School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Nurse Educ Today. 2024 Dec;143:106381. doi: 10.1016/j.nedt.2024.106381. Epub 2024 Aug 30.
Global nursing shortages and increasing cultural diversity in healthcare necessitate the development of culturally sensitive nurses. Intercultural learning and exchange programs have been shown to enhance nursing students' intercultural knowledge, cultural awareness, and sensitivity. However, non-technical skills such as communication, leadership, and teamwork are less emphasized in existing programs, despite their importance in facilitating adaptation to clinical contexts and ensuring patient safety across different ethnic groups.
This study aims to evaluate the effectiveness of a Collaborative Learning in a Student-led Global Classroom (CLSGC) program that employs video-based learning and student-led debriefings to enhance non-technical skills, and to explore the experiences of undergraduate nursing student participants from three different regions.
Seventy-eight nursing students from the Hong Kong Polytechnic University, Malmo University, and La Trobe University participated in the program. The program included three webinars on teamwork, communication skills, and leadership, facilitated through student-led discussions and video simulations. Data were collected using the Team Strategies and Tools to Enhance Performance and Patient Safety Teamwork Attitudes Questionnaire, and qualitative methods including focus groups and reflective journals. A paired t-test and manifest content analysis were used to analyze the quantitative and qualitative data, respectively.
The quantitative results indicated significant improvements in the students' attitudes towards teamwork, communication, and leadership. The qualitative data shed light on the students' learning experiences, highlighting the value of cultural exchanges in exploring the importance of non-technical skills in practice, and the effectiveness of the program structure.
The CLSGC program effectively improved nursing students' non-technical skills and enriched their clinical practice. Integrating simulation-based learning and student-led debriefing sessions to enhance nursing students' knowledge and attitudes towards teamwork, communication, and leadership is recommended in nursing education. Continuous exposure to simulation should be part of nursing education to reinforce the significance of non-technical skills in practice.
全球范围内的护理人员短缺以及医疗保健领域日益增加的文化多样性，使得培养具有文化敏感性的护士变得尤为重要。跨文化学习和交流项目已被证明可以提高护理学生的跨文化知识、文化意识和敏感性。然而，尽管沟通、领导和团队合作等非技术技能对于促进适应不同临床环境和确保不同种族患者的安全至关重要，但在现有的项目中，这些技能的重要性往往被低估。
本研究旨在评估一种采用基于视频的学习和学生主导的讨论来增强非技术技能的合作学习在学生主导的全球课堂（CLSGC）项目的有效性，并探讨来自三个不同地区的本科护理学生参与者的经验。
香港理工大学、马尔默大学和拉筹伯大学的 78 名护理学生参与了该项目。该项目包括三次关于团队合作、沟通技巧和领导力的网络研讨会，通过学生主导的讨论和视频模拟进行。使用团队策略和工具以提高绩效和患者安全团队合作态度问卷收集数据，并采用焦点小组和反思性期刊等定性方法。使用配对 t 检验和显式内容分析法分别对定量和定性数据进行分析。
定量结果表明，学生对团队合作、沟通和领导的态度有了显著改善。定性数据揭示了学生的学习经验，强调了文化交流在探索实践中非技术技能重要性方面的价值，以及项目结构的有效性。
CLSGC 项目有效地提高了护理学生的非技术技能，并丰富了他们的临床实践。在护理教育中，建议整合基于模拟的学习和学生主导的讨论环节，以提高护理学生对团队合作、沟通和领导的知识和态度。持续接触模拟应成为护理教育的一部分，以强调非技术技能在实践中的重要性。
