Khalil Amal I, Hantira Neama Y, Alnajjar Hend A
Psychiatry and Mental Health Nursing, College of Nursing, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Faculty of Nursing, Menoufia University, Shibin el Kom, EGY.
Cureus. 2023 Aug 26;15(8):e44152. doi: 10.7759/cureus.44152. eCollection 2023 Aug.
As clinical placement in bachelor's nursing programs becomes increasingly difficult, simulation is becoming increasingly common to enhance learning. Blended learning incorporating simulation videos provides students with the opportunity to observe and learn from exemplary practices while bridging the gap between theoretical knowledge and its practical application. This study aimed to investigate the effect of simulation training on enhancing nursing students' perception of integrating patient's families' assessments into their treatment plan.
A quantitative, experimental research design was used, with a control (56) and intervention group (67) from levels 7 and 8 senior nursing students at King Saud Bin Abdulaziz University for Health Sciences, College of Nursing, Jeddah, assigned randomly to each group. The tool consists of three sections: personal information, a Van Gelderen family rubric, and a role-play survey. The validity and reliability of the tools were confirmed by the original developer. In the current study, the reported Cronbach's alpha was 95%.
A total of 123 students participated in the study. Their ages ranged between 19 and 23 years and 23 years and above, with a mean age of 21.3 ± 1.3 among the control group and 22.2 ± 1.1 among the experimental group. There was an improvement in the mean scores in the post-training phase compared to the pre-training phase in the experimental group, with a statistically significant difference at p < 0.05. However, there were no significant differences noted between the control and experimental groups in the pre-training phase compared to the statistically significant difference noted between the two groups in the post-training phase.
The findings of the study indicated that the utilization of scenario-based standardized patient-simulated exercises, guided by dedicated faculty and accompanied by reflective debriefing exercises, proved to be an effective approach for bridging the gap between theoretical knowledge and its application in clinical practice. Therefore, the study prompts curriculum revisions to incorporate family assessment into nursing practices, as well as evidence-based strategies, such as learning activities that use standardized patient or high-fidelity simulation technology to address and possibly reduce the theory-practice gap for graduates when entering clinical practice.
随着本科护理专业临床实习难度日益增大，模拟教学越来越普遍，以促进学习。融合模拟视频的混合式学习为学生提供了观察并借鉴典范做法的机会，同时弥合了理论知识与其实际应用之间的差距。本研究旨在调查模拟训练对增强护生将患者家属评估纳入治疗计划的认知的效果。
采用定量实验研究设计，从吉达国王沙特·本·阿卜杜勒阿齐兹卫生科学大学护理学院7年级和8年级的高级护生中随机抽取对照组（56名）和干预组（67名）。该工具由三个部分组成：个人信息、范·盖尔德伦家庭评分表和角色扮演调查。工具的有效性和可靠性由原始开发者确认。在本研究中，报告的克朗巴哈系数为95%。
共有123名学生参与了该研究。他们的年龄在19岁至23岁及23岁以上之间，对照组的平均年龄为21.3±1.3岁，实验组为22.2±1.1岁。与训练前阶段相比，实验组训练后阶段的平均得分有所提高，p<0.05，具有统计学显著差异。然而，训练前阶段对照组和实验组之间没有显著差异，而训练后阶段两组之间存在统计学显著差异。
研究结果表明，在专业教师的指导下，运用基于情景的标准化患者模拟练习，并辅以反思性汇报练习，被证明是弥合理论知识与临床实践应用之间差距的有效方法。因此，该研究促使课程修订，将家庭评估纳入护理实践，以及采用循证策略，如使用标准化患者或高保真模拟技术的学习活动，以解决并可能缩小毕业生进入临床实践时的理论与实践差距。
