Demi Rel Sevgül, Kızıltan Belkız, Koçan Sema
Clinical Simulation Training Center, Recep Tayyip Erdoğan University, Rize 53200, Turkey.
Faculty of Nursing, Department of Nursing, İstanbul University, İstanbul 34381, Turkey.
Nurse Educ Pract. 2024 Nov;81:104163. doi: 10.1016/j.nepr.2024.104163. Epub 2024 Oct 11.
The aim of this study was to evaluate the effect of enhanced reality simulation on nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care.
Breast cancer is a common disease with increasing incidence and mastectomy is the treatment of choice. Postmastectomy patient care is a multidimensional and complex process. For various reasons, nursing students today graduate with inadequate clinical skills and do not have experience with many cases.
This quasi-experimental study was conducted using a pretest-posttest design with a nonequivalent control group.
This study was conducted with fourth-year nursing students (78 students). Students were allocated to each group through a simple random allocation using IBM SPSS Statistics version 24. Research data were collected at the Clinical Simulation Training Center of the university in 2020-2021 academic year. The study group (n=39) learned using a scenario-based learning approach with moulage in a real clinical setting using enhanced reality simulation, while the control group (n=39) learned using the same scenario-based approach with the routine practice adult standard patient care model. The data were collected through the "Student Sociodemographic and Descriptive Characteristics Data Collection Form", the "Student Satisfaction and Self-Confidence in Learning Scale", the "Postmastectomy Patient Care Skills Checklist" and the "Pre-Post Knowledge Test on Postmastectomy Patient Care Management".
All 78 participants completed the training course. The training significantly increased the Student Satisfaction and Self-Confidence in Learning Scale subdimension scores of both groups (p<0.05). The Postmastectomy Patient Care Management scores of the study group students who received enhanced reality simulation training significantly increased (p<0.05), while there was no significant effect on the scores of the control group students (p>0.05). While most the students in the study group increased their rates of correct answers to Postmastectomy Patient Care Management questions significantly (p<0.05) after the enhanced reality simulation training, the students in the control group showed no significant improvement (p>0.05). The training significantly (p<0.001) increased the mean postmastectomy patient care skills control scores. This increase had a high effect size on the study group.
Enhanced reality simulation is a learning method that increases nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care. Learning with enhanced reality simulation is an effective approach for nursing education that improves nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care.
本研究旨在评估增强现实模拟对护理专业学生学习满意度、自信心以及乳房切除术后护理的患者护理管理知识和技能的影响。
乳腺癌是一种发病率不断上升的常见疾病，乳房切除术是首选治疗方法。乳房切除术后的患者护理是一个多维度且复杂的过程。由于各种原因，如今的护理专业学生毕业时临床技能不足，且没有很多病例的经验。
本准实验研究采用前测-后测设计及非等效对照组。
本研究针对四年级护理专业学生（共78名学生）开展。使用IBM SPSS Statistics 24版本通过简单随机分配将学生分到各个组。研究数据于2020 - 2021学年在大学临床模拟培训中心收集。研究组（n = 39）在真实临床环境中使用基于情景的学习方法并结合塑形，通过增强现实模拟进行学习，而对照组（n = 39）使用相同的基于情景的方法并结合常规实践成人标准患者护理模式进行学习。数据通过“学生社会人口学和描述性特征数据收集表”、“学生学习满意度和自信心量表”、“乳房切除术后患者护理技能清单”以及“乳房切除术后患者护理管理前后知识测试”进行收集。
所有78名参与者均完成了培训课程。培训显著提高了两组学生在学习满意度和自信心量表各维度的得分（p < 0.05）。接受增强现实模拟培训的研究组学生的乳房切除术后患者护理管理得分显著提高（p < 0.05），而对照组学生的得分则无显著变化（p > 0.05）。在增强现实模拟培训后，研究组的大多数学生在乳房切除术后患者护理管理问题上的正确答案率显著提高（p < 0.05），而对照组学生则无显著改善（p > 0.05）。培训显著提高了乳房切除术后患者护理技能控制的平均得分（p < 0.001）。这种提高对研究组的效应量很大。
增强现实模拟是一种学习方法，可提高护理专业学生的学习满意度、自信心以及乳房切除术后护理的患者护理管理知识和技能。通过增强现实模拟进行学习是护理教育的一种有效方法，可提高护理专业学生的学习满意度、自信心以及乳房切除术后护理的患者护理管理知识和技能。
