Amod Hafaza B, Brysiewicz Petra
Discipline of Nursing, School of Nursing and Public Health, University of KwaZulu-Natal.
Curationis. 2019 Jan 21;42(1):e1-e7. doi: 10.4102/curationis.v42i1.1882.
The need to use innovative teaching and learning strategies in the nursing pedagogy is important in the 21st century. The challenges of clinical sites and opportunities for nursing students to gain clinical experience are a growing concern for many nurse educators. High-fidelity human patient simulators (HFHPS) are computerised mannequins that replicate a real-life patient, and when integrated into classroom teaching they allow students to become fully immersed into an almost real-life scenario.
The aim of this study was to describe how HFHPS can promote experiential learning following the management of postpartum haemorrhage as a midwifery clinical emergency.
A descriptive qualitative research approach was carried out in this study. The research setting was a local university in KwaZulu-Natal. The total population included all (N = 43) fourth-year baccalaureate of nursing undergraduate student midwives who participated as observers and/or role-players of a scenario role-play. An all-inclusive sampling was performed. There were 43 student midwives involved in the simulation teaching session with 6 of these students actively participating in each role-play at a time, while the remaining 37 observed. This occurred in two separate sessions and all the student midwives were involved in a debriefing session. These student midwives were then followed up and asked to participate in a focus group. The data in this article came from two separate focus groups which comprised 20 student midwives in total. Data were analysed using content analysis.
Four categories emerged from the data, namely HFHPS offers a unique opportunity for student midwives to manage complex real-life emergencies; promotes reflection by allowing student midwives to reflect or review their roles, decisions and skills; allows student midwives to learn from their own experiences and encourages student midwives to try out what they learnt in a real-life situation.
High-fidelity human patient simulators can be used in a complex case scenario to promote experiential learning of a clinical emergency.
在21世纪，护理教学中采用创新的教学策略至关重要。临床实习场所面临的挑战以及护理专业学生获得临床经验的机会，是许多护理教育工作者日益关注的问题。高保真人体模拟病人（HFHPS）是一种能复制真实病人的计算机化人体模型，将其融入课堂教学时，能让学生完全沉浸于近乎真实的场景中。
本研究旨在描述高保真人体模拟病人在作为助产临床急症的产后出血管理中如何促进体验式学习。
本研究采用描述性定性研究方法。研究地点为夸祖鲁 - 纳塔尔省的一所当地大学。总体包括所有（N = 43）参与情景角色扮演的观察者和/或角色扮演者的四年级护理学本科助产专业学生。采用了全纳抽样法。有43名学生助产士参与了模拟教学课程，每次有6名学生积极参与每个角色扮演，其余37名学生进行观察。这在两个单独的课程中进行，所有学生助产士都参加了汇报会。随后对这些学生助产士进行随访，并邀请他们参加焦点小组。本文中的数据来自两个单独的焦点小组，总共包括20名学生助产士。采用内容分析法对数据进行分析。
数据得出了四类结果，即高保真人体模拟病人为学生助产士处理复杂的现实生活急症提供了独特机会；通过让学生助产士反思或回顾自己的角色、决策和技能促进反思；让学生助产士从自身经历中学习；鼓励学生助产士在现实生活中尝试运用所学知识。
高保真人体模拟病人可用于复杂病例情景，以促进临床急症的体验式学习。
