Park Seo-A, Kim Hye Young
Korean J Women Health Nurs. 2020 Sep 30;26(3):240-249. doi: 10.4069/kjwhn.2020.09.18. Epub 2020 Sep 29.
This study was conducted to investigate the effects of an education program using a high-fidelity simulator of labor and delivery on nursing knowledge, critical thinking, and clinical performance among nursing students who had not yet experienced clinical practicum.
The development of a 5-week maternity nursing education programs using high-fidelity simulators included modules containing case-oriented scenarios, knowledge, and skills required for maternity care. A randomized controlled study was conducted to verify the effects of the developed program. Data were collected from October 21 to December 9, 2019. The experimental group (n=36) participated in a 5-week high-fidelity simulation program on care for the woman in labor, whereas the control group (n=36) received standard education as lecture and practice with delivery model. The collected data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation), the Chi-square test, Fisher exact test, and t-test.
For participants who received education using the high-fidelity simulation program, nursing knowledge (t=2.33, =.011), critical thinking (t=3.73, <.001), and clinical performance (t=2.53, =.006) were significantly higher than in the control group.
Even for students with no clinical experience, high-fidelity simulation-based nursing education was effective in improving nursing knowledge, critical thinking, and clinical performance among nursing students. Nurse educators will be able to use this high-fidelity simulator effectively, especially in situations where direct clinical practicum may not be feasible.
本研究旨在调查使用分娩高仿真模拟器的教育项目对尚未经历临床实习的护理专业学生的护理知识、批判性思维和临床操作能力的影响。
使用高仿真模拟器开展为期5周的产科护理教育项目,其中包括面向案例的情景模块、产科护理所需的知识和技能。开展一项随机对照研究以验证所开发项目的效果。数据收集时间为2019年10月21日至12月9日。实验组(n = 36)参加了为期5周的关于分娩期妇女护理的高仿真模拟项目,而对照组(n = 36)接受了以讲座和使用分娩模型进行练习为主的标准教育。所收集的数据使用描述性统计(频率、百分比、均值和标准差)、卡方检验、Fisher精确检验和t检验进行分析。
对于接受高仿真模拟项目教育的参与者,其护理知识(t = 2.33,P = 0.011)、批判性思维(t = 3.73,P < 0.001)和临床操作能力(t = 2.53,P = 0.006)显著高于对照组。
即使对于没有临床经验的学生,基于高仿真模拟的护理教育在提高护理专业学生的护理知识、批判性思维和临床操作能力方面也是有效的。护理教育工作者将能够有效使用这种高仿真模拟器,特别是在直接临床实习可能不可行的情况下。