Smith Sherrill Jeanne, Barry Detrice G
Wright State University, 3640 Colonel Glenn Hwy, Dayton, OH 45435, USA.
West J Nurs Res. 2013 Mar;35(3):297-312. doi: 10.1177/0193945911417635. Epub 2011 Aug 15.
The use of high-fidelity human patient simulation (HPS) is increasing in nursing education, yet little is known about its use in community health. This study examined an HPS home care experience to determine effects on three outcomes (student satisfaction, self-confidence, and learning). In addition, design characteristics of the simulation and demographic characteristics of students were examined for correlation with these outcomes. Senior baccalaureate students took part in the experience. Results indicated that students were very satisfied with the experience and felt it increased their confidence in providing care in the home, although learning outcomes were not high. Although no demographic characteristics were found to be correlated with outcomes, five design characteristics of a simulation were moderately correlated with the outcomes of satisfaction and self-confidence, especially support. It is recommended that nurse educators design HPS home care simulation experiences that provide student support prior to their first home care visit.
高保真模拟人患者（HPS）在护理教育中的应用日益增加，但对于其在社区卫生中的应用却知之甚少。本研究考察了一次HPS家庭护理体验，以确定其对三个结果（学生满意度、自信心和学习）的影响。此外，还考察了模拟的设计特征和学生的人口统计学特征与这些结果的相关性。护理学本科高年级学生参与了此次体验。结果表明，学生对此次体验非常满意，并认为这增强了他们在家中提供护理的信心，尽管学习成果并不高。虽然未发现人口统计学特征与结果相关，但模拟的五个设计特征与满意度和自信心结果呈中度相关，尤其是支持。建议护理教育工作者设计HPS家庭护理模拟体验，在学生首次进行家庭护理访视之前为其提供支持。
