Tennessee Health Science Center, University of Tennessee Health Science Center, College of Nursing, Memphis, TN 38163, USA.
J Nurs Educ. 2009 Dec;48(12):711-5. doi: 10.3928/01484834-20091113-06.
Health care improvement requires collaboration between academia and practice to bridge gaps in nurse education and achievement of quality outcomes. Quality and Safety Education for Nurses identified six domains, including patient-centered care, that should be addressed during prelicensure education. Simulation is a recommended strategy to teach safe clinical practice; however, cost, space, and faculty resources are barriers to its use. Computer-based social simulation is less resource intensive and effective in improving critical-thinking skills. A pilot study was conducted to compare required resources and student learning outcomes for traditional versus computer-based simulation. Fifty-three baccalaureate nursing students participated in the study; 34 completed the computer-based simulation and 31 completed the traditional simulation. Group patient-centered care competency scores improved similarly (p < 0.001), although fewer faculty hours were required to administer the computer-based intervention. Findings suggest computer-based simulation is an efficient and effective learning strategy to develop patient-centered care competencies.
医疗保健的改善需要学术界和实践界的合作,以弥合护士教育和实现高质量成果方面的差距。《护士质量和安全教育》确定了六个领域,包括以患者为中心的护理,这些领域应该在获得许可前的教育中得到解决。模拟是教授安全临床实践的推荐策略;然而,成本、空间和教师资源是其使用的障碍。基于计算机的社会模拟在提高批判性思维技能方面的资源需求更少,效果更好。进行了一项试点研究,以比较传统模拟和基于计算机的模拟所需的资源和学生的学习成果。53 名护理本科学生参加了这项研究;34 名学生完成了基于计算机的模拟,31 名学生完成了传统模拟。虽然实施基于计算机的干预措施所需的教师时间更少,但小组以患者为中心的护理能力评分提高相似(p<0.001)。研究结果表明,基于计算机的模拟是培养以患者为中心的护理能力的有效学习策略。