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传染病(COVID-19)模拟模块方案对护理专业学生的效果:灾害护理情景。

Effectiveness of the Infectious Disease (COVID-19) Simulation Module Program on Nursing Students: Disaster Nursing Scenarios.

机构信息

College of Nursing Science, Kyung Hee University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2021 Dec;51(6):648-660. doi: 10.4040/jkan.21164.

Abstract

PURPOSE

This study aimed to develop an emerging infectious disease (COVID-19) simulation module for nursing students and verify its effectiveness.

METHODS

A one-group pretest-posttest quasi-experimental study was conducted with 78 under-graduate nursing students. A simulation module was developed based on the Jeffries simulation model. It consisted of pre-simulation lectures on disaster nursing including infectious disease pandemics, practice, and debriefings with serial tests. The scenarios contained pre-hospital settings, home visits, arrival to the emergency department, and follow-up home visits for rehabilitation.

RESULTS

Disaster preparedness showed a statistically significant improvement, as did competencies in disaster nursing. Confidence in disaster nursing increased, as did willingness to participate in disaster response. However, critical thinking did not show significant differences between time points, and neither did triage scores.

CONCLUSION

The developed simulation program targeting an infectious disease disaster positively impacts disaster preparedness, disaster nursing competency, and confidence in disaster nursing, among nursing students. Further studies are required to develop a high-fidelity module for nursing students and medical personnel. Based on the current pandemic, we suggest developing more scenarios with virtual reality simulations, as disaster simulation nursing education is required now more than ever.

摘要

目的

本研究旨在为护理学生开发一个新发传染病(COVID-19)模拟模块,并验证其效果。

方法

采用单组前后测准实验设计,对 78 名本科护理学生进行研究。基于 Jeffries 模拟模型开发了一个模拟模块,其中包括传染病大流行等灾难护理的预模拟讲座、实践和系列测试后的汇报。情景包含了院前环境、家访、到达急诊部和康复后的后续家访。

结果

灾难准备情况显示出统计学上的显著改善,灾难护理能力也是如此。对灾难护理的信心增加了,参与灾难应对的意愿也增加了。然而,批判性思维在时间点之间没有显著差异,分诊分数也没有显著差异。

结论

针对传染病灾害的开发的模拟方案对护理学生的灾难准备、灾难护理能力和灾难护理信心产生了积极影响。需要进一步研究为护理学生和医务人员开发高保真度的模块。基于当前的大流行,我们建议开发更多带有虚拟现实模拟的场景,因为现在比以往任何时候都更需要灾难模拟护理教育。

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