Cant Robyn, Ryan Colleen, Kelly Michelle A
Author Affiliations: School of Health, Federation University Australia (Dr Cant), Victoria, Australia; School of Nursing, Midwifery and Social Sciences, Central Queensland University (Dr Ryan), Brisbane, Queensland, Australia; and Curtin School of Nursing, Curtin University (Dr Kelly), Bentley, Australia.
Comput Inform Nurs. 2023 Jan 1;41(1):31-38. doi: 10.1097/CIN.0000000000000932.
Computer-based virtual simulation in nursing is a rapidly developing field. A summary of current research could benefit nursing faculty who are incorporating this pedagogy into online teaching due to social distancing requirements. This umbrella review aimed to explore the use and effectiveness of virtual simulations in prelicensure nursing education. Our umbrella review approach was informed by The Johanna Briggs Institute guidelines. The 18 included reviews captured the experiences of over 7600 nursing students who engaged with five different virtual (screen-based) simulation modalities. Results indicated that virtual simulations can be effective in developing nursing students' knowledge and psychomotor and psychosocial skills, for example, in medication administration and communication. There was no study that showed a conclusive benefit of virtual simulations for developing clinical reasoning. Students enjoyed virtual simulations, claiming they were accessible, fun, and engaging ways to learn. Many benefits of virtual simulations and some technological challenges were identified in a mapped model. In the future, more rigorous and experimental studies are needed to confirm effects on learning outcomes. Nursing curriculum designers need to define the place and purposes of the pedagogy to ensure that knowledge and skills learned during virtual simulations can be applied to real-world, patient-centered care.
护理领域基于计算机的虚拟模拟是一个快速发展的领域。由于社交距离要求，对当前研究进行总结可能会使将这种教学方法纳入在线教学的护理教师受益。本伞形综述旨在探讨虚拟模拟在护理预执业教育中的应用及效果。我们的伞形综述方法遵循了乔安娜·布里格斯研究所的指南。纳入的18篇综述涵盖了7600多名参与五种不同虚拟（基于屏幕）模拟模式的护理学生的经历。结果表明，虚拟模拟在培养护理学生的知识、心理运动和心理社会技能方面可能是有效的，例如在药物管理和沟通方面。没有研究表明虚拟模拟在培养临床推理能力方面有确凿的益处。学生们喜欢虚拟模拟，称它们是易于获取、有趣且引人入胜的学习方式。在一个映射模型中确定了虚拟模拟的许多益处和一些技术挑战。未来，需要更严格的实验研究来证实对学习成果的影响。护理课程设计者需要确定这种教学方法的地位和目的，以确保在虚拟模拟中所学的知识和技能能够应用于以患者为中心的实际护理中。
