T.C. Cook is assistant professor, Mary Black School of Nursing, University of South Carolina Upstate, Spartanburg, South Carolina.
L.J. Camp-Spivey is assistant professor and director of simulation, Mary Black School of Nursing, University of South Carolina Upstate, Spartanburg, South Carolina.
Acad Med. 2022 Mar 1;97(3S):S23-S27. doi: 10.1097/ACM.0000000000004538.
Existing challenges associated with pediatric clinical placements for prelicensure nursing students were heightened when clinical agencies halted nursing student entry in response to the COVID-19 pandemic. At the same time, the pandemic created opportunities for innovative teaching strategies for pediatric clinical rotations in nursing education. The purpose of this project was to design, develop, and implement meaningful, interactive, and intentional clinical experiences for nursing students that enhanced their pediatric assessment skills, reduced their anxiety about pediatric inpatient care, and advanced their proficiency in the nursing process. Two simulated clinical experiences were created: (1) a virtual pediatric physical assessment checkoff and (2) a pediatric escape room. The pediatric physical assessment checkoff was performed in a remote, virtual setting while students used personal resources to demonstrate their assessment skills. For the escape room, students worked in small, in-person groups using the nursing process to unlock clues to improve their client's health condition. Students reported gaining meaningful clinical experiences through simulation that allowed them to apply their nursing knowledge and increased their confidence in pediatric assessment skills, dosage calculation competency, communications and interactions with the pediatric population, and teamwork abilities. The virtual pediatric physical assessment checkoff and the pediatric escape room were enjoyable and beneficial educational events that facilitated student learning.
当临床机构为应对 COVID-19 大流行而停止护理学生进入时，与儿科临床实习相关的现有挑战对护理专业的学生来说更加突出。与此同时，这场大流行也为护理教育中的儿科临床轮转提供了创新教学策略的机会。本项目的目的是为护理学生设计、开发和实施有意义的、互动的和有目的的临床体验，以提高他们的儿科评估技能，减少他们对儿科住院护理的焦虑，并提高他们在护理过程中的熟练程度。创建了两个模拟临床体验：（1）虚拟儿科体格检查检查清单，（2）儿科逃生室。儿科体格检查检查清单是在远程虚拟环境中进行的，而学生则使用个人资源来展示他们的评估技能。对于逃生室，学生们使用护理过程以解锁线索，以改善客户的健康状况，在小组成员的帮助下进行实地分组。学生们报告说，通过模拟获得了有意义的临床经验，这使他们能够应用自己的护理知识，并增强了他们在儿科评估技能、剂量计算能力、与儿科人群的沟通和互动以及团队合作能力方面的信心。虚拟儿科体格检查检查清单和儿科逃生室是有趣且有益的教育活动，促进了学生的学习。
