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主题式游戏教学对护理学生精神科暴力风险评估及应对知识、技能和自信的影响:一项随机对照试验。

Effect of theme game-based learning on psychiatric violence risk assessment and response knowledge, skills, and self-confidence of nursing students: A randomized controlled trial.

机构信息

School of Nursing, Guangzhou Medical University, Guangzhou, China.

Geriatric Neuroscience Center, Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China.

出版信息

Nurse Educ Today. 2025 Jan;144:106419. doi: 10.1016/j.nedt.2024.106419. Epub 2024 Sep 19.

DOI:10.1016/j.nedt.2024.106419
PMID:39321591
Abstract

BACKGROUND

Theme game-based learning has the potential to enrich student learning experiences, leading to improved learning outcomes. Yet, there remains a research gap regarding its application in addressing psychiatric violence, leaving uncertainties about the comparative advantages of theme game-based learning over situational simulation learning strategies.

OBJECTIVES

The goal was to measure the effect of integrating theme game-based learning into psychiatric violence risk assessment and response training on nursing student psychiatric violence-related knowledge, skills, and self-confidence.

DESIGN

This study was a randomized controlled, pre-test, and post-test trial.

SETTING

The study was conducted at a medical university in Guangzhou, Guangdong, China.

PARTICIPANTS

There were 103 third-year nursing undergraduates (intervention group = 51, control group = 52) in the study.

METHODS

An Objective Structured Clinical Exam and the Workplace Violence Management Ability Assessment Questionnaire for Intern Nursing Students were used to assess student skills. The knowledge test and the Confidence in Coping with Patient Aggression Instrument were used to measure student knowledge and self-confidence level before and after intervention.

RESULTS

Nursing students in the theme game-based group demonstrated significantly superior skills and confidence in violence risk assessment and response compared with students in the situational simulation group (p < 0.001, p = 0.039, p = 0.006, respectively). However, there was no significant difference in knowledge of violence risk assessment and response between the two groups (p = 0.510).

CONCLUSION

Theme game-based learning in psychiatric violence risk assessment and response training appeared effective in enhancing the violence management abilities of nursing students.

摘要

背景

主题游戏式学习有可能丰富学生的学习体验,从而提高学习成果。然而,在解决精神科暴力问题方面,其应用仍存在研究空白,这使得我们对主题游戏式学习相对于情境模拟学习策略的比较优势存在不确定性。

目的

本研究旨在衡量将主题游戏式学习融入精神科暴力风险评估和应对培训对护理学生精神科暴力相关知识、技能和自信心的影响。

设计

这是一项随机对照、预测试和后测试的临床试验。

设置

该研究在中国广东省广州市的一所医科大学进行。

参与者

共有 103 名三年级护理本科生(干预组=51 人,对照组=52 人)参与了这项研究。

方法

采用客观结构化临床考试和实习护士工作场所暴力管理能力评估问卷来评估学生的技能。使用知识测试和应对患者攻击的信心量表来衡量干预前后学生的知识和自我信心水平。

结果

与情境模拟组相比,主题游戏组的护理学生在暴力风险评估和应对方面表现出明显更优的技能和信心(p<0.001,p=0.039,p=0.006)。然而,两组在暴力风险评估和应对方面的知识并无显著差异(p=0.510)。

结论

在精神科暴力风险评估和应对培训中采用主题游戏式学习似乎可以有效提高护理学生的暴力管理能力。

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