Guhde Jacqueline
College of Nursing, University of Akron, OH, USA.
Comput Inform Nurs. 2010 Sep-Oct;28(5):274-9; quiz 280-1. doi: 10.1097/NCN.0b013e3181ec2540.
Combining the use of several different types of technology enables an instructor to develop teaching methods to address a specific problem area that students encounter and can greatly affect student learning. This article discusses a program that was developed that utilized SimMan, instructor-produced videos, and online discussion to stimulate critical thinking in beginning-level nursing students. The goal was to make the student aware of the importance of an initial thorough assessment of a client. This is especially difficult since new students are focused on learning the skills and have not had enough clinical experience to appreciate the importance of assessment. The first two videos show a nurse who makes a very incomplete assessment of the client and misses important observations. This leads to the patient (SimMan) going into respiratory distress. The third video demonstrates a complete assessment. The students viewed and discussed the first two videos online. After the third video, students posted their own reflections of this activity including what they learned and how this would change their behavior. The outcome showed an increased awareness of the importance of assessment. Instructors observed a change in behavior, which included early assessment of the client.
结合使用几种不同类型的技术，能够使教师开发出教学方法，以解决学生遇到的特定问题领域，并且会极大地影响学生的学习。本文讨论了一个开发的项目，该项目利用SimMan、教师制作的视频和在线讨论来激发初级护理专业学生的批判性思维。目标是让学生意识到对患者进行初步全面评估的重要性。这尤其困难，因为新生专注于学习技能，且没有足够的临床经验来认识到评估的重要性。前两个视频展示了一名护士对患者进行非常不完整的评估，遗漏了重要观察结果。这导致患者（SimMan）出现呼吸窘迫。第三个视频展示了一次完整的评估。学生们在线观看并讨论了前两个视频。在观看第三个视频后，学生们发表了他们对这项活动的个人反思，包括他们学到了什么以及这将如何改变他们的行为。结果显示学生对评估重要性的认识有所提高。教师观察到行为上的变化，包括对患者的早期评估。
