Williams Brett, French Jill, Brown Ted
Monash University, Peninsula Campus, Department of Community Emergency Health and Paramedic Practice, McMahons Road, Frankston 3199, Victoria, Australia.
Nurse Educ Today. 2009 Aug;29(6):666-70. doi: 10.1016/j.nedt.2009.02.008. Epub 2009 Mar 20.
The study aimed to evaluate the usability of DVD simulations, the impact on student learning, clinical placement orientation, and the potential for using DVD simulations to reduce the clinical placement burden on the health care system with nursing students.
A total of 11 DVD simulations were developed by Monash University academics. Second year students (N=191) from the Bachelor of Nursing course at Monash University, viewed a range of DVDs. Students' perceptions and attitudes about the clinical relevance of the simulations were assessed by having them complete a 7-point Likert self-report scale. Qualitative data was also collected from two focus groups (N=7).
Overall, nursing students perceived the DVD simulations positively in relation to learning attention (M=4.93, SD=1.02, CI 4.25-4.54), learning potential (M=4.45, SD= 1.30, CI 5.13-5.50), clinical relevance to practice (M=5.32, SD=0.65, CI 4.36-4.55), and information processing quality (M=5.62, SD= 1.02, CI 5.47-5.76). The following themes emerged from the focus groups: provided familiarisation for clinical placements, learning wastage occurs in varying amounts, simulations could replace some clinical placement rotations, supportive of multidisciplinary approach and integration, and simulations should have pedagogical integration into weekly clinical cases.
Nursing students reported that the simulations were educationally, professionally, and clinically relevant. The cost benefit of using DVD simulations as an alternative and potential replacement to elements of nursing clinical placements should be investigated further.
本研究旨在评估DVD模拟的可用性、对学生学习的影响、临床实习指导,以及利用DVD模拟减轻护理专业学生给医疗保健系统带来的临床实习负担的可能性。
莫纳什大学的学者们共开发了11个DVD模拟。莫纳什大学护理专业本科二年级的学生(N = 191)观看了一系列DVD。通过让学生完成一份7级李克特自我报告量表,评估他们对模拟临床相关性的看法和态度。还从两个焦点小组(N = 7)收集了定性数据。
总体而言,护理专业学生对DVD模拟在学习注意力(M = 4.93,标准差 = 1.02,置信区间4.25 - 4.54)、学习潜力(M = 4.45,标准差 = 1.30,置信区间5.13 - 5.50)、与临床实践的相关性(M = ?,标准差 = 0.65,置信区间4.36 - 4.55)以及信息处理质量(M = 5.62,标准差 = 1.02,置信区间5.47 - 5.76)方面给予了积极评价。焦点小组出现了以下主题:为临床实习提供了熟悉感、存在不同程度的学习浪费、模拟可以取代一些临床实习轮转、支持多学科方法和整合,并且模拟应在教学上融入每周的临床病例。
护理专业学生报告称,这些模拟在教育、专业和临床方面都具有相关性。应进一步研究将DVD模拟作为护理临床实习某些环节的替代方案和潜在替代品的成本效益。 (注:原文中“临床相关性到实践”处M值有误,未明确具体数字,此处保留原文问号形式)