Hung Karmay, Santana Casey, Johnson Cara Thurman, Owen Nancy, Hessels Amanda J
Columbia University, School of Nursing, New York, NY 10032, USA.
Hackensack-Meridian Health Ann May Center for Nursing, Neptune, NJ 07753, USA.
Clin Simul Nurs. 2024 Feb;87. doi: 10.1016/j.ecns.2023.101502. Epub 2024 Jan 8.
In-situ simulation (ISS) has many known benefits. This systematic review examined the effectiveness of ISS in the acute care setting for registered nurses' clinical competence, as defined by cognitive, skills, and affective learning outcomes. The PRISMA 2020 guidelines were utilized and PUBMED, EMBASE, and CINAHL databases were searched to identify peer-reviewed randomized controlled trials. Inclusion criteria were peer-reviewed randomized controlled trials, acute care setting, ISS, nursing profession, and skill or knowledge learning outcomes. The exclusion criteria were nonintervention simulations, nonpeer-reviewed articles, and a population of no registered nurses or only nursing students. The search yielded 22 articles, seven of which met inclusion criteria. The articles were appraised and found to have acceptable methodology using the Joanna Briggs Institute Critical Appraisal Tool. ISS was found to overall increase clinical competence in registered nurses. ISS has been demonstrated to maintain clinical competence in registered nurses. Further research needs to be done to determine effective frequency, high-fidelity vs low-fidelity, and effectiveness compared to Off-site simulation.
现场模拟（ISS）有许多已知的益处。本系统评价考察了在急性护理环境中，现场模拟对注册护士临床能力的有效性，临床能力由认知、技能和情感学习成果来界定。采用了PRISMA 2020指南，并检索了PUBMED、EMBASE和CINAHL数据库，以识别经同行评审的随机对照试验。纳入标准为经同行评审的随机对照试验、急性护理环境、现场模拟、护理专业以及技能或知识学习成果。排除标准为非干预性模拟、未经同行评审的文章，以及没有注册护士或仅有护理专业学生的人群。检索得到22篇文章，其中7篇符合纳入标准。使用乔安娜·布里格斯研究所的批判性评价工具对这些文章进行了评价，发现其方法学可接受。结果发现，现场模拟总体上提高了注册护士的临床能力。现场模拟已被证明能维持注册护士的临床能力。需要进一步开展研究，以确定有效的频率、高保真与低保真的对比，以及与非现场模拟相比的有效性。
