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高仿真模拟对护理学生临床判断的影响。

Effect of High-Fidelity Simulation on Clinical Judgment Among Nursing Students.

机构信息

Faculty of Nursing, 61287Arab American University, Palestine.

School of Nursing, 54658The University of Jordan, Amman, Jordan.

出版信息

Inquiry. 2022 Jan-Dec;59:469580221081997. doi: 10.1177/00469580221081997.

Abstract

INTRODUCTION

Nursing education needs to be improved in order to bridge the gap between education and clinical practice. However, clinical placements for nursing students are limited and student nurses often take merely an observer role, especially in critical situations. High-fidelity simulation (HFS) is a teaching method that can bridge the gap between education and clinical practice. The purpose of this study was to evaluate the influence of using HFS as a teaching method on clinical judgment among pediatric nursing students at the Arab American University utilizing a bacterial meningitis case scenario.

METHODS

A quasi-experimental study with a convenience sample of one hundred and fifty baccalaureate nursing students enrolled in a pediatric health nursing course. Nursing students were randomly assigned to high-fidelity simulation experience or traditional methods. The clinical judgment was assessed using Lasater Clinical Judgment Rubric Tool.

RESULTS

Results revealed that the high-fidelity simulation experience has improved pediatric nursing students' clinical judgment. The mean clinical judgment differed significantly at post-test in the intervention group after the simulation (t (148) = 7.20, P < .001).

CONCLUSION

The HFS can be an effective tool to provide a safe and effective learning environment for pediatric nursing students, consequently improving their clinical judgment.

摘要

简介

为了弥合教育与临床实践之间的差距,护理教育需要得到改善。然而,护理学生的临床实习机会有限,学生护士通常只能扮演观察者的角色,尤其是在危急情况下。高保真模拟(HFS)是一种可以弥合教育与临床实践之间差距的教学方法。本研究的目的是评估利用 HFS 作为教学方法对阿拉伯美国大学儿科护理学生临床判断的影响,采用细菌性脑膜炎病例情景。

方法

一项采用便利样本的准实验研究,共有 150 名护理专业的本科生参加了儿科健康护理课程。护理学生被随机分配到高保真模拟体验或传统方法组。使用 Lasater 临床判断量表工具评估临床判断。

结果

结果表明,高保真模拟体验提高了儿科护理学生的临床判断。模拟后干预组的临床判断在测试后有显著差异(t (148) = 7.20, P <.001)。

结论

HFS 可以成为为儿科护理学生提供安全有效的学习环境的有效工具,从而提高他们的临床判断能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44eb/9111973/a464ab3afec8/10.1177_00469580221081997-fig1.jpg

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