Author Affiliations: Executive Director (Dr Leighton), Itqan Clinical Simulation & Innovation Center, Hamad Medical Corporation, Doha, Qatar; Associate Professor (Dr Kardong-Edgren), Health Professions Education, MGH Institute of Health Professions, Boston, Massachusetts; Associate Professor (Dr Schneidereith), Debra L. Spunt Clinical Simulation Labs, University of Maryland School of Nursing, Baltimore, Maryland; Director (Mrs Foisy-Doll), Clinical Simulation Centre, MacEwan University Faculty of Nursing, Edmonton, Alberta, Canada; Graduate Student (Ms Wuestney), College of Nursing, Washington State University, Spokane.
Nurse Educ. 2021;46(6):349-354. doi: 10.1097/NNE.0000000000001064.
Nurse educators expanded replacement of traditional clinical practice and face-to-face simulation experiences with screen-based simulation (SBS) during the COVID-19 (coronavirus disease 2019) pandemic.
The purpose of this research was to understand the student experience when learning in 3 types of clinical education environments.
This quantitative descriptive survey study used the Clinical Learning Environment Comparison Survey 2.0 (CLECS 2.0) to compare prelicensure nursing students' perceptions of learning in 3 clinical learning environments.
The CLECS 2.0 was completed by 113 participants from 3 countries. Most scores were highest for the traditional clinical practice environment, and all were lowest for the SBS environment.
The findings are concerning as discussions about whether SBS can replace traditional clinical practice hours unfolds. The findings support the need for concentrated efforts to improve specific areas of the SBS experience.
在 COVID-19（2019 年冠状病毒病）大流行期间，护士教育工作者扩大了传统临床实践和面对面模拟体验的替代方案，采用基于屏幕的模拟（SBS）。
本研究的目的是了解学生在 3 种临床教育环境中学习时的体验。
这项定量描述性调查研究使用临床学习环境比较调查 2.0（CLECS 2.0）来比较 3 种临床学习环境中护理专业学生的学习感知。
来自 3 个国家的 113 名参与者完成了 CLECS 2.0。大多数分数最高的是传统临床实践环境，而 SBS 环境的分数最低。
随着关于 SBS 是否可以替代传统临床实践时间的讨论不断展开，这些发现令人担忧。研究结果支持需要集中精力改善 SBS 体验的特定领域。
