The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region.
Nurse Educ Pract. 2023 May;69:103610. doi: 10.1016/j.nepr.2023.103610. Epub 2023 Mar 21.
To evaluate the effects of a high-fidelity simulation-based training in emergency nursing and the relationships between study outcomes. The objectives were to: (1) evaluate the effects of high-fidelity simulation-based training in emergency nursing on final-year nursing students' generic capabilities, self-confidence and anxiety during clinical decision-making; (2) examine the relationships between the outcomes of generic capabilities and clinical decision-making skills; (3) examine participants' satisfaction with the simulation experience; and (4) explore their experiences and opinions of the training module.
Following the emergence of coronavirus disease 2019, safety and other considerations have limited the clinical training opportunities available to nursing students. This has resulted in the increased use of high-fidelity simulations to provide clinical training for nursing students. However, evidence of the effects of such training modalities on generic capabilities, clinical decision-making skills and learning satisfaction remains lacking. In particular, the effectiveness of high-fidelity simulations of emergency clinical situations in training has not been closely evaluated.
A mixed methods study incorporating quasi-experimental and qualitative components.
We recruited a convenience sample of 255 final-year pre-registration nursing students (183 bachelor and 72 master students) from a government-funded local university in Hong Kong. Four case scenarios of emergency nursing were developed and simulated in the simulation wards of the study institution in May and June 2021. We assessed the pre- and post-intervention outcomes of generic capabilities and clinical decision-making skills. We also explored the participants' post-intervention satisfaction, experiences and opinions.
Post-intervention, the participants reported significant improvements in generic capabilities, self-confidence and anxiety during clinical decision-making. They expressed a high level of satisfaction with the simulation experience. Additionally, we detected significant relationships between generic capabilities and clinical decision-making skills. Qualitative data analysis yielded four themes that either confirmed or complemented the quantitative findings.
This study provides evidence of the effectiveness of high-fidelity simulation-based training in emergency nursing in enhancing students' learning outcomes. Further studies should include a control group, evaluate students' knowledge and skills, and retention of knowledge to confirm the true impact of such training.
评估基于高保真模拟的急救护理培训的效果以及研究结果之间的关系。目标是：（1）评估基于高保真模拟的急救护理培训对护理专业最后一年学生的通用能力、临床决策时的自信和焦虑的影响；（2）研究通用能力和临床决策技能之间的结果关系；（3）评估参与者对模拟体验的满意度；（4）探索他们对培训模块的经验和意见。
新冠疫情出现后，安全等因素限制了护理学生的临床培训机会。这导致越来越多的使用高保真模拟来为护理学生提供临床培训。然而，这种培训模式对通用能力、临床决策技能和学习满意度的影响的证据仍然缺乏。特别是，紧急临床情况下的高保真模拟培训的有效性尚未得到密切评估。
采用准实验和定性相结合的混合方法研究。
我们从香港一所政府资助的本地大学招募了 255 名护理专业最后一年的预注册学生（183 名学士和 72 名硕士）作为便利样本。2021 年 5 月至 6 月，在研究机构的模拟病房中开发并模拟了 4 个紧急护理案例场景。我们评估了通用能力和临床决策技能的干预前后结果。我们还探讨了参与者的干预后满意度、经验和意见。
干预后，参与者报告在通用能力、临床决策时的自信和焦虑方面有显著提高。他们对模拟体验表示高度满意。此外，我们还发现通用能力和临床决策技能之间存在显著关系。定性数据分析产生了四个主题，这些主题证实或补充了定量发现。
本研究为基于高保真模拟的急救护理培训在提高学生学习成果方面的有效性提供了证据。进一步的研究应包括对照组，评估学生的知识和技能，以及知识的保留，以确认这种培训的真正影响。
