Author Affiliations: Instructors (Drs Salameh and Ayed) and Nursing Simulation Coordinator (Ms Kassabry), Department of Nursing, Arab American University, Jenin, Palestine; Professor Emerita (Dr Lasater), OHSU School of Nursing, Portland, Oregon; and Visiting Professor (Dr Lasater), Edinburgh Napier University, Edinburgh, United Kingdom.
Nurse Educ. 2021;46(4):E64-E69. doi: 10.1097/NNE.0000000000000938.
Improving nursing students' knowledge and clinical judgment related to mechanical ventilation (MV) is paramount, considering the heightened need for MV due to the current COVID-19 (coronavirus disease 2019) pandemic. High-fidelity simulation (HFS) provides students with real-life clinical experiences that they would rarely confront in clinical training, especially complex case scenarios (such as a patient needing MV).
This study assessed students' clinical knowledge and judgment after including HFS involving MV in an undergraduate nursing program.
This was a quasi-experimental design with a convenience sample of 151 nursing students using the Lasater Clinical Judgment Rubric.
There were significant differences between the intervention and control groups in knowledge (t = 20.42; P = .001) and total clinical judgment scores (t = 19.55; P < .001) post-HFS.
Including a complex case study using MV and HFS significantly improved students' clinical decision-making, clinical knowledge, and self-confidence and enhanced their critical thinking, noticing, interpreting, reflecting, and responding capabilities.
鉴于当前 COVID-19（2019 年冠状病毒病）大流行期间对 MV 的需求增加，提高护理学生与 MV 相关的知识和临床判断能力至关重要。高保真模拟 (HFS) 为学生提供了他们在临床培训中很少遇到的真实临床体验，尤其是在复杂病例场景（例如需要 MV 的患者）中。
本研究评估了在本科护理课程中纳入 MV 的 HFS 后，学生的临床知识和判断能力。
这是一项使用方便样本的准实验设计，共有 151 名护理学生使用 Lasater 临床判断量表。
在 HFS 后，干预组和对照组在知识（t = 20.42；P =.001）和总临床判断分数（t = 19.55；P <.001）方面存在显著差异。
使用 MV 和 HFS 进行复杂案例研究显著提高了学生的临床决策能力、临床知识和自信心，并增强了他们的批判性思维、观察、解释、反思和应对能力。
