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基于学习迁移原则的模拟演练总结:一项试点研究。

Simulation debriefing based on principles of transfer of learning: A pilot study.

作者信息

Johnston Sandra, Coyer Fiona, Nash Robyn

机构信息

School of Nursing, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Queensland, 4059, Australia.

School of Nursing, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Queensland, 4059, Australia; Royal Brisbane and Women's Hospital, Butterfield St, Herston, Queensland, 4006, Australia.

出版信息

Nurse Educ Pract. 2017 Sep;26:102-108. doi: 10.1016/j.nepr.2017.08.002. Epub 2017 Aug 3.

Abstract

Upon completion of undergraduate nursing courses, new graduates are expected to transition seamlessly into practice. Education providers face challenges in the preparation of undergraduate nurses due to increasing student numbers and decreasing availability of clinical placement sites. High fidelity patient simulation is an integral component of nursing curricula as an adjunct to preparation for clinical placement. Debriefing after simulation is an area where the underlying structure of problems can consciously be explored. When central principles of problems are identified, they can then be used in situations that differ from the simulation experience. Third year undergraduate nursing students participated in a pilot study conducted to test a debriefing intervention where the intervention group (n=7) participated in a simulation, followed by a debriefing based on transfer of learning principles. The control group (n=5) participated in a simulation of the same scenario, followed by a standard debriefing. Students then attended focus group interviews. The results of this pilot test provided preliminary information that the debriefing approach based on transfer of learning principles may be a useful way for student nurses to learn from a simulated experience and consider the application of learning to future clinical encounters.

摘要

本科护理课程结束后,新毕业生应顺利过渡到实际工作中。由于学生人数增加以及临床实习地点的可用性降低,教育提供者在本科护士的培养方面面临挑战。高保真患者模拟作为临床实习准备的辅助手段,是护理课程的一个重要组成部分。模拟后的汇报环节是一个可以有意识地探索问题潜在结构的领域。当识别出问题的核心原则后,它们就可以应用于与模拟体验不同的情境中。本科三年级护理学生参与了一项试点研究,以测试一种汇报干预措施,其中干预组(n = 7)参与了一次模拟,随后根据学习迁移原则进行汇报。对照组(n = 5)参与了相同场景的模拟,随后进行标准汇报。学生们随后参加了焦点小组访谈。这次试点测试的结果提供了初步信息,即基于学习迁移原则的汇报方法可能是学生护士从模拟体验中学习并考虑将所学应用于未来临床遭遇的一种有用方式。

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