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提高伤口护理能力:一项评估本科护生使用虚拟患者的横断面研究。

Increasing competence in wound care: A cross-sectional study to evaluate use of a virtual patient by undergraduate student nurses.

机构信息

School of Nursing, Midwifery & Health Systems, University College Dublin, Ireland.

St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.

出版信息

Nurse Educ Pract. 2020 Mar;44:102774. doi: 10.1016/j.nepr.2020.102774. Epub 2020 Mar 19.

DOI:10.1016/j.nepr.2020.102774
PMID:32244047
Abstract

Concerns have arisen internationally over the competency of student nurses to perform wound care. A global shortage of nursing faculty and clinical practice opportunities is regarded as a contributing factor. Virtual simulation offers a possible solution. The aim of this study was to describe the development and educational evaluation of a virtual patient to supplement undergraduate learning of wound care. The National League for Nursing Jeffries model informed the design of the media. Evaluation of the virtual patient by penultimate year nursing students (n = 148) was conducted using a survey design. Findings are presented from statistical and directed content analyses. Most students rated the educational value of the virtual patient and its support of learning highly. They reported a perceived increase in confidence and ability to meet wound care competency outcomes. The virtual patient also provided students with opportunities to develop their clinical reasoning skills. This study provides evidence that virtual patient simulation is an effective pedagogy to increase clinical competence in wound care. It allows nursing students the opportunity to practice skills and utilise theory repetitively in a safe environment, unhampered by a lack of resources such as clinical placement availability and a declining faculty.

摘要

国际上对护生进行伤口护理的能力表示关注。护理教师和临床实践机会的全球短缺被认为是一个促成因素。虚拟模拟提供了一种可能的解决方案。本研究旨在描述一种虚拟患者的开发和教育评估,以补充本科护生的伤口护理学习。国家护理联盟杰弗里斯模式为媒体设计提供了信息。使用调查设计对护理专业最后一年的学生(n=148)进行了对虚拟患者的评估。从统计和有针对性的内容分析中呈现了研究结果。大多数学生高度评价虚拟患者的教育价值及其对学习的支持。他们报告说,他们的信心和满足伤口护理能力的能力有所提高。虚拟患者还为学生提供了发展临床推理技能的机会。这项研究提供了证据,证明虚拟患者模拟是一种有效的教学方法,可以提高伤口护理的临床能力。它使护理学生有机会在安全的环境中反复练习技能并运用理论,而不会受到资源短缺的影响,例如临床实习机会的可用性和教师人数的减少。

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