A series of relationships has been spotted among the technological, pedagogical and content features of the VS that help us to better understand this tool that has a growing use, especially in the health field. Conclusions show, on the one hand, the lack of articles that properly describe the use of VS according to the TPACK requirements and, on the other hand, the adequacy and viability of this model for the analysis and development of VS.
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References
Aebersold, M. (2018). Simulation-Based Learning: No Longer a Novelty in Undergraduate Education. Online Journal of Issues in Nursing, 23, 1-1. https://doi.org/10.3912/OJIN.Vol-23No02PPT39
Bradley, C. S., Johnson, B. K. & Dreifuerst, K. T. (2020). Debriefing: A Place for Enthusiastic Teaching and Learning at a Distance. Clinical Simulation In Nursing, 49, 16-18. https://doi.org/10.1016/j.ecns.2020.04.001
Buil, I., Catalán, S. & Martínez, E. (2018). Exploring students’ flow experiences in business simulation games. Journal of Computer Assisted Learning, 34(2), 183-192. https://doi.org/10.1111/jcal.12237
Cant, R., Cooper, S., Sussex, R. & Bogossian, F. (2019). What’s in a Name? Clarifying the Nomenclature of Virtual Simulation. Clinical Simulation In Nursing, 27, 26-30. https://doi.org/10.1016/j.ecns.2018.11.003
Chang, T., Gerard, J. & Pusic, M. (2016). Screen-Based Simulation, Virtual Reality, and Haptic Simulators. En V. Grant & A. Cheng (Eds.), Comprehensive Healthcare Simulation: Pediatrics (pp. 105-114). Springer. https://doi.org/10.1007/978-3-319-24187-6_9
Dewey, J. (1938). Experience And Education. Free Press.
Dunleavy, M., Dede, C. & Mitchell, R. (2009). Affordances and Limitations of Immersive Participatory Augmented Reality Simulations for Teaching and Learning. Journal of Science Education and Technology, 18, 7-22. https://doi.org/10.1007/s10956-008-9119-1
Espitia, N., Zoran, D., Clendenin, A., Crosby, S., Dominguez, B., Ellis, C., Hilburn, A., Moyer, W. & Bissett, W. (2021). Direct Measurement of Veterinary Student Learning Outcomes for the NAVMEC Professional Competencies in a Multi-User Virtual Learning Environment. Journal of Veterinary Medical Education, 48(1), 33-47. https://doi.org/10.3138/jvme.0318-025r2
Falconer, L. (2013). Situated learning in virtual simulations: Researching the authentic dimension in virtual worlds. Journal of Interactive Learning Research, 24(3), 285-300. http://bit.ly/3Uq5MdG
Foronda, C. L., Fernández-Burgos, M., Nadeau, C., Kelley, C. N. & Henry, M. N. (2020). Virtual Simulation in Nursing Education: A Systematic Review Spanning 1996 to 2018. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare, 15(1), 46-54. https://doi.org/10.1097/SIH.0000000000000411
Gordon, R. M. & McGonigle, D. (2018). Virtual Simulation in Nursing Education. Springer Publishing Company.
GTIWEB. Grupo de Investigación de Tecnologías de la Información (2012). SKOS. Nomenclatura de Ciencia y Tecnología de la UNESCO. Simple Knowledge Organization System. https://skos.um.es/unesco6/
Hannans, J. A., Nevins, C. M. & Jordan, K. (2021). See it, hear it, feel it: Embodying a patient experience through immersive virtual reality. Information and Learning Sciences, 122(7/8), 565-583. https://doi.org/10.1108/ILS-10-2020-0233
Holthaus, A. M. & Longhi, J. A. (2022). Transforming National League for Nursing Advancing Care Excellence for Seniors Unfolding Cases into Virtual Simulations: An Innovative Approach for Interactive Learning. Clinical Simulation in Nursing, 72, 37-42. https://doi.org/10.1016/j.ecns.2021.09.003
INACSL Standards Committee (2016). INACSL Standards of Best Practice: SimulationSM Debriefing. Clinical Simulation In Nursing, 12, S21-S25. https://doi.org/10.1016/j.ecns.2016.09.008
INACSL Standards Committee, McDermott, D. S., Ludlow, J., Horsley, E. & Meakim, C. (2021). Healthcare Simulation Standards of Best PracticeTM Prebriefing: Preparation and Briefing. Clinical Simulation In Nursing, 58, 9-13. https://doi.org/10.1016/j.ecns.2021.08.008
Jiang-Bo, T. & Jin, Z. (2021). Research on Teaching Application Category Based on Virtual Simulation Technology, 408-411. Scopus. https://doi.org/10.1109/IEIT53597.2021.00097
Keys, E., Luctkar-Flude, M., Tyerman, J., Sears, K. & Woo, K. (2021). The Integration of Virtual Simulation Gaming Into Undergraduate Nursing Resuscitation Education: A Pilot Randomised Controlled Trial. Clinical Simulation in Nursing, 54, 54-61. https://doi.org/10.1016/j.ecns.2021.01.013
Koehler, M. & Mishra, P. (2009). What Is Technological Pedagogical Content Knowledge? Contemporary Issues in Technology and Teacher Education, 9(1), 60-70.
Koivisto, J.-M., Niemi, H., Multisilta, J. & Eriksson, E. (2017). Nursing students’ experiential learning processes using an online 3D simulation game. Education and Information Technologies, 22(1), 383-398. https://doi.org/10.1007/s10639-015-9453-x
Kolb, D. (1984). Experiential Learning: Experience As The Source Of Learning And Development. Journal of Business Ethics (Vol. 1). NJ: Prentice Hall. http://bit.ly/3GWLfdA
Lanzieri, N., Samelson, H., McAlpin, E. & Shilane, D. (2020). Work-in-Progress—A 360 Virtual Reality Simulation to Prepare Social Work Students to Interact with Community Environments, 271-274. https://doi.org/10.23919/iLRN47897.2020.9155161
Lave, J. & Wenger, E. (1991). Situated Learning: Legitimate Peripheral Participation. University Press.
Legner, C., Estier, T., Avdiji, H. & Boillat, T. (2013, diciembre 18). Designing Capstone Courses in Management Education: Knowledge Activation and Integration Using an ERP-based Simulation Game. ICIS.
Li, S., Huang, M., Chen, J., Wu, Z. & Liu, J. (2021). Application of Virtual Simulation Technology in Architectural Design. En V. Sugumaran, Z. Xu & H. Zhou (Eds.), Application of Intelligent Systems in Multi-modal Information Analytics (pp. 536-542). Springer International Publishing. https://doi.org/10.1007/978-3-030-74811-1_78
Lioce, L. (2020). Healthcare Simulation Dictionary –Second Edition. Rockville, MD: Agency for Healthcare Research and Quality. https://doi.org/10.23970/simulationv2
Liu, W. (2021). The Effects of Virtual Simulation on Undergraduate Nursing Students’ Beliefs about Prognosis and Outcomes for People with Mental Disorders. Clinical Simulation in Nursing, 50, 1-9. https://doi.org/10.1016/j.ecns.2020.09.007
MacKenna, V., Díaz, D. A., Chase, S. K., Boden, C. J. & Loerzel, V. (2021). Self-Debriefing After Virtual Simulation: Measuring Depth of Reflection. Clinical Simulation in Nursing, 52, 59-67. https://doi.org/10.1016/j.ecns.2021.01.002
McGrath, J. L., Taekman, J. M., Dev, P., Danforth, D. R., Mohan, D., Kman, N., Crichlow, A. & Bond, W. F. (2018). Using Virtual Reality Simulation Environments to Assess Competence for Emergency Medicine Learners. Academic Emergency Medicine, 25(2), 186-195. https://doi.org/10.1111/acem.13308
Menzel, N., Willson, L. & Doolen, J. (2014). Effectiveness of a Poverty Simulation in Second Life®: Changing Nursing Student Attitudes toward Poor People. International Journal of Nursing Education Scholarship, 11(1). https://doi.org/10.1515/ijnes-2013-0076
Ranchhod, A., Gurǎu, C., Loukis, E. & Trivedi, R. (2014). Evaluating the educational effectiveness of simulation games: A value generation model. Information Sciences, 264, 75-90. https://doi.org/10.1016/j.ins.2013.09.008
Riivari, E., Kivijärvi, M. & Lämsä, A.-M. (2021). Learning teamwork through a computer game: For the sake of performance or collaborative learning? Educational Technology Research and Development, 69(3), 1753-1771. https://doi.org/10.1007/s11423-021-10009-4
Rim, D. & Shin, H. (2022). Development and Assessment of a Multi-User Virtual Environment Nursing Simulation Program: A Mixed Methods Research Study. Clinical Simulation in Nursing, 62, 31-41. https://doi.org/10.1016/j.ecns.2021.10.004
Rose, K. A., Jenkins, S. D., Astroth, K. S., Woith, W. & Jarvill, M. (2020). Testing a Web-Based Intervention to Improve Awareness of Civility and Incivility in Baccalaureate Nursing Students. Clinical Simulation In Nursing, 48, 46-54. https://doi.org/10.1016/j.ecns.2020.08.011
Sanborn, H., Cole, J., Kennedy, T. & Saewert, K. J. (2019). Practicing interprofessional communication competencies with health profession learners in a palliative care virtual simulation: A curricular short report. Journal of Interprofessional Education & Practice, 15, 48-54. https://doi.org/10.1016/j.xjep.2019.01.010
Savadatti, S. & Johnsen, K. (2017, junio 1). Exploring a Virtual Reality Simulation to Aid Inductive Learning of Fluid Pressure Characteristics. https://doi.org/10.18260/1-2--28325
Savery, J. (2006). Overview of Problem-based Learning: Definitions and Distinctions. Interdisciplinary Journal of Problem-Based Learning, 1(1). https://doi.org/10.7771/1541-5015.1002
Savery, J. & Duffy, T. M. (1995). Problem Based Learning: An Instructional Model and Its Constructivist Framework. Educational Technology, 35(5), 31-38.
Šidjanin, P., Plavšić, J., Arsenić, I. & Krmar, M. (2020). Virtual reality (VR) simulation of a nuclear physics laboratory exercise. European Journal of Physics, 41(6). https://doi.org/10.1088/1361-6404/ab9c90
Sim, J. J. M., Rusli, K. D. B., Seah, B., Levett-Jones, T., Lau, Y. & Liaw, S. Y. (2022). Virtual Simulation to Enhance Clinical Reasoning in Nursing: A Systematic Review and Meta-analysis. Clinical Simulation in Nursing, 69, 26-39. https://doi.org/10.1016/j.ecns.2022.05.006
Smith, S., Farra, S., Ulrich, D., Hodgson, E., Nicely, S. & Matcham, W. (2016). Learning and Retention Using Virtual Reality in a Decontamination Simulation. Nursing Education Perspectives, 37, 210-214. https://doi.org/10.1097/01.NEP.0000000000000035
Tiffany, J. M. & Hoglund, B. A. (2014). Facilitating Learning Through Virtual Reality Simulation: Welcome to Nightingale Isle. En M. Ma, L. C. Jain & P. Anderson (Eds.), Virtual, Augmented Reality and Serious Games for Healthcare 1 (pp. 159-174). Springer. https://doi.org/10.1007/978-3-642-54816-1_9
Verkuyl, M., Lapum, J. L., St-Amant, O., Hughes, M., Romaniuk, D. & McCulloch, T. (2020). Exploring Debriefing Combinations After a Virtual Simulation. Clinical Simulation in Nursing, 40, 36-42. Scopus. https://doi.org/10.1016/j.ecns.2019.12.002
Verkuyl, M. & Mastrilli, P. (2017). Virtual Simulations in Nursing Education: A Scoping Review. Journal of Nursing and Health Sciences, 3(2), 39-47.
Verkuyl, M., Romaniuk, D., Atack, L. & Mastrilli, P. (2017). Virtual Gaming Simulation for Nursing Education: An Experiment. Clinical Simulation in Nursing, 13(5), 238-244. https://doi.org/10.1016/j.ecns.2017.02.004
Witmer, B. G. & Singer, M. J. (1998). Measuring presence in virtual environments: A presence questionnaire. Presence: Teleoperators and Virtual Environments, 7(3), 225-240. https://doi.org/10.1162/105474698565686
Zhang, J. (2021). Analysis and Design of Teaching Experiment System Based on Virtual Simulation Technology. 2021 IEEE Asia-Pacific Conference on Image Processing, Electronics and Computers (IPEC), 595-598. https://doi.org/10.1109/IPEC51340.2021.9421328
Zigmont, J. J., Kappus, L. J. & Sudikoff, S. N. (2011). The 3D model of debriefing: Defusing, discovering, and deepening. Seminars in Perinatology, 35(2), 52-58. https://doi.org/10.1053/j.semperi.2011.01.003