Department of Nursing, Chung Shan Medical University, Taichung City, Taiwan; Department of Nursing, Chung Shan Medical University Hospital, Taichung City, Taiwan.
Nurse Educ Today. 2025 Jan;144:106464. doi: 10.1016/j.nedt.2024.106464. Epub 2024 Oct 21.
Appropriate cooperative learning and situational simulation designs can enhance mental health and nursing competence in clinical practice. This approach is crucial for cultivating the clinical nursing competence of nursing students.
To determine the effect of combining cooperative learning and situational simulation on nursing competence in clinical practice.
A quasi-experimental study.
This study was conducted with 142 second-year students in the nursing department of a university in Taiwan.
The experimental group received cooperative learning combined with situational simulation methods, while the control group used only cooperative learning methods. Data were collected using the Clinical Practice Stress Scale and the Fundamental Nursing Competence Scale. Percentiles and frequency distributions were used to analyze the data, and independent t-tests were conducted to compare differences between the groups.
There were no significant differences in descriptive characteristics between the groups (p > .05). Post-test measurements of nursing technical performance, total score on the fundamental nursing competence scale and six sub-dimensional scores of the students in the experimental group were significantly improved compared to the control group (p < .001). However, there were no significant differences in total clinical practice stress scale scores between the groups (p > .05). Interestingly, the knowledge score of the control group was significantly higher than that of the experimental group (p < .05).
The combined methods of cooperative learning and situational simulation have been shown to positively impact students' academic and nursing technical performance. The results indicate improvements in nursing competence in clinical practice, with signs of a reduction in clinical practice-related stress. Nurse educators can apply these strategies in clinical nursing education to achieve better outcomes.
适当的合作学习和情境模拟设计可以提高心理健康和护理实践能力。这种方法对于培养护理学生的临床护理能力至关重要。
确定合作学习和情境模拟相结合对护理实践中护理能力的影响。
准实验研究。
这项研究在台湾一所大学的护理系进行，共有 142 名二年级学生参与。
实验组采用合作学习与情境模拟相结合的方法，对照组仅采用合作学习方法。使用临床实践应激量表和基础护理能力量表收集数据。采用百分位数和频数分布进行数据分析，并进行独立样本 t 检验比较组间差异。
两组在描述性特征方面无显著差异（p>.05）。实验组学生的护理技术操作、基础护理能力量表总分和六个子维度得分在期末测量时均显著高于对照组（p<.001）。然而，两组的临床实践总体应激量表得分无显著差异（p>.05）。有趣的是，对照组的知识得分显著高于实验组（p<.05）。
合作学习和情境模拟相结合的方法对学生的学业和护理技术表现有积极影响。结果表明，护理实践能力得到了提高，临床实践相关压力有所减轻。护理教育者可以在临床护理教育中应用这些策略，以获得更好的效果。
