Abstract
Social justice is a fundamental value of the nursing profession, challenging educators to instill this professional value when caring for the poor. This randomized controlled trial examined whether an interactive virtual poverty simulation created in Second Life® would improve nursing students’ empathy with and attributions for people living in poverty, compared to a self-study module. We created a multi-user virtual environment populated with families and individual avatars that represented the demographics contributing to poverty and vulnerability. Participants (N = 51 baccalaureate nursing students) were randomly assigned to either Intervention or Control groups and completed the modified Attitudes toward Poverty Scale pre- and post-intervention. The 2.5-hour simulation was delivered three times over a 1-year period to students in successive community health nursing classes. The investigators conducted post-simulation debriefings following a script. While participants in the virtual poverty simulation developed significantly more favorable attitudes on five questions than the Control group, the total scores did not differ significantly. Whereas students readily learned how to navigate inside Second Life®, faculty facilitators required periodic coaching and guidance to be competent. While poverty simulations, whether virtual or face-to-face, have some ability to transform nursing student attitudes, faculty must incorporate social justice concepts throughout the curriculum to produce lasting change.
Acknowledgment
This study was funded by a grant from the National League for Nursing.
References
Aebersold, M., Tschannen, D., Stephens, M., Anderson, P., & Lei, X. (2012). Second Life®: A new strategy in educating nursing students. Clinical Simulation in Nursing, 8(9), e469–e475.10.1016/j.ecns.2011.05.002Search in Google Scholar
Ahern, N., & Wink, D. M. (2010). Virtual learning environments: Second life. Nurse Educator, 35(6), 225–227.10.1097/NNE.0b013e3181f7e943Search in Google Scholar PubMed
American Association of Colleges of Nursing. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.Search in Google Scholar
Atherton, C. R., & Gemmel, R. J. (1993). Measuring attitudes toward poverty: A new scale. Social Work Research & Abstracts, 29(4), 28.10.1093/swra/29.4.28Search in Google Scholar
Beckstead, J. W. (n.d.). Sample size calculator for test of the difference between means of two independent samples using a t-test. Retrieved March 7, 2009 from http://personal.health.usf.edu/jbeckste/t.htmlSearch in Google Scholar
Broome, M. E., Ironside, P. M., & McNelis, A. M. (2012). Research in nursing education: State of the science. Journal of Nursing Education, 51(9), 521–524.10.3928/01484834-20120820-10Search in Google Scholar PubMed
Cozzarelli, C., Wilkinson, A. V., & Tagler, M. J. (2001). Attitudes toward the poor and attributions for poverty. Journal of Social Issues, 57(2), 207–227.10.1111/0022-4537.00209Search in Google Scholar
Dieterle, E., & Clarke, J. (2009). Multi-user virtual environments for teaching and learning. In M.Pagani (Ed.), Encyclopedia of multimedia technology and networking (2nd ed.). Hershey, PA: Information Science Reference.Search in Google Scholar
Evans, D. A., & Curtis, A. R. (2011). Animosity, antagonism, and avatars: Teaching conflict management in Second Life. Journal of Nursing Education, 50(11), 653–655.10.3928/01484834-20110729-03Search in Google Scholar PubMed
Farra, S., Miller, E., Timm, N., & Schafer, J. (2013). Improved training for disasters using 3-D virtual reality simulation. Western Journal of Nursing Research, 35(5), 655–671.10.1177/0193945912471735Search in Google Scholar PubMed
Glendon, K., & Ulrich, D. (1992). Using cooperative learning strategies. Nurse Educator, 17(4), 37–40.10.1097/00006223-199207000-00016Search in Google Scholar PubMed
Green, J., Wyllie, A., & Jackson, D. (2013). Virtual worlds: A new frontier for nurse education?Collegian. In press.Search in Google Scholar
Hoke, M. M., & Robbins, L. K. (2005). The impact of active learning on nursing students’ clinical success. Journal of Holistic Nursing, 23(3), 348–355.10.1177/0898010105277648Search in Google Scholar PubMed
Honey, M., Connor, K., Veltman, M., Bodily, D., & Diener, S. (2012). Teaching with Second Life®: Hemorrhage management as an example of a process for developing simulations for multiuser virtual environments. Clinical Simulation in Nursing, 8(3), e79–e85.10.1016/j.ecns.2010.07.003Search in Google Scholar
Jeffries, P. R. (2005). A framework for designing, implementing, and evaluating: Simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26(2), 96–103.Search in Google Scholar
MACA. (n.d.). Community action poverty simulation. Retrieved from http://www.communityaction.org/Poverty%20Simulation.aspxSearch in Google Scholar
Menzel, N. N., Clark, M., & Darby-Carlberg, C. (2010). Expanding baccalaureate nursing students’ attitudes about poverty. Paper presented at the Western Institute of Nursing, Phoenix, AZ.Search in Google Scholar
Noone, J., Sideras, S., Gubrud-Howe, P., Voss, H., & Mathews, L. R. (2012). Influence of a poverty simulation on nursing student attitudes toward poverty. Journal of Nursing Education, 51(11), 617–622. doi:10.3928/01484834-20120914-01Search in Google Scholar
Patterson, N., & Hulton, L. J. (2012). Enhancing nursing students’ understanding of poverty through simulation. Public Health Nursing, 29(2), 143–151.10.1111/j.1525-1446.2011.00999.xSearch in Google Scholar PubMed
Reutter, L., Sword, W., Meagher-Stewart, D., & Rideout, E. (2004). Nursing students’ beliefs about poverty and health. Journal of Advanced Nursing, 48(3), 299–309.10.1111/j.1365-2648.2004.03199.xSearch in Google Scholar PubMed
Sewell, J., & Thede, L. (2013). Informatics and nursing: Opportunities and challenges (4th ed.). Philadelphia, PA: Wolters Kluwer|Lippincott, Williams & Wilkins.Search in Google Scholar
Tiffany, J., & Hoglund, B. (2013). Teaching/learning in Second Life: Perspectives of future nurse-educators. Clinical Simulation in Nursing, e1–e6. doi:dx.doi.org/10.1016/j.ecns.2013.06.006Search in Google Scholar
Ulrich, D., & Glendon, D. (1999). Interactive group learning: Strategies for nurse educators. New York, NY: Springer.Search in Google Scholar
Vandsburger, E., Duncan-Daston, R., Akerson, E., & Dillon, T. (2010). The effects of poverty simulation, an experiential learning modality, on students’ understanding of life in poverty. Journal of Teaching in Social Work, 30(3), 300–316.10.1080/08841233.2010.497129Search in Google Scholar
Wood, A., & McPhee, C. (2011). Establishing a virtual learning environment: A nursing experience. Journal of Continuing Education in Nursing, 42(11), 510–515.10.3928/00220124-20110715-01Search in Google Scholar PubMed
Yucha, C. B., Schneider, B. S. P., Smyer, T., Kowalski, S., & Stowers, E. (2011). Methodological quality and scientific impact of quantitative nursing education research over 18 months. Nursing Education Perspectives, 32(6), 362–368.10.5480/1536-5026-32.6.362Search in Google Scholar PubMed
Yun, S. H., & Weaver, R. D. (2010). Development and validation of a short form of the attitude toward poverty scale. Advances in Social Work, 11(2), 174–187.10.18060/437Search in Google Scholar
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