Kim Sunghee, Shin Gisoo
Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea.
Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea.
Nurse Educ Today. 2016 Feb;37:59-65. doi: 10.1016/j.nedt.2015.11.016. Epub 2015 Dec 3.
Since previous studies on simulation-based education have been focused on fundamental nursing skills for nursing students in South Korea, there is little research available that focuses on clinical nurses in simulation-based training. Further, there is a paucity of research literature related to the integration of the nursing process into simulation training particularly in the emergency nursing care of high-risk maternal and neonatal patients.
The purpose of this study was to identify the effects of nursing process-based simulation on knowledge, attitudes, and skills for maternal and child emergency nursing care in clinical nurses in South Korea.
Data were collected from 49 nurses, 25 in the experimental group and 24 in the control group, from August 13 to 14, 2013.
This study was an equivalent control group pre- and post-test experimental design to compare the differences in knowledge, attitudes, and skills for maternal and child emergency nursing care between the experimental group and the control group. The experimental group was trained by the nursing process-based simulation training program, while the control group received traditional methods of training for maternal and child emergency nursing care.
The experimental group was more likely to improve knowledge, attitudes, and skills required for clinical judgment about maternal and child emergency nursing care than the control group. Among five stages of nursing process in simulation, the experimental group was more likely to improve clinical skills required for nursing diagnosis and nursing evaluation than the control group.
These results will provide valuable information on developing nursing process-based simulation training to improve clinical competency in nurses. Further research should be conducted to verify the effectiveness of nursing process-based simulation with more diverse nurse groups on more diverse subjects in the future.
由于韩国以往关于模拟教育的研究主要集中在护理专业学生的基本护理技能上，针对临床护士模拟培训的研究较少。此外，尤其在高危孕产妇和新生儿患者的急诊护理中，将护理程序融入模拟培训的研究文献也很匮乏。
本研究旨在确定基于护理程序的模拟对韩国临床护士母婴急诊护理知识、态度和技能的影响。
2013年8月13日至14日，从49名护士中收集数据，其中实验组25名，对照组24名。
本研究采用等效对照组前后测实验设计，比较实验组和对照组在母婴急诊护理知识、态度和技能方面的差异。实验组接受基于护理程序的模拟培训项目，而对照组接受母婴急诊护理的传统培训方法。
与对照组相比，实验组更有可能提高母婴急诊护理临床判断所需的知识、态度和技能。在模拟护理程序的五个阶段中，实验组比对照组更有可能提高护理诊断和护理评估所需的临床技能。
这些结果将为开发基于护理程序的模拟培训以提高护士临床能力提供有价值的信息。未来应进行进一步研究，以验证基于护理程序的模拟对更多不同护士群体和更多不同主题的有效性。
