Application of Patient Simulators Combined with Internet plus Scenario Simulation Teaching Models on Intravenous Infusion Nursing Education in China

Objective: To explore the effectiveness of applying patient simulators combined with Internet Plus scenario simulation teaching models on intravenous (IV) infusion nursing education, and to provide scientific evidence for the implementation of advanced teaching models in future nursing education. Methods: Enrolled 60 nurses who took the IV infusion therapy training program in our hospital from January 2022 to December 2023 for research. 30 nurses who were trained in traditional teaching models from January to December 2022 were selected as the control group, and 30 nurses who were trained with simulation-based teaching models with methods including simulated patients, internet, online meetings which can be replayed and scenario simulation, etc. from January to December 2023 were selected as the experimental group. Evaluated the learning outcomes based on the Competency Inventory for Nursing Students (CINS), Problem-Solving Inventory (PSI), comprehensive learning ability, scientific research ability, and proficiency in the theoretical knowledge and practical skills of IV infusion therapy. Nursing quality, the incidence of IV infusion therapy complications and nurse satisfaction with different teaching models were also measured. Results: The scientific research ability, PSI scores, CINS scores, and comprehensive learning ability of the experimental group were better than those of the control group (P 0.05), and their assessment results of practical skills, nursing quality of IV infusion therapy during training, and satisfaction with teaching models were all better than those of the control group with statistical significance (P < 0.05). The incidence of IV infusion therapy complications in the experimental group was lower than that in the control group, indicating statistical significance (P < 0.05). Conclusions: Teaching models based on patient simulators combined with Internet Plus scenario simulation enable nursing students to learn more directly and practice at any time and in any place, and can improve their proficiency in IV infusion theoretical knowledge and skills (e.g. PICC catheterization), core competencies, problem-solving ability, comprehensive learning ability, scientific research ability and the ability to deal with complicated cases. Also, it helps provide high-quality nursing education, improve the nursing quality of IV therapy, reduce the incidence of related complications, and ensure the safety of patients with IV therapy.

The effectiveness of a high-fidelity teaching simulation based on an NLN/Jeffries simulation in the nursing education theoretical framework and its influencing factors

Objective： To investigate the effectiveness of a high-fidelity teaching simulation based on an NLN/Jeffries simulation in the nursing education theoretical framework and its influencing factors. Methods： A high-fidelity teaching simulation on clinical nursing practices using intelligent human analogues was conducted with 200 students, and The Simulation Design Scale, and the Student Satisfaction and Self-Confidence in Learning Scale developed by the National League for Nursing were used to evaluate the training effectiveness and its influencing factors. Results： For the high-fidelity teaching simulation, students gave scores of 4.36± 0.54 points for satisfaction and 4.33 ± 0.46 points for Self-Confidence. The students highly rated the five dimensions of teaching design, i.e., teaching objectives/information, assistance/support for students, problem solving, guided feedback, and fidelity. The teaching design was closely correlated with the satisfaction of the high-fidelity teaching simulation and self-efficacy, and the dimensions of teaching objectives/informa- tion and assistance/support for students were particularly strong predictors of teaching effectiveness. Conclusions： A high-fidelity teaching simulation based on Jeffries＇ theoretical framework improved student satisfaction with the simulation and their Self-Confidence. In planning simulations, teachers should take into account five characteristics, i.e., teaching objectives/information on simulation education, assistance/support for students, problem solving, guided reflection, and fidelity, to achieve better teaching effectiveness.

Effectiveness of the flipped classroom on the development of self-directed learning in nursing education:a meta-analysis

Objectives: To examine the best practice evidence of the effectiveness of the flipped classroom（FC） as a burgeoning teaching model on the development of self-directed learning in nursing education.Data sources: The relevant randomized controlled trial（RCT） and non-RCT comparative studies were searched from multiple electronic databases including PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature（CINAHL）, Cochrane Central Register of Controlled Trials（CENTRAL）, Wanfang Data, China National Knowledge Infrastructure（CNKI）, and Chinese Science and Technology Periodical Database（VIP） from inception to June 2017.Review methods: The data were independently assessed and extracted for eligibility by two reviewers. The quality of included studies was assessed by another two reviewers using a standardized form and evaluated by using the Cochrane Collaboration’s risk of bias tool. The self-directed learning scores（continuous outcomes） were analyzed by using the 95% confidence intervals（Cls） with the standard deviation average（SMD） or weighted mean difference（WMD）. The heterogeneity was assessed using Cochran’s I;statistic.Results: A total of 12 studies, which encompassed 1440 nursing students（intervention group = 685, control group = 755）, were eligible for inclusion in this review. Of 12 included studies, the quality level of one included study was A and of the others was B. The pooled effect size showed that compared with traditional teaching models, the FC could improve nursing students’ selfdirected learning skill, as measured by the Self-Directed Learning Readiness Scale（SDLRS）, Self-Directed Learning Readiness Scale for Nursing Education（SDLRSNE）, Self-Regulated Learning Scale（SRL）, Autonomous Learning Competencies scale（ALC）, and Competencies of Autonomous Learning of Nursing Students（CALNS）. Overall scores and subgroup analyses with the SRL were all in favor of the FC.Conclusions: The result of this meta-analysis indicated that FCs could improve the effect of self-directed learning in nursing education.Future studies with more RCTs using the same measurement tools are needed to draw more authoritative conclusions.

A review of clinical reasoning in nursing education:based on high-fidelity simulation teaching method

Objective： Clinical reasoning is an essential feature of health care practice; it is also a crucial ability for providing patient care of high quality. It has been identified that graduate nurses may lack the clinical reasoning skills to deliver safe and effective patient cam. It is therefore of paramount importance to enhance nursing students＇ clinical reasoning ability. High-fidelity simulation （HFS） is proved to be an effective teaching and learning method, which may also have some advantages over other teaching methods. Methods： The authors retrospectively reviewed the related literature, illustrated the application of high-fidelity simulation teaching method in nursing education, putting the focus on the use of it in teaching with clinical reasoning. Results： The application of high-fidelity simulation to nursing education can simulate the clinical situation, thus to create a safe, continuous and efficient learning environment for students, and it can effectively improve students＇ clinical reasoning ability. Conclusions： high-fidelity simulation is effective for clinical reasoning teaching in nursing education. The extension of its application in China should be of great value. The relevant further study is suggested focusing on how to overcome its own limitations and have it better applied in nursing education in China.

The Impact of Simulation Education on Self-Efficacy in Pre-Registration Nursing Students

This literature review primarily aims to explore and synthesise the previous studies in simulation education research conducted over the past five years related to the effects of simulation training on the self-efficacy of undergraduate pre-registration nursing students. The second aim of this study is to explore additional outcome variables that were examined in the previous studies. Five electronic databases were searched systematically. These databases were MEDLINE, CINAHL Plus, Scopus, Embase and PsycINFO. The PICO model was employed to identify the search terms, with a thesaurus being used to provide synonyms. Reference lists of relevant articles were examined and hand searches of journals were also undertaken. The quality of each study was assessed using the Simulation Research Rubric (SRR). A total of 11 studies were included. All studies explored the impact of simulation education on undergraduate pre-registration nursing. Six studies explored nursing students’ competence and performance and two papers examined their critical thinking. Problem solving, learning motivation, communication skills and knowledge acquisition were examined once. The majority of studies indicated that simulation training has a positive impact on pre-registration nursing students’ self-efficacy and other outcome variables. Furthermore, the study results indicate that simulation training is more dependable than traditional training, and students were extremely satisfied with the simulation training. However, most of the studies included in this review had several gaps, including study design, sample size and dissimilarities between the scales used. Further research with large samples, reliable and valid instruments, and outcomes measures (such as critical thinking and transferability of skills) is required to provide better insight into the effectiveness of simulation in undergraduate nursing education. .

Application of Flipped Classroom Combined with PBL Teaching Method in the Teaching of Respiratory Intensive Care Unit Nursing

Objective:The aim is to investigate the application effect of flipped classroom combined with problem-based learning(PBL)teaching method in the teaching of respiratory intensive care unit nursing.Methods:100 fresh nursing students who were interned in the respiratory intensive care unit of our hospital from June 2020 to May 2022 were selected and randomly divided into 50 students in the control group and 50 students in the experimental group.The students in the control group were taught by PBL teaching method,and the students in the experimental group were taught by flipped classroom combined with PBL teaching method.After the completion of the teaching,the teachers combined the performance of the two groups of students,and scored them comprehensively in terms of their professional theoretical knowledge,clinical operation skills,independent learning ability,and teamwork ability,and carried out a survey of the experimental group’s students in terms of their satisfaction with the understanding of theoretical knowledge,clinical operation,independent learning ability,teamwork ability,and other dimensions.Results:There was no statistical significance in the specialized theoretical knowledge scores of the two groups of students(P>0.05).The scores of clinical operation,independent learning ability,and teamwork ability of the two groups of students were statistically significant(P<0.05),and all the scores of the students in the experimental group were higher than that of the control group.More than 90%of the students believed that the flipped classroom combined with PBL teaching method could assist in the comprehension of theoretical knowledge,improve the clinical operation skills,enhance the ability of independent learning and teamwork;there were 92%of the students supported the use of flipped classroom combined with PBL teaching in respiratory intensive care unit nursing teaching.Conclusion:In the teaching of respiratory intensive care unit nursing,the use of flipped classroom combined with PBL teaching method can improve the learning effect of students,and has certain value in teaching.

基于BOPPPS模型的5G+智慧课堂在临床护理教学中的应用

目的 探讨基于BOPPPS模型的5G+智慧课堂在胸外科护理临床教学中的应用效果。方法 将胸外科实习的90名本科护生按照实习时间分为对照组43名,试验组47名。对照组采用传统教学方法;试验组采用基于BOPPPS模型的5G+线上、线下、临床实践三位一体智慧课堂教学模式。比较两组护生实习成绩、自主学习能力和对教学模式的满意度。结果 试验组护生实习成绩、自主学习能力得分显著高于对照组(均P<0.05);两组教学满意度比较,差异无统计学意义(P,>0.05)。结论 基于BOPPPS模型的5G+智慧课堂教学模式的应用可提高护生实习成绩及自主学习能力,提升临床教学效果。

基于“雨课堂+BOPPPS”的高仿真情景模拟教学在综合护理技能实训教学中的应用

目的探讨基于“雨课堂+BOPPPS”的高仿真情景模拟教学在高职综合护理技能实训教学中的应用效果。方法采用整群抽样方法,选取新疆医科大学护理学院高职护理2021级2个班护生作为研究对象。2班49名护生为试验组,采用“雨课堂+BOPPPS”的高仿真情景模拟教学进行综合护理技能实训教学;3班48名护生为对照组,采用传统教学模式。比较两组阶段性理论测试、自主学习能力测评、学习成效测评、学生满意度及教师教学评价。结果试验组教学干预后阶段性理论测试成绩、自主学习能力、情境模拟学习成效评分高于对照组(P<0.05)。试验组护生及教师对教学效果满意度高于对照组。结论基于“雨课堂+BOPPPS”的高仿真情景模拟教学应用于高职综合护理技能实训教学中,能够明显提升教育教学成果和护生学习的主观能动性,实现线上线下混合式教学目的,提高护生的学习成绩和处理临床问题的能力,护生及教师对教学的满意度较高。

基于项目的团队学习结合翻转课堂在护理研究教学中的应用

目的探索基于项目的团队学习结合翻转课堂的混合式教学在护理研究中的应用效果。方法采用整群随机分组方法,将2019级本科护理专业4个平行班的学生分为对照组(103名)和观察组(103名),对照组护理研究课程采用传统教学法,观察组采用基于项目的团队学习结合翻转课堂的混合式教学法。结果除期末考试客观题得分外,观察组护理研究课程期中测验、期末考试主观题、科研项目申报书评分显著高于对照组(均P<0.05)。课程后,观察组学生自主学习能力得分显著高于课程前(P<0.05)。结论基于项目的团队学习结合翻转课堂的混合式教学有利于提高本科生护理研究课程教学效果。

基于学习生态观的《综合实训》虚拟实验学习成效调查

目的了解虚拟仿真实验教学的学习成效及其生态学影响因素。方法2023年7月,选取135名北京协和医学院护理专业本科三年级学生为研究对象,采用便利抽样法在虚拟仿真实验教学结束时进行线上问卷调查,包括虚拟实验教学学习成效、影响因素等。结果虚拟仿真实验考核平均分为(97.59±4.05),学生自我报告学习成效得分为(85.84±10.41)分。在虚拟仿真实验教学的生态学因素中,学生、教师、平台因素均与学习成效成正相关(r=0.591,0.658,0.646,P<0.01)。回归分析结果表明,学生的自我效能、学习动机、交互情况是学习成效的影响因素(P<0.01)。结论虚拟仿真实验教学学习成效较好。在学生、教师、平台维度构成的学习生态系统中,学生的自我效能、学习动机、交互情况对学习成效有预测作用。

基于SPOC的案例教学法联合情景模拟教学法在口腔急诊护理带教中的应用

目的:探讨基于SPOC的案例教学法联合情景模拟教学法在口腔急诊护理教学中的应用效果。方法:选取2022年和2023年在浙江大学医学院附属口腔医院急诊科工作的30名护理人员(含轮转实习生)为研究对象。将2022年15名护理人员作为对照组,采用传统教学模式;将2023年15名护理人员作为试验组,采用基于SPOC的案例教学法联合情景模拟教学法。比较两组理论操作考核成绩、带教满意度、综合能力、应急能力。结果:试验组学生的理论操作考核成绩、带教满意度、综合能力、应急能力均优于对照组(P<0.05)结论:基于SPOC的案例教学法联合情景模拟教学法有效提高口腔急诊科临床带教质量,提升了口腔急诊护理服务能力。

基于Jeffries模拟教学框架的教学设计对学生行为表现的影响

目的:探讨基于Jeffries模拟教学框架的教学设计对护生在高仿真教学中行为表现的影响。方法:在“成人护理”课程中基于临床护理岗位工作过程,对2019级84名护生实施高仿真教学,采用由美国护理联盟开发的模拟教学设计量表、高仿真模拟教学学生行为表现自评量表评价实训效果及影响因素。结果:研究表明护生沟通能力和评判性思维较差,高仿真教学中学生行为表现与教学设计密切相关,尤其教学目标/信息和引导性反馈学生两个维度是教学效果的强预测因子。结论:教学设计影响学生在高仿真教学中的行为表现,教师应精心设计教学方案,达到最佳学习效果。

基于智慧课堂模式的叙事教育在社区护理教学中的应用研究

目的:分析基于智慧课堂模式的叙事教育在社区护理教学中的应用研究效果。方法:选取我校2019级120名护生作为研究对象,随机分为对照组和试验组,每组各60名学生,对照组采用常规社区护理教学,试验组在对照组的基础上联用智慧课堂模式的叙事教育,分析组间应用效果差异。结果:试验组干预后社区护理理论及操作评分、人文关怀能力各项评分及同理心评分、对教学质量满意评分均高于对照组(差异有统计学意义,P<0.001)。结论:通过对护生实施基于智慧课堂模式的叙事教育,能够显著提升学生的社区护理理论水平、操作水平、教学质量满意度等,有利于学生人文关怀能力、同理心的品质培养。

Mini-CEX 联合乐龄实训室的翻转课堂在临床护理教学中的应用

目的探讨迷你临床演练评估(Mini-CEX)联合乐龄实训室(Living Lab)的翻转课堂在临床护理教学中的应用效果。方法采取类实验研究设计,将2022年7-11月在胆胰外科实习的54名护生设为对照组,采取传统临床教学模式。将2022年12月至2023年4月实习的54名护生设为试验组,采取Mini-CEX联合Living Lab的翻转课堂教学模式。教学后测评两组护生的考试成绩、人文关怀能力、批判性思维能力。结果教学后试验组理论成绩、操作成绩及人文关怀能力、批判性思维能力总分显著高于对照组(均P<0.05)。结论Mini-CEX联合Living Lab的翻转课堂教学有助于提高临床教学效果,提升护生的人文关怀和批判性思维能力。

基于最佳实践标准的护理情景模拟教学学生评价方法研究

目的研制适用于护理情景模拟教学的学生评价方法,为护理情景模拟教学质量评价提供参考。方法在文献回顾基础上,依据《国际护理临床模拟教学协会最佳实践标准:学员评价》拟定初始评价方法,通过2轮专家面对面会议形成护理情景模拟教学学生评价方法。将此评价方法用于肝硬化案例情景模拟护理教学中,对评价方法的区分度、评价者间一致性进行评价,同时对2名教师进行半结构化访谈了解应用体验。结果研制的评价方法根据情景模拟教学参与度将学生分为四类,每类学生有相应的评价标准。评价标准涵盖情景模拟演练与引导性反馈2个环节,包含情景模拟演练参与、知识和技能、态度、引导性反馈讨论参与4个维度。该评价方法区分度系数为0.332;2名教师评价结果高度相关(r=0.780,P<0.05),一致性良好(ICC=0.825,P<0.05)。教师认为该评价方法具有普适性、便捷性。结论研制的护理情景模拟教学学生评价方法具有较好的区分度和评价者间一致性,可用于护理情景模拟教学质量评价。

Debriefing-GAS结合案例式情景模拟教学在颌面外科护理带教中的应用

目的:探讨在颌面外科护理带教中应用Debriefing-GAS结合案例式情景模拟教学的效果。方法:选取62名颌面外科轮转护士为研究对象,采用随机数字表法分为对照组和试验组,每组31名。对照组采用常规教学,试验组采用Debriefing-GAS结合案例式情景模拟教学。结果:试验组出科成绩、临床思维能力和临床实践能力均显著高于对照组(P<0.05)。结论:在颌面外科护理带教中应用Debriefing-GAS结合案例式情景模拟教学,有助于提升轮转护士的理论知识和操作技能水平,改善临床思维,并增强临床实践能力。

临床研究课程思政教学设计的探索

思政融入医学课程是我国新时代医学教育改革的重要内容。临床研究课程思政建设对于培养德才兼备的临床研究人才具有重要意义。本文基于武汉大学第二临床学院开设的临床研究课程,介绍了临床研究课程思政的必要性;通过对授课对象临床医学专业八年制学生进行学情分析,制订思政教学目标;结合临床研究课程教学内容进行思政元素和案例精选,并结合医学专业方法学课程特点设计了融合理论讲授、翻转课堂、情景模拟教学、基于问题的学习、基于案例的学习和基于团队的学习等多样化、以学生为中心的创新型教学方法,以及在教学评价中增加德育维度的考量等措施进行临床研究课程思政的教学设计,促进了知识传授、能力培养和价值塑造的有机融合,为临床研究课程思政教育提供参考。

游戏化教学在护理教育中应用的范围综述

目的了解游戏化教学在护理教育中的应用现状及效果,为开展游戏化教学相关研究提供参考。方法根据范围综述的研究方法,计算机检索PubMed、Cochrane Library、Web of Science、Embase、CINAHL、中国知网、中国生物医学文献数据库、万方数据、维普网中有关游戏化教学在护理教育中应用的文献,检索时限为建库至2024年2月27日,并对文献进行筛选、汇总及分析。结果共纳入15篇文献,游戏化教学的主要类型包括传统游戏、虚拟仿真实践、情景模拟、角色扮演、数字化在线教育平台;游戏化教学在提升理论实践能力、综合素质及情感态度方面都呈现积极效果。但目前教学评价工具还未统一标准。结论游戏化教学在国内外护理教育的应用较广泛,其教学有效性得到了初步证实,但在游戏化教学资源的开发、评价系统及教学设计等方面还需要进一步的完善和优化。

基于超星学习通的翻转课堂教学模式在临床营养学中的应用

目的探讨基于超星学习通的翻转课堂在临床营养教学中的应用效果。方法2022年9月至10月便利选取广东医科大学2020级护理专业2个教学班的学生作为研究对象,分为翻转组(n=38)和对照组(n=36)。翻转组学生采用基于超星学习通平台的翻转课堂教学,对照组采用传统教学法教学。教学结束后,比较两组章节测验得分、自主导向学习能力以及课程满意度。结果两组章节测验得分比较,差异无统计学意义(P>0.05);翻转组自主导向学习能力量表总分高于对照组,差异有统计学意义(P<0.05);两组学生对课程的评价中,正向描述条目除“提升了我学习的积极性”外,其余条目翻转组的同意率均高于对照组,差异有统计学意义(P<0.05);两组三项负向描述性条目的同意率比较,差异无统计学意义(P>0.05)。结论在本科护生临床营养教学中开展基于超星学习通的翻转课堂有助于提高学生的满意度,提高学生学习自主性。教育工作者应针对特定科目优化翻转课堂方法及教学效果的评价体系,以最大程度发挥其现实意义。

护理模拟教学中模拟前介绍的研究进展

对模拟前介绍的概念、标准、相关理论模型、实施(时间、内容、方法)和评价工具进行综述,以期为护理教育者在模拟教学中更好地实施模拟前介绍提供参考,并为模拟前介绍深入研究的开展提供借鉴。