我国高仿真情景模拟护理课程教学设计存在的问题及对策

Problems in Teaching Design of Nursing Courses with High-fidelity Simulation Scenario and Its Countermeasures

目的通过对国内外文献回顾,针对我国高仿真情景模拟教学设计存在的问题进行阐述,并提出相应的对策。方法复习国内外文献,分析我国高仿真情景模拟教学设计的模式、存在的不足并提出对策。结果我国高仿真情景模拟在实施过程中存在教师、学生和实验室准备不足,情景的仿真程度不够,高仿真模拟系统利用不足,情景模拟实施时间不够,教学评价方法不统一,缺乏对能力的评价等问题。并提出相应对策,包括:教学目标和参与者需求是教学组织设计的基础,教师、学生和案例的充分准备,学生事先熟悉情景病例有助于提高教学效率,保证高仿真模拟的真实,统一情景模拟教学的评价标准和方法。结论虽然我国护理高仿真情景教学还存一些不足,但在未来的护理教学和实践应用中仍具有很大潜力,必将是促进护理教育发展、引领护理教学改革的一个重要发展方向。

Objective To expound the problems existing in teaching design of nursing courses with high-fidelity simulation（HFS） scenario in China through the review of domestic and foreign literatures, and proposes corresponding countermeasures. Methods The domestic and foreign literatures were reviewed, and the models, the shortcomings and countermeasures of HFS scenario teaching were reviewed. Results In the implementation of HFS scenario teaching in China, there were insufficient preparations of teachers, students and laboratories, inadequate degree of simulation of the scenarios, insufficient use of HFS systems, inadequate implementation time of scenario simulation and no unified assessment for teaching effect and ability. We put forward some corresponding countermeasures. Teaching objectives and participant needs were the basis of teaching design; teachers, students and cases should be in full preparation; students should be familiar with situational cases in advance. All these helped to improve teaching efficiency, ensure the HFS, and unify the evaluation criteria and methods for the teaching. Conclusion Although there are still some shortcomings in the HFS scenario teaching in China, it still has great potential in future nursing teaching. It will definitely be an important development direction to promote the development of nursing education and lead the reform of nursing teaching.