Sterner Anders, Sköld Robert, Andersson Henrik
Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden.
Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
SAGE Open Nurs. 2023 May 18;9:23779608231177566. doi: 10.1177/23779608231177566. eCollection 2023 Jan-Dec.
INTRODUCTION: Critical thinking is regarded as imperative to healthcare quality and patient outcomes; therefore, effective strategies in nursing education are required to promote students' critical thinking abilities, leading to their success in clinical work. Accordingly, simulation-based education has been suggested as a measure for achieving this goal. OBJECTIVE: The aim of this study was to explore whether a nursing education course with blended simulation activities (hands-on simulations with high-fidelity manikins and a web-based interactive simulation program) could increase nursing students' critical thinking skills. METHOD: A quasiexperimental, one-group pretest and post-test design was utilized. Data were collected through premeasurement and postmeasurement using a critical thinking questionnaire and were analyzed using paired sample -tests, independent sample -tests, and the nonparametric Wilcoxon signed-rank test. The effect size was calculated using Cohen's formula. RESULTS: Sixty-one nursing students (57 women and four men, mean age 30 years) participated in the study. Findings of the paired sample -test showed a significantly higher mean score for posteducation than pre-education, indicating a significant change in nurses' critical thinking capabilities ( < .001). The results for Cohen's formula ( - 0.87) of the mean scores between pre-education and posteducation indicated a large effect size. The Wilcoxon signed-rank test also showed a statistically significant increase in the students' critical thinking abilities between pre-education and posteducation measures ( < .001). No statistically significant differences were found in the mean score according to age or sex. CONCLUSION: This study concluded that blended simulation-based education can increase nursing students' critical thinking capabilities. As a result, this study builds on the use of simulation as a measure for developing and promoting critical thinking abilities during nursing education.
引言:批判性思维被认为对医疗质量和患者预后至关重要;因此,护理教育中需要有效的策略来提高学生的批判性思维能力,从而使他们在临床工作中取得成功。相应地,基于模拟的教育已被提议作为实现这一目标的一种措施。 目的:本研究的目的是探讨一门包含混合模拟活动(使用高仿真人体模型进行实践模拟和基于网络的交互式模拟程序)的护理教育课程是否能提高护生的批判性思维技能。 方法:采用准实验、单组前测和后测设计。通过使用批判性思维问卷进行预测量和后测量来收集数据,并使用配对样本检验、独立样本检验和非参数威尔科克森符号秩检验进行分析。效应量使用科恩公式计算。 结果:61名护生(57名女性和4名男性,平均年龄30岁)参与了该研究。配对样本检验结果显示,教育后平均得分显著高于教育前,表明护士的批判性思维能力有显著变化(P <.001)。教育前和教育后平均得分的科恩公式结果(r = -0.87)表明效应量较大。威尔科克森符号秩检验也显示,教育前和教育后测量之间学生的批判性思维能力有统计学上的显著提高(P <.001)。根据年龄或性别,平均得分未发现统计学上的显著差异。 结论:本研究得出结论,基于混合模拟教学可以提高护生的批判性思维能力。因此,本研究进一步证明了在护理教育中使用模拟作为培养和促进批判性思维能力的一种措施。
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