Jiang Meng-Han, Dou Li-Wen, Dong Bo, Zhang Man, Li Yue-Ping, Lin Cui-Xia
School of Health, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
School of Political Science and Public Administration, Wuhan University, Wuhan, Hubei, China.
Front Med (Lausanne). 2024 Mar 5;11:1286582. doi: 10.3389/fmed.2024.1286582. eCollection 2024.
AIM: The purpose of this study is to examine the design and implementation of a high-fidelity simulation training course for medical and nursing collaboration, based on the Fink integrated course design model. Additionally, the study aims to validate the teaching effectiveness of the course. BACKGROUND: Previous empirical studies have highlighted the effectiveness of collaborative healthcare education in institutional teaching and hospital training. However, the development of healthcare collaborative education in China has been slow to develop in China. In recent years, Chinese nursing educators and researchers have shown interest in utilizing high-fidelity simulators for healthcare collaborative education. These simulators help address the limitations of traditional nursing teaching and healthcare separation simulation. Nevertheless, a standardized simulation interprofessional education curriculum is still lacking. Therefore, nursing educators need to develop a standardized high-fidelity simulation training curriculum for healthcare collaboration, guided by established science curriculum development theories. METHODS: A high-fidelity simulation training course on healthcare collaboration was designed based on the Fink integrated curriculum design model. The course was taught to 14 nursing students and 8 clinical medicine students from March to July 2022. To comprehensively evaluate the effectiveness of the healthcare collaboration high-fidelity simulation training course, several assessment tools were used. These included course grades, satisfaction and self-confidence scales, simulation teaching practice scales, healthcare collaboration attitude scales, critical thinking skills scales, and semi-structured interviews. RESULTS: After the course was implemented, students demonstrated high overall scores (79.19 ± 5.12) and reported high satisfaction ratings (4.44 ± 0.37). They also exhibited increased self-confidence (4.16 ± 0.33). Additionally, students evaluated all four dimensions of the course teaching practice scale positively. Furthermore, the study demonstrated significant improvements in various aspects, such as attitudes toward medical and nursing collaboration ( = -7.135, < 0.01), shared education and teamwork ( = -3.247, = 0.002), job autonomy for nurses ( = -1.782, = 0.000), and reduced physician dominance ( = -6.768, = 0.000). The critical thinking skills of the students showed significant improvement, with higher scores in truth-seeking ( = -3.052, = 0.004), analytical ability ( = -2.561, = 0.014), systematic ability ( = -3.491, = 0.001), self-confidence in critical thinking ( = -4.024, = 0.000), and curiosity ( = -5.318, = 0.000) compared to their scores before the course (all < 0.05). The interviews showed that the course's student-centered approach enabled active learning. Students suggested enhancing teaching cases and allocating more time for reflection and summarization. CONCLUSION: The study successfully designed a high-fidelity simulation training course for healthcare collaboration by utilizing the Fink integrated curriculum design model. The findings provide valuable insights for the development of standardized curricula and healthcare collaboration education in China. Moreover, the course adheres to best practice principles, fostering improved attitudes toward healthcare collaboration and enhancing students' healthcare collaboration and clinical thinking skills.
目的:本研究旨在基于芬克综合课程设计模型,探讨医学与护理协作高保真模拟培训课程的设计与实施。此外,该研究旨在验证该课程的教学效果。 背景:以往实证研究强调了协作式医疗教育在机构教学和医院培训中的有效性。然而,中国医疗协作教育的发展一直较为缓慢。近年来,中国护理教育工作者和研究人员对利用高保真模拟器进行医疗协作教育表现出兴趣。这些模拟器有助于克服传统护理教学和医疗分离模拟的局限性。尽管如此,标准化的模拟跨专业教育课程仍然缺乏。因此,护理教育工作者需要在既定的科学课程开发理论指导下,开发标准化的医疗协作高保真模拟培训课程。 方法:基于芬克综合课程设计模型,设计了一门医疗协作高保真模拟培训课程。该课程于2022年3月至7月面向14名护理专业学生和8名临床医学专业学生授课。为全面评估医疗协作高保真模拟培训课程的效果,使用了多种评估工具。这些工具包括课程成绩、满意度和自信心量表、模拟教学实践量表、医疗协作态度量表、批判性思维技能量表以及半结构化访谈。 结果:课程实施后,学生的总体得分较高(79.19±5.12),满意度评分也较高(x̅ = 4.44,s = 0.37)。他们的自信心也有所增强(x̅ = 4.16,s = 0.33)。此外,学生对课程教学实践量表的所有四个维度评价均为积极。此外,该研究表明在各个方面都有显著改善,如对医护协作的态度(t = -7.135,p < 0.01)、共享教育与团队合作(t = -3.247,p = 0.002)、护士的工作自主性(t = -1.782,p = 0.000)以及医生主导性的降低(t = -6.768,p = 0.000)。学生的批判性思维技能有显著提高,与课程前相比,在求真性(t = -3.052,p = 0.004)、分析能力(t = -2.561,p = 0.014)、系统性能力(t = -3.491,p = 0.001)、批判性思维自信心(t = -4.024,p = 0.000)和好奇心(t = -5.318,p = 0.000)方面得分更高(均p < 0.05)。访谈表明,该课程以学生为中心的方法促进了主动学习。学生建议加强教学案例,并分配更多时间进行反思和总结。 结论:本研究通过利用芬克综合课程设计模型,成功设计了一门医疗协作高保真模拟培训课程。研究结果为中国标准化课程和医疗协作教育的发展提供了有价值的见解。此外,该课程遵循最佳实践原则,培养了对医疗协作的积极态度,提高了学生的医疗协作和临床思维技能。
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