Exploring nursing students' decision-making skills whilst in a Second Life clinical simulation laboratory

Aim: To explore nursing students' decision-making skills through the use of a 3D virtual environment such as Second Life. Method: An exploratory qualitative evaluation of the students' experience of learning decision-making skills whilst in a Second Life clinical simulation laboratory. A convenience sample of five third year student nurses entered a simulated world environment where they cared for six patients over 1 h. The written communication text from the Second Life scenario was saved into a Microsoft Word document. Additionally a semi-structured tape-recorded one to one interview was conducted immediately after the Second Life simulation in order to explore the students' decision-making skills. Results: The communication text illustrated that the majority of decisions (n = 21) were made in response to a situation or a patient request, therefore 'reactive' rather than proactive (n = 9). Only one student carried Out a vital signs assessment on a newly admitted patient (Willie). The interviews produced two themes, performing decision-making and improving learning. The absence of 'visual cues' such as pre-operative checklists, vital sign observation charts and 'Nil by Mouth' signs may offer a rationale for why students were more reactive. Conclusion: Further work is required for students to practice decision-making skills. With further development the innovative 3D virtual worlds such as Second Life could provide this experience. (C) 2010 Elsevier Ltd. All rights reserved.