Baek Gyuli, Lee Eunju
School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
Keimyung University College of Nursing, Daegu, South Korea.
BMC Nurs. 2024 Mar 27;23(1):206. doi: 10.1186/s12912-024-01871-7.
The significant rise in cardiac arrest cases within hospitals, coupled with a low survival rate, poses a critical health issue. And in most situations, nurses are the first responders. To develop nursing students' competencies in advanced cardiopulmonary resuscitation, systematic and repetitive learner-centered self-directed education that can promote the integration of knowledge and practice is necessary.
To develop an advanced cardiopulmonary resuscitation training program using a web-based serious game for nursing students and verifying its efficacy.
The program was developed based on the stages of analysis, design, development, implementation, and evaluation, and the Input Process Outcome Model of Serious Game Design formed the theoretical basis.
The research design employed a before-and-after non-equivalent control group, and data collection took place among 2nd and 3rd year nursing students at K University in D City, Korea, from March 2, 2023, to March 24, 2023.
The program consisted of a 120-min video lecture, 30 min of a web-based serious game, 30-min of written self-reported debriefing, and individual feedback using a video conference system. The effectiveness of the program was measured for both groups using an 89-item structured questionnaire regarding knowledge, confidence in performance, problem-solving ability, and learning transfer expectations.
The program was effective in improving nursing students' advanced cardiopulmonary knowledge, confidence in performance, problem-solving ability, and learning transfer expectation immediately after intervention.
This program underscores the necessity of a new direction in nursing education, emphasizing learner-centered approaches, rather than the traditional focus on the mere transmission of basic knowledge and skills, to cultivate nurses with advanced cardiopulmonary resuscitation capabilities.
医院内心脏骤停病例显著增加，且生存率较低，这构成了一个关键的健康问题。在大多数情况下，护士是第一反应者。为了培养护理专业学生在高级心肺复苏方面的能力，有必要开展以学习者为中心的系统且重复的自我导向教育，以促进知识与实践的融合。
为护理专业学生开发一个使用基于网络的严肃游戏的高级心肺复苏培训项目，并验证其效果。
该项目基于分析、设计、开发、实施和评估阶段进行开发，严肃游戏设计的输入-过程-结果模型构成了理论基础。
研究设计采用前后非等效对照组，于2023年3月2日至2023年3月24日在韩国D市K大学的大二和大三护理专业学生中收集数据。
该项目包括120分钟的视频讲座、30分钟的基于网络的严肃游戏、30分钟的书面自我汇报反思以及使用视频会议系统进行的个人反馈。使用一份包含89个条目的结构化问卷，针对两组学生在知识、操作信心、解决问题能力和学习迁移期望方面对项目效果进行测量。
该项目在干预后立即有效提高了护理专业学生的高级心肺知识、操作信心、解决问题能力和学习迁移期望。
该项目强调了护理教育新方向的必要性，即强调以学习者为中心的方法，而非传统上仅注重基础知识和技能的传授，以培养具备高级心肺复苏能力的护士。
