Liu Ying-Mei, Chen Miao-Chuan, Chung Fen-Fang, Huang Hsiang-Ping, Chao Li-Fen, Chen Mei-Yen, Jane Sui-Whi, Fan Jun-Yu
PhD, RN, Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, and Associate Research Fellow, Division of Pediatric Hematology and Oncology, Linkou Chang Gung Memorial Hospital, Taiwan, ROC.
PhD, RN, Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC.
Hu Li Za Zhi. 2020 Dec;67(6):25-31. doi: 10.6224/JN.202012_67(6).05.
The COVID-19 pandemic has greatly impacted first-line medical staff as well as nursing-student clinical practicum programs. How to cooperate with the government's pandemic-prevention policies and reduce the gap between education and clinical practice represent significant challenges. In this paper, Chang Gung University of Science and Technology (CCUST) is used as an example to show how schools in Taiwan have effectively adapted the fundamentals of nursing practicum programs to the current pandemic using e-learning, group discussions, case analysis, clinical skill practice, and clinical case simulation scenario exercises. The program at CCUST both takes into account the safety of students and has achieved all critical nursing practice goals. After implementation of these adjustments, satisfaction among nursing students with the practicum environment and the clinical instructors was found to be significantly higher for the on-campus clinical practicum than for the off-campus clinical practicum. Furthermore, the results of qualitative data analyses show that nursing students in the on-campus practicum gained significant knowledge and experience and commented positively on their experience. For example, the students indicated that they were satisfied with the simulated clinical environment of the CCC, the teaching strategies and adaptability of the instructor, and the application of virtual reality scenario cases to enhance skill proficiency and learning outcomes. The adjusted nursing clinical practicum described in this paper may be used as a reference to ensure the quality of nursing clinical practicum programs is maintained during epidemics.
新冠疫情对一线医护人员以及护理专业学生的临床实习项目产生了重大影响。如何配合政府的防疫政策并缩小教育与临床实践之间的差距是巨大挑战。本文以长庚科技大学为例，展示台湾地区的学校如何利用电子学习、小组讨论、案例分析、临床技能实践和临床病例模拟情景练习，有效地将护理实习项目的基本要素应用于当前疫情。长庚科技大学的项目既考虑了学生的安全，又实现了所有关键护理实践目标。实施这些调整后，发现护理专业学生对校内临床实习的实习环境和临床带教老师的满意度明显高于校外临床实习。此外，定性数据分析结果显示，校内实习的护理专业学生获得了丰富的知识和经验，并对他们的经历给予了积极评价。例如，学生们表示对临床技能中心的模拟临床环境、带教老师的教学策略和应变能力，以及虚拟现实情景案例在提高技能熟练度和学习成果方面的应用感到满意。本文所述的调整后的护理临床实习可作为参考，以确保在疫情期间护理临床实习项目的质量得以维持。
