Eight-session hybrid PBL plus scenario-based simulation curriculum for OR MDRPI prevention

Design · All designs
Evidence · 4 claims (4 for) · 1 study (1 causal), q2 · 1 of 1 report an effect size · 4 claims rest on one study

Description

The program combined a PBL module (three 2-hour sessions using OR-specific case triggers, problem listing, evidence search, group solution planning, and facilitator summaries linked to guidelines) with a simulation module (five weekly scenarios, each 40 minutes of scenario execution followed by 20 minutes of structured debriefing following a Description–Analysis–Application framework). Sessions were delivered face-to-face in small groups of approximately 10 nurses, using real OR devices, standardized checklists, and role-play with defined roles including primary nurse, circulating nurse, and observer. The article states the design "integrated: Problem-based learning, to promote clinical reasoning, guideline-based decision-making, and prevention planning for device-related risks; Scenario-based simulation, to support skills transfer, teamwork, and communication in realistic OR contexts."

Design Implications

Context

Requirements

• A multidisciplinary training team (department head nurse, unit head nurses, senior nurses) delivering sessions with standardized materials and prior facilitator calibration

Constraints

• Evaluated only in a single tertiary hospital OR setting with a single-group pretest–posttest design; generalizability is limited

Target Learners

• Operating room nurses

Learning Goals

• MDRPI risk identification, prevention planning, skill execution under OR constraints, team communication, and documentation

Claims

• Pbl Simulation Training Increased Or Nurse Mdrpi Knowledge [+M]
• Apup Attitude Scores Improved After Training [+M]
• Knowledge gains occurred in all three PZ-PUKT subdomains, with staging and wound description remaining comparatively weaker [+W]
• Four of five attitude dimensions rose significantly from pre-test to post-test, but the responsibility dimension did not change significantly, in one single-group pre-test–post-test study [+W]

Related Designs

• Seven-step Maastricht PBL tutorial cycle with progressive case disclosure and group presentation

Examples

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Key Sources

• Zhang Feng, Chen Zhi Lan, Qi Li En, Wang Xiao Yan, Zhang Li, Zhang Jing, Wang Ping. (2026). Pre–post changes in operating room nurses’ knowledge and attitudes toward medical device–related pressure injuries after a problem-based and simulation-based training program: a single-group pretest–posttest study. BMC Medical Education. https://doi.org/10.1186/s12909-026-09147-1

Page metadata

Field	Value
type	design
id	hybrid-pbl-simulation-mdrpi-curriculum
title	Eight-session hybrid PBL plus scenario-based simulation curriculum for OR MDRPI prevention
description	The program combined a PBL module (three 2-hour sessions using OR-specific case triggers, problem listing, evidence search, group solution planning, and facilitator summaries linked to guidelines) with a simulation mo...
status	review
generated	by process:settle-candidates on 2026-11-04
trust	unverified — no one has confirmed this page's content
sources	1 — zhang-feng-2026

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