Grønlien Heidi Kristine, Wevling Astrid, Arntsen Marian Bringa, Haug Erna
Department of Nursing, Health and Laboratory Science, Faculty of Health, Welfare and Organisation, Østfold University College, Halden, Norway.
Department SimFredrikstad, Faculty of Health, Welfare and Organisation, Østfold University College, Halden, Norway.
Adv Med Educ Pract. 2025 May 29;16:927-941. doi: 10.2147/AMEP.S482384. eCollection 2025.
This study aims to investigate clinical simulation as a learning method to enhance the relevance of bioscience in nursing practice for novice nursing students.
This study utilizes a semi-experimental multi-method design involving 194 novice bachelor nursing students at a Norwegian university college, marking the program's inaugural simulation training. The students were divided into Group 1 and Group 2. Both groups underwent simulation-based training, but Group 2 received an additional extended debriefing where a bioscience specialist linked patient observations with physiological processes. Data collection occurred in two phases: quantitative data were collected on simulation day through a questionnaire and structured observation, and qualitative data from two reflection questions, supplemented with quantitative data from a questionnaire, were collected one week later.
The findings revealed that students' emotional states are highly activated during simulation training. Despite this, the students reported that their overall simulation experience was positive. A deficiency in the use of bioscience terminology was identified during debriefing to explain observations, assessments, and actions. The students' reflections on the benefits from simulation training showed that it provides them with practical experience in visualizing real-world scenarios, fostering readiness for action as a nurse, and metacognition of their learning process. Moreover, the findings indicated that students in Group 2 (extended debriefing) were more inclined to incorporate bioscience terminology in their reflective responses, particularly considering the impact of bioscience knowledge on nursing practice.
Clinical simulation training provides novice nursing students with clinical experience and an opportunity to connect bioscience with practice. Although the students insufficiently used bioscientific concepts during debriefing, they evaluated the relevance of bioscience in practice highly. Our findings carry significant implications for structuring simulation training, emphasizing the necessity of specialists in both debriefing techniques and bioscience to bridge the gap between theory and practice.
本研究旨在探讨临床模拟作为一种学习方法,以增强生物科学在新手护理专业学生护理实践中的相关性。
本研究采用半实验性多方法设计,涉及挪威一所大学学院的194名新手本科护理专业学生,这是该项目首次进行模拟培训。学生被分为第1组和第2组。两组均接受基于模拟的培训,但第2组还接受了额外的深入总结汇报,由生物科学专家将患者观察结果与生理过程联系起来。数据收集分两个阶段进行:模拟当天通过问卷和结构化观察收集定量数据,一周后收集来自两个反思问题的定性数据,并辅以问卷中的定量数据。
研究结果显示,学生的情绪状态在模拟培训期间高度活跃。尽管如此,学生们报告说他们的整体模拟体验是积极的。在总结汇报过程中,发现学生在解释观察结果、评估和行动时,生物科学术语的使用存在不足。学生对模拟培训益处的反思表明,它为他们提供了将现实世界场景可视化的实践经验,培养了作为护士的行动准备,以及对学习过程的元认知。此外,研究结果表明,第2组(深入总结汇报)的学生更倾向于在反思性回答中纳入生物科学术语,特别是考虑到生物科学知识对护理实践的影响。
临床模拟培训为新手护理专业学生提供了临床经验以及将生物科学与实践相联系的机会。尽管学生在总结汇报过程中对生物科学概念的使用不足,但他们高度评价了生物科学在实践中的相关性。我们的研究结果对模拟培训的组织安排具有重要意义,强调了在总结汇报技巧和生物科学方面的专家对于弥合理论与实践差距的必要性。