Effectiveness of using high-fidelity simulation on learning outcomes in undergraduate nursing education: systematic review and meta-analysis.

OBJECTIVE: High-fidelity simulation-based learning, which mimics situation, environmental, and psychological exposure in the clinical setting, potentially helps nursing students acquire knowledge, confidence, and skills in learning clinical skills during the transition from pre-clinical to clinical practice. However, inconsistent evidence on its effect on learning outcomes was presented across the studies. The aim of our study was to review and analyze the effectiveness of high-fidelity simulation on learning outcomes in undergraduate nursing education. MATERIALS AND METHODS: This study was a systematic review and meta-analysis of experimental studies. A literature search was conducted in four databases (CINAHL, SocINDEX, PubMed, and Web of Science) until July 2021. The Cochrane Risk of Bias Tool was used to appraise the studies' quality. The random-effect model was used to conduct a meta-analysis. RESULTS: Fourteen studies were eligible for quantitative synthesis. The pooled effect indicated high-fidelity simulation-based learning significantly increased nursing students' knowledge acquisition (standardized mean difference [SMD]: 1.73, p < 0.001), self-confidence (SMD: 0.56, p= 0.019) and skills performance (SMD: 1.71, p= 0.006). CONCLUSIONS: Stakeholders within the academic institution may consider enculturating the involvement of high-fidelity simulation as part of an innovative teaching strategy in nursing curricula. Therefore, when graduates enter the workforce, they can function quickly and practice confidently in clinical settings without bringing potential harm.

The effect of health education intervention through mobile phone on hypertension patients : A systematic review.

INTRODUCTION: Hypertension is a silent killer disease that, if not handled properly, will lead to dangerous complications for the patient. Health education through mobile phones can be an intervention used to improve health services and the management of hypertension in the community. This study aims to synthesise research findings on the effect of mobile phone health education interventions on hypertensive patients. MATERIALS AND METHODS: A systematic review. Search strategy was conducted on international journal databases, namely Scopus, PubMed, ProQuest, Web of Science, and Science Direct with the keywords 'health education', 'mobile phone' and 'hypertension'. Inclusion criteria using PICOS, namely Population: hypertensive patients, Intervention: health education using a mobile phone, Comparation: ordinary health education, Output: knowledge, attitudes, behaviour, Study design: trial method. The publication year 2017-2021. RESULTS: There were 145 articles found in the search. Articles were identified and screened resulting in five complete articles that met the inclusion criteria. The results of this study found that health education interventions via mobile phones could increase patient knowledge about hypertension; improve self-management; monitor blood pressure; increase adherence to pharmacological treatment, a hypertensive diet, i.e.,low salt intake, vegetable and fruit intake, and physical activity; decrease blood pressure; and improve quality of life. Health education via mobile phones can also provide the latest information quickly to patients about controlling hypertension, antihypertensive drugs, and health services that can be utilised. CONCLUSION: Health education interventions via mobile phones have a significant positive effect in controlling hypertension in the community, but it is necessary to consider the patient's age, socioeconomic status, literacy conditions, and ability to use mobile phones to receive the health education that will be provided.

A deskilling and challenging journey: the lived experience of Indonesian nurse returnees.

AIM: To illuminate the lived experiences of Indonesian nurses who previously worked as caregivers in Japanese residential care facilities, by exploring the journey of becoming returnees. BACKGROUND: The creation of bilateral agreements between Indonesia and Japan has facilitated the movement of Indonesian nurses to work as caregivers in Japan since 2008. While this decision raised concerns with regard to the degradation of nursing skills, little is known about this issue from the perspective of nurse returnees and how the experience affects their life. METHOD: A hermeneutic phenomenological method was employed for this study. A purposive sample of 15 Indonesian nurse returnees participated in this study. Semi-structured interviews were conducted in four of Indonesia's provinces between August and October 2015. Data were analysed thematically, supported by QSR NVIVO 10 software. FINDINGS: Four key themes emerged from the data analysis: (i) returning home; (ii) going back to zero; (iii) walking through a difficult journey; and (iv) overcoming barriers. These findings described the lived experiences of nurse returnees when they got back to the country of origin. CONCLUSION: Indonesian nurse returnees experienced deskilling and struggled to re-enter the nursing profession or to find other non-nursing jobs. The significant impact of this migration on individual nurses with regard to maximizing the benefits of return migration deserves further investigation. IMPLICATION FOR NURSING AND HEALTH POLICY: The Indonesian government, jointly with other stakeholders, should develop a brain gain strategy to align returnees' expertise with the needs of the national labour market. The public-private partnership should be strengthened to utilize returnees in healthcare services.