Department of Nursing, West Chester University, Pennsylvania 19393, USA.
J Nurs Educ. 2012 Apr;51(4):236-9. doi: 10.3928/01484834-20120224-03. Epub 2012 Feb 24.
The use of simulation in nursing is growing; however, its effect on students is not fully understood. The aim of this study was to determine whether a high-fidelity simulation course significantly changes students' level of confidence, compared with a traditional clinical experience. The pilot study was a quasi-experimental, pretest-posttest design that compared group confidence scores at the beginning and end of the semester. The sample included 24 baccalaureate nursing students. Although the intervention group began significantly less confident in all four dimensions (p = 0.04 to 0.00), the intervention group had significant increases in confidence compared with the control group in all four dimensions: recognizing signs and symptoms (p = 0.00), assessing patient condition (p = 0.00), ability to intervene (p = 0.00), and evaluation of patients (p = 0.00). Clinical simulation experiences can increase student self-confidence. Further research is needed to investigate the most beneficial aspects of simulation.
模拟在护理中的应用正在增加；然而，其对学生的影响尚不完全清楚。本研究的目的是确定与传统临床经验相比，高保真模拟课程是否能显著改变学生的信心水平。该初步研究采用了准实验、前后测设计，比较了学期开始和结束时两组学生的信心得分。样本包括 24 名护理本科学生。尽管干预组在所有四个维度上的信心起始水平明显较低（p 值为 0.04 至 0.00），但与对照组相比，干预组在所有四个维度上的信心均显著提高：识别体征和症状（p = 0.00）、评估患者状况（p = 0.00）、干预能力（p = 0.00）和患者评估（p = 0.00）。临床模拟体验可以提高学生的自信。需要进一步研究以探讨模拟的最有益方面。
