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运用高保真模拟提升护理专业学生产后及新生儿临床评估能力:一项混合方法研究

Using high fidelity simulation to increase nursing students' clinical postpartum and newborn assessment proficiency: A mixed-methods research study.

作者信息

Craft-Blacksheare Melva, Frencher Youvalanda

机构信息

School of Nursing, University of Michigan-Flint, 2180 William S. White Building, 303 E. Kearsley Street, Flint, MI 48502-1950, United States of America.

出版信息

Nurse Educ Today. 2018 Dec;71:198-204. doi: 10.1016/j.nedt.2018.09.031. Epub 2018 Sep 29.

DOI:10.1016/j.nedt.2018.09.031
PMID:30296730
Abstract

OBJECTIVE

The objective of this study was to explore the benefits of using High Fidelity Simulators (HFS) to teach maternal postpartum and newborn assessment skills to student nurses before they interacted with actual hospital patients.

DESIGN

This descriptive, observational study employed a mixed-method design using a Qualtrics online survey instrument.

SETTING

The study was set at a Midwestern university.

PARTICIPANTS

The study used a convenience sample of third-year BSN nursing students (n = 132).

METHODS

After participating in an HFS experience and completing a maternity clinical rotation, students took an online Qualtrics survey evaluating the benefits and drawbacks of the HFS experience.

RESULTS

Students valued the HFS experience at an average score of 3.82 on a Likert Scale of 1-5. Open-ended questions identified three themes: psychomotor learning leading to skill acquisition, affective learning, and simulation restructuring to provide more time, better instructor preparation, and smaller groups.

CONCLUSION

This study's data supports the use of HFS to enhance nursing care and education, with special attention given to instructional consistency. Practicing new assessment skills in a non-threatening, safe environment gives students expertise and confidence while promoting the development of critical thinking skills.

摘要

目的

本研究的目的是探讨在学生护士与实际医院患者互动之前,使用高保真模拟器(HFS)教授产妇产后及新生儿评估技能的益处。

设计

本描述性观察性研究采用了混合方法设计,使用Qualtrics在线调查问卷工具。

地点

该研究在一所中西部大学进行。

参与者

本研究采用便利抽样法,选取了三年级护理学学士学生(n = 132)。

方法

在参与高保真模拟器体验并完成产科临床轮转后,学生们进行了一次Qualtrics在线调查,评估高保真模拟器体验的优缺点。

结果

学生们对高保真模拟器体验的评价平均得分为3.82(李克特量表1 - 5分)。开放式问题确定了三个主题:导致技能习得的心理运动学习、情感学习以及模拟重组以提供更多时间、更好的教师准备和更小的小组规模。

结论

本研究的数据支持使用高保真模拟器来加强护理和教育,尤其要注意教学的一致性。在无威胁的安全环境中练习新的评估技能,能让学生获得专业知识和信心,同时促进批判性思维技能的发展。

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