Mersin University, Faculty of Nursing, Department of Medical Nursing, 33110 Mersin, Turkey.
Dicle University, Department of Nursing, 21280 Diyarbakır, Turkey.
Nurse Educ Today. 2020 Jan;84:104216. doi: 10.1016/j.nedt.2019.104216. Epub 2019 Oct 19.
The use of simulation methods in nursing education is important in terms of decreasing anxiety of students in a safe and realistic environment due to the improvement of knowledge and skills of students in terms of cardiac auscultation and their attitudes to prepare for clinical applications.
The aim of this study is to compare the effectiveness of high-fidelity simulator and traditional teaching method on nursing students' knowledge and skill development in terms of cardiac auscultation and their anxiety levels.
Randomized controlled study.
The study was conducted in the simulation laboratory of the Nursing Department in the Health College and in the inpatient clinics of the Medicine Faculty Hospital.
72 first-year nursing students (simulation group = 36, control group = 36).
The students were randomly distributed to the simulation and control groups. The students in the simulation group received a cardiac auscultation training by using a high-fidelity simulator while the students in the control group received training with the traditional teaching method. After the training sessions, all students practiced their skills in the laboratory and on real patients in clinical setting under the supervision of the researcher. The data were collected by using the Demographic Information Form, Knowledge Assessment Form for Cardiac Auscultation, Skill Evaluation Form for Cardiac Auscultation and State Anxiety Inventory (SAI).
High-fidelity simulators and traditional teaching method were found to be effective in increasing the students' knowledge and skill levels in terms of cardiac auscultation. However, it was found that the high-fidelity simulator method was more effective than the traditional teaching method to increase the students' knowledge (p = 0.001) and skill (p < 0.001) levels; this increase was significant. In addition, it was found that the students in the high-fidelity simulator group showed a significant decrease in anxiety scores compared to the students who were trained with traditional education method (p < 0.001).
The results showed that the use of high-fidelity simulator in nursing education was more effective than traditional method in terms of improving the students' knowledge, skill levels for cardiac auscultation and reducing their anxiety.
在护理教育中使用模拟方法非常重要，因为它可以在安全且真实的环境中降低学生的焦虑感，同时提高学生在心脏听诊方面的知识和技能，并为临床应用做好准备。
本研究旨在比较高保真模拟器和传统教学方法对护理学生在心脏听诊方面的知识和技能发展以及焦虑水平的影响。
随机对照研究。
该研究在健康学院护理系的模拟实验室和医学系附属医院的住院病房进行。
72 名一年级护理学生（模拟组=36 名，对照组=36 名）。
学生被随机分配到模拟组和对照组。模拟组的学生使用高保真模拟器接受心脏听诊培训，而对照组的学生则接受传统教学方法的培训。培训结束后，所有学生在研究者的监督下在实验室和临床实际患者中练习他们的技能。通过使用人口统计学信息表、心脏听诊知识评估表、心脏听诊技能评估表和状态焦虑量表（SAI）收集数据。
高保真模拟器和传统教学方法都能有效提高学生在心脏听诊方面的知识和技能水平。然而，研究发现高保真模拟器方法比传统教学方法更能有效提高学生的知识（p=0.001）和技能（p<0.001）水平，这种提高具有显著意义。此外，与接受传统教育方法培训的学生相比，使用高保真模拟器的学生焦虑评分显著降低（p<0.001）。
研究结果表明，在护理教育中使用高保真模拟器比传统方法更能有效提高学生的知识、心脏听诊技能水平，同时降低他们的焦虑感。
