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护理专业学生混合模拟程序的开发与效果:以韩国小儿心脏导管插入术为例:准实验研究

Development and effect of hybrid simulation program for nursing students: focusing on a case of pediatric cardiac catheterization in Korea: quasi-experimental study.

作者信息

Jin Eunju, Kang Hyunju

机构信息

Assistant Professor, Division of Nursing, Gangneung Yeongdong University, Gangneung, Korea.

Associate Professor, College of Nursing, Kangwon National University, Chuncheon, Korea.

出版信息

Child Health Nurs Res. 2024 Oct;30(4):277-287. doi: 10.4094/chnr.2024.020. Epub 2024 Oct 31.

Abstract

PURPOSE

Hybrid simulation has emerged to increase the practicality of simulation training by combining simulators and standardized patient (SP) that implement realistic clinical environments at a high level. This study aimed to develop a hybrid simulation program focused on case of pediatric cardiac catheterization and to evaluate its effectiveness.

METHODS

The hybrid simulation program was developed according to the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) model. And deep learning-based analysis program was used to analyze non-verbal communication with SP and applied it for debriefing sessions. To verify the effect of the program, a quasi-experimental study using a random assignment design was conducted. In total, 48 nursing students (n=24 in the experimental group; n=24 in the control group) participated in the study.

RESULTS

Knowledge (F=3.53, p=.038), confidence in clinical performance (F=9.73, p<.001), and communication self-efficacy (F=5.20, p=.007) showed a significant difference in both groups and interaction between time points, and the communication ability of the experimental group increased significantly (t=3.32, p=.003).

CONCLUSION

Hybrid simulation program developed in this study has been proven effective, it can be implemented in child nursing education. Future research should focus on developing and incorporating various hybrid simulation programs using SP into the nursing curriculum and evaluating their effectiveness.

摘要

目的

混合模拟通过结合模拟器和标准化病人(SP)应运而生,以提高模拟训练的实用性,从而高水平地模拟现实临床环境。本研究旨在开发一个专注于小儿心导管插入术案例的混合模拟程序,并评估其有效性。

方法

混合模拟程序是根据分析、设计、开发、实施和评估(ADDIE)模型开发的。基于深度学习的分析程序用于分析与标准化病人的非语言交流,并将其应用于汇报环节。为验证该程序的效果,采用随机分配设计进行了一项准实验研究。共有48名护理专业学生参与了该研究(实验组24名;对照组24名)。

结果

知识(F=3.53,p=0.038)、临床操作信心(F=9.73,p<0.001)和沟通自我效能感(F=5.20,p=0.007)在两组以及时间点之间的交互作用上均存在显著差异,实验组的沟通能力显著提高(t=3.32,p=0.003)。

结论

本研究开发的混合模拟程序已被证明是有效的,可应用于儿童护理教育。未来的研究应侧重于开发各种使用标准化病人的混合模拟程序并将其纳入护理课程,同时评估其有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4409/11532356/80e8eee0b619/chnr-2024-020f1.jpg

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