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Effectiveness of high versus mixed-level fidelity simulation on undergraduate nursing students: A randomised controlled trial 高仿真模拟与混合仿真模拟对护理本科生的效果:随机对照试验
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-23 DOI: 10.1016/j.nepr.2024.104206
Carolina Chabrera , Laura Curell , Encarnación Rodríguez-Higueras

Aim

This study evaluates the impact of high-fidelity simulation on the acquisition and retention of competencies in nursing students.

Background

High-fidelity simulation provides a realistic and risk-free environment allowing students to practice, which potentially enhances the acquisition and retention of required competencies.

Design

A blinded, randomised clinical trial with three arms was conducted with a pretest and a follow-up at 6 months (post-test 1) and 12 months (post-test 2).

Method

This study was conducted with 105 s-year nursing students, divided into three groups: control (6 low-fidelity simulations), intervention 1 (3 high-fidelity and 3 low-fidelity) and intervention 2 (6 high-fidelity simulations). Competencies were assessed using the Objective Structured Clinical Examination at baseline, 6 and 12 months. Student satisfaction was measured with the Simulated Clinical Experiences Scale.

Results

Initial competency scores were similar across groups. At 6 months, both intervention groups showed significant improvements in critical thinking (6.2 and 6.0, p < 0.05), clinical skills (6.8 and 6.6, p < 0.05), communication (8.0 and 8.3, p < 0.05) and ethics (7.6 and 7.5, p < 0.05) compared with the control group. Intervention group 1 demonstrated better competency retention at 12 months. Overall satisfaction with highfidelity simulation was high (9.13/10), with particular praise for the practical dimension (8.95/10), realism (8.02/10) and the cognitive dimension (9.43/10).

Conclusions

High-fidelity simulation has the potential to enhance nursing competencies effectively. This approach supports long-term skill retention, highlighting the importance of a well-structured curriculum that integrates different simulation levels for optimal student preparation for clinical practice.
背景高保真模拟为学生提供了一个逼真且无风险的练习环境,这有可能增强学生对所需能力的掌握和保持。方法这项研究有 105 名护理专业一年级学生参加,分为三组:对照组(6 个低保真模拟)、干预组 1(3 个高保真模拟和 3 个低保真模拟)和干预组 2(6 个高保真模拟)。在基线、6 个月和 12 个月时,使用客观结构化临床考试对能力进行评估。结果各组的初始能力得分相似。6 个月时,与对照组相比,干预组在批判性思维(6.2 分和 6.0 分,p< 0.05)、临床技能(6.8 分和 6.6 分,p< 0.05)、沟通(8.0 分和 8.3 分,p< 0.05)和道德(7.6 分和 7.5 分,p< 0.05)方面均有显著提高。干预组 1 在 12 个月后的能力保持率更高。对高保真模拟的总体满意度很高(9.13/10),尤其是对实践维度(8.95/10)、逼真度(8.02/10)和认知维度(9.43/10)的评价。高保真模拟有可能有效提高护理能力,这种方法有助于长期技能保留,突出了结构合理的课程的重要性,这种课程整合了不同的模拟水平,为学生临床实践做好了最佳准备。
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引用次数: 0
Effectiveness of an e-book in enhancing knowledge, coping behaviors and preventive strategies for sexual harassment prevention among new nurses: A randomized controlled study
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-22 DOI: 10.1016/j.nepr.2024.104198
Ting-Shan Chang , Ya-Ling Tzeng , Yu-Kuei Teng , Chih-Hung Chen

Aim

To evaluate the effectiveness of an interactive e-book in improving new nurses' knowledge, coping behaviors and preventive strategies for sexual harassment prevention, while also assessing its impact on learning motivation.

Background

Sexual harassment has a detrimental effect on nurses' physical and mental well-being, as well as on patient safety, with new nurses being particularly vulnerable.

Design

A single centre, randomized controlled study.

Methods

The study included 102 new nurses with less than 6 months of experience, recruited from a medical center in Taiwan. Participants were randomly assigned to the intervention group (e-book, n = 51) or the control group (video and manual, n = 51). Scales assessing sexual harassment prevention knowledge, coping behaviors, prevention strategies and learning motivation were used at baseline (T1), post-course (T2) and 2 weeks after the course (T3).

Results

Baseline measurements were similar between groups. The intervention group had significantly higher scores in prevention knowledge, strategies and learning motivation (p = 0.001; p = 0.05; p < 0.001) compared with the control group, though coping behavior scores were not statistically different (p = 0.228). Group and time effects were significant at T3 for prevention knowledge (p = 0.039), strategies (p = 0.042) and learning motivation (p < 0.001).

Conclusions

The e-book may enhance new nurses' knowledge and learning motivation for sexual harassment prevention, offering potential advantages over video/manual-based methods. Incorporating interactive e-books into nurse training programs could improve the effectiveness of sexual harassment prevention education.

Trial registration

This study was registered at the Clinical Research Information Service (NCT04139720.) on 30 January 2020 and the participant recruitment was initiated in 11 April 2020.
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引用次数: 0
Features influencing surface acting of different clusters of nursing students in vocational college based on interpretable machine learning: A cross-sectional study 基于可解释机器学习的职业院校护理专业学生不同群组表面行为的影响特征:横断面研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-21 DOI: 10.1016/j.nepr.2024.104204
Chaojin Da , Chen Wu , Zhenying Ji , Yuxin Zhang , Nanzhu Sun , Lu Yang , Qiuyan Zhao , Wenjuan He , Yanjin Huang , Qi Wang

Aim

To explore and explain the mechanisms that influence surface acting in nursing students with different characteristics.

Background

Nurses are now expected to deliver patient-centered care which necessitates the emotional labor. Surface acting, a form of emotional labor, can lead to negative outcomes. Given that nursing students are the backbone of the future nursing profession, there is an urgent need to investigate their surface acting tendencies and identify potential factors for early intervention.

Design

A cross-sectional study.

Methods

This study was surveyed in a vocational college in Gansu, China. Participants completed the general information questionnaire, Bem Sex Role Inventory, Professional Identity Questionnaire of Nursing Students and Surface Acting Scale. K-means cluster analysis was performed, followed by random forest algorithm and SHapley Additive exPlanations based on Python program.

Results

A total of 1241 nursing students from vocational college were investigated and were clustered into 4 groups. The five dimensions of professional identity had higher feature importance in all four groups, with professional self-image having the highest feature importance in Cluster 3. Professional self-image and understanding retention benefits and turnover risks were negative predictors of surface acting in all four groups. Social comparison and self-reflection, independence of career choice and social modeling regarding nursing profession were positively correlated with surface acting in specific groups. In Cluster 1, there exists a positive correlation between professional self-image and the constructs of social comparison and self-reflection; as well as a negative correlation between maternal education and understanding of retention benefits and turnover risks.

Conclusions

Professional identity significantly influences surface acting behaviors among nursing students, with professional self-image serving as a key negative predictor. Positive family conditions, access to educational resources, parental literacy, masculine or feminine gender roles and first-year nursing students, these traits have implications when dimensions of professional identity are used to predict surface acting behaviors.
目的探索并解释影响具有不同特征的护理专业学生表面行为的机制。 背景现在,人们期望护士提供以患者为中心的护理,这就要求她们付出情感劳动。表面行为作为情绪劳动的一种形式,可能会导致负面结果。鉴于护理专业学生是未来护理专业的中坚力量,迫切需要对他们的表面行为倾向进行调查,并找出早期干预的潜在因素。参与者填写一般信息问卷、Bem 性别角色量表、护理专业学生职业认同问卷和表面行为量表。结果 共调查了 1241 名高职院校护理专业学生,并将其分为 4 组。职业认同的五个维度在四个组中都具有较高的特征重要性,其中职业自我形象在第 3 组中具有最高的特征重要性。在所有四个组中,职业自我形象和对留任益处和离职风险的理解是表面行为的负向预测因素。在特定组别中,社会比较和自我反思、职业选择的独立性以及有关护理专业的社会模式与表面行为呈正相关。在第一组中,职业自我形象与社会比较和自我反思之间存在正相关;母亲教育与对留职福利和离职风险的理解之间存在负相关。积极的家庭条件、获得教育资源的机会、父母的文化程度、男性或女性的性别角色以及一年级的护理专业学生,这些特质在用专业身份的维度来预测表面行为时都会产生影响。
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引用次数: 0
Professional identity development of advanced practice nurses: Evaluating its integration in curricula and relevance for professional practice 高级实习护士的专业身份发展:评估其与课程的整合情况以及与专业实践的相关性。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-16 DOI: 10.1016/j.nepr.2024.104202
Kathleen Clark , Alexander Rödlach , Andrea Simek , Joyce Miller , Mariana Ballesteros , Rebecca Davis , LeAnn Holmes , Margo Minnich , Alexandra Schultz

Aim

To demonstrate how students, alums and faculty view the effectiveness of the integration of university mission statements into curriculum and their significance for preparing for professional practice.

Background

This study builds on previous research exploring the influence of mission, vision and values statements in informing DNP program curricula and contributing to the development of students' professional identity by analyzing how the themes found were integrated into curricula and their perceived relevancy for practice.

Design

A mixed-methods approach was used called Group Concept Mapping, which built on the previous qualitative data found using quantitative analysis. A DNP program in the U.S. American Midwest participated in this research. Participants included thirty-one students, alumni and faculty from this DNP program.

Methods

32 statements were generated from the previous study, where participants completed a sorting and rating activity in the Group Wisdom software system. Next, the participants sorted these same statements into groups based on their perceived similarity and the results were analyzed using two bivariate statistical methods that created concept maps. Lastly, participants further identified how each statement was clearly articulated in their DNP educational experiences and how relevant these themes were for professional practice.

Results

The results suggest that the participants found most themes to be clearly articulated in the curriculum and found them relevant to practice.

Conclusions

This study provides evidence that educational experiences that allow nurses to develop a professional identity are well-integrated into the DNP curriculum and that these themes have relevance to professional practice.
目的:说明学生、校友和教师如何看待将大学使命宣言融入课程的有效性及其对准备专业实践的意义:本研究在以往探索使命、愿景和价值观声明在指导 DNP 项目课程和促进学生职业认同发展方面的影响的研究基础上,分析了如何将所发现的主题融入课程及其与实践的相关性:设计:我们采用了一种名为 "小组概念图 "的混合方法,该方法建立在之前通过定量分析发现的定性数据基础之上。美国中西部的一个 DNP 项目参与了这项研究。参与者包括该 DNP 项目的 31 名学生、校友和教职员工。方法:32 条陈述来自之前的研究,参与者在 Group Wisdom 软件系统中完成了分类和评级活动。接下来,参与者根据其感知到的相似性将这些相同的陈述进行分类,并使用两种创建概念图的双变量统计方法对结果进行分析。最后,学员们进一步确定了每个陈述在他们的 DNP 教育经历中是如何清晰阐述的,以及这些主题与专业实践的相关性:结果表明,参与者发现大多数主题都在课程中得到了清晰阐述,并认为这些主题与实践相关:本研究提供了证据,证明能够让护士发展专业身份的教育经历被很好地融入了 DNP 课程,并且这些主题与专业实践相关。
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引用次数: 0
Impact of a mindful self-compassion workshop incorporating sandtray on burnout in undergraduate nursing students: A mixed methods, pre-post study 结合沙盘游戏的正念自怜工作坊对护理本科生职业倦怠的影响:一项前后期混合研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-16 DOI: 10.1016/j.nepr.2024.104203
Danielle J. Durant , V. Fawn Colburn , Claudia Guerrazzi-Young

Aim

To assess the impact of a 4-hour, hands-on mindful self-compassion workshop incorporating sand tray exercises on undergraduate nursing student understanding of mindfulness and self-compassion, as well as feelings of burnout.

Background

Burnout is the primary reason nurses leave the profession. Given widespread nursing shortages, it is important to address burnout early, with proven approaches. Mindfulness-based interventions have shown to reduce burnout in healthcare workers.

Design

This is a mixed methods interventional study with a pre-post design.

Methods

A pre- and 2-month post-survey of demographic, lifestyle questions and the Maslach Burnout Inventory-Student Edition (MBI-S) was administered to participants and controls. Open-ended questions assessed participants’ understanding of the concepts of mindfulness and self-compassion. A qualitative post-workshop survey assessed participants’ reactions to the workshop. Multivariate regression analysis using a difference-in-differences approach assessed changes in the domains of burnout and overall feelings of burnout. Thematic analysis assessed changes in understanding of mindfulness and self-compassion and effectiveness of the workshop.

Results

A convenience sample of 133 undergraduate nursing students (68 participants, 65 controls) was recruited. The proportion of respondents indicating they feel burned out once a week or more was significantly lower for participants post-intervention than controls, with participants experiencing 71 % reduced odds (OR =.289, P=.085). Additionally, the intervention improved understanding of mindfulness and self-compassion and was considered effective at improving emotional awareness and control.

Conclusion

A mindful self-compassion workshop using sandtray exercises improved student nurse understanding of these concepts, was well-received and decreased the frequency with which students feel burned out.
目的:评估为期 4 小时、结合沙盘演练的自我同情正念实践研讨会对护理专业本科生理解正念和自我同情以及职业倦怠感受的影响:背景:职业倦怠是护士离职的主要原因。背景:职业倦怠是护士离职的主要原因。鉴于护理人员普遍短缺,及早采用行之有效的方法解决职业倦怠问题非常重要。以正念为基础的干预措施已被证明可以减少医护人员的职业倦怠:这是一项采用前后期设计的混合方法干预研究:方法:对参与者和对照组进行为期 2 个月的事前和事后调查,调查内容包括人口统计学、生活方式问题以及马斯拉赫职业倦怠量表-学生版(MBI-S)。开放式问题评估了参与者对正念和自我同情概念的理解。工作坊后的定性调查评估了参与者对工作坊的反应。采用差分法进行的多元回归分析评估了职业倦怠领域和职业倦怠总体感觉的变化。主题分析评估了对正念和自我同情的理解以及工作坊效果的变化:招募了 133 名护理专业本科生(68 名参与者,65 名对照者)。受访者中表示每周有一次或一次以上感到倦怠的比例在干预后明显低于对照组,参与者的几率降低了 71%(OR =.289,P=.085)。此外,干预还提高了对正念和自我同情的理解,并被认为能有效提高情绪意识和控制能力:使用沙盘演练的正念自我同情研讨会提高了学生护士对这些概念的理解,受到了广泛欢迎,并降低了学生感到倦怠的频率。
{"title":"Impact of a mindful self-compassion workshop incorporating sandtray on burnout in undergraduate nursing students: A mixed methods, pre-post study","authors":"Danielle J. Durant ,&nbsp;V. Fawn Colburn ,&nbsp;Claudia Guerrazzi-Young","doi":"10.1016/j.nepr.2024.104203","DOIUrl":"10.1016/j.nepr.2024.104203","url":null,"abstract":"<div><h3>Aim</h3><div>To assess the impact of a 4-hour, hands-on mindful self-compassion workshop incorporating sand tray exercises on undergraduate nursing student understanding of mindfulness and self-compassion, as well as feelings of burnout.</div></div><div><h3>Background</h3><div>Burnout is the primary reason nurses leave the profession. Given widespread nursing shortages, it is important to address burnout early, with proven approaches. Mindfulness-based interventions have shown to reduce burnout in healthcare workers.</div></div><div><h3>Design</h3><div>This is a mixed methods interventional study with a pre-post design.</div></div><div><h3>Methods</h3><div>A pre- and 2-month post-survey of demographic, lifestyle questions and the Maslach Burnout Inventory-Student Edition (MBI-S) was administered to participants and controls. Open-ended questions assessed participants’ understanding of the concepts of mindfulness and self-compassion. A qualitative post-workshop survey assessed participants’ reactions to the workshop. Multivariate regression analysis using a difference-in-differences approach assessed changes in the domains of burnout and overall feelings of burnout. Thematic analysis assessed changes in understanding of mindfulness and self-compassion and effectiveness of the workshop.</div></div><div><h3>Results</h3><div>A convenience sample of 133 undergraduate nursing students (68 participants, 65 controls) was recruited. The proportion of respondents indicating they feel burned out once a week or more was significantly lower for participants post-intervention than controls, with participants experiencing 71 % reduced odds (OR =.289, <em>P</em>=.085). Additionally, the intervention improved understanding of mindfulness and self-compassion and was considered effective at improving emotional awareness and control.</div></div><div><h3>Conclusion</h3><div>A mindful self-compassion workshop using sandtray exercises improved student nurse understanding of these concepts, was well-received and decreased the frequency with which students feel burned out.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"82 ","pages":"Article 104203"},"PeriodicalIF":3.3,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of game-based learning on the acquisition of intramuscular injection skills 游戏式学习对掌握肌肉注射技能的影响
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-15 DOI: 10.1016/j.nepr.2024.104172
Mucahide Gokcen Gokalp , Sebnem Cinar Yucel , Ozgun Yilmaz

Aim

This study aims to determine the efficiency of game-based learning in nursing students' IMI skills training.

Background

Today, with the unstoppable development of digital technologies, the skills required by modern health services and the needs of nursing students have changed. For this reason, new teaching methods have been researched instead of traditional methods. Game-based learning will choose a dynamic learning environment for the use of game design elements in the acquisition of knowledge and the teaching of psychomotor skills, based on the theory of experimental learning while improving learning experiences with active student participation. However, its use in nursing education is limited.

Design

A pretest-posttest randomized controlled experimental study design was used.

Methods

The study was conducted at Ege University Faculty of Nursing in western Turkey. The sample size was determined through stratified randomization method and 135 nursing students participated in the study. Data were gathered by questionnaire method with the Student Descriptive Characteristics Form (SDCF), Intramuscular Injection Knowledge Form (IMIKF), Intramuscular Injection Implementation Checklist (IMIIC), Student Satisfaction and Confidence in Learning Scale (SSCLS) and Visual Comparison (Comfort) Scale (VCS). The chi-square test, the Mann-Whitney U test and the Brunner Langer method were performed in the SPSS 25.0 program.

Results

After the Intramuscular Injection Game-Based Learning Practice (IMIGBLP), the mean score of IMIICL (61±4.4) of the intervention group was significantly higher than the mean score of the control group (38±2.1) (p<0.05). The mean score of the students in the intervention group was determined to be significantly higher than the mean score of the control group (p<0.05). A significant difference was detected between the intervention and control group students in terms of their VCS scores after IMIGBLP (p<0.05).

Conclusion

Considering the results of the study, it is recommended to use the game-based learning method in psychomotor skill training in nursing.
背景如今,数字技术的发展势不可挡,现代医疗服务所需的技能和护理专业学生的需求也发生了变化。因此,人们开始研究新的教学方法,以取代传统的教学方法。基于游戏的学习将选择一个动态的学习环境,在获取知识和传授心理运动技能时使用游戏设计元素,以实验学习理论为基础,同时在学生的积极参与下改善学习体验。方法该研究在土耳其西部的埃格大学护理学院进行。样本量通过分层随机法确定,135 名护理专业学生参与了研究。数据收集采用问卷调查法,包括学生描述性特征表(SDCF)、肌肉注射知识表(IMIKF)、肌肉注射实施检查表(IMIIC)、学生学习满意度和信心量表(SSCLS)以及视觉比较(舒适度)量表(VCS)。结果肌肉注射游戏式学习实践(IMIGBLP)后,干预组的IMIICL平均分(61±4.4)分显著高于对照组的平均分(38±2.1)分(P<0.05)。干预组学生的平均得分明显高于对照组(p<0.05)。干预组与对照组学生在 IMIGBLP 后的 VCS 得分存在明显差异(p<0.05)。
{"title":"The effect of game-based learning on the acquisition of intramuscular injection skills","authors":"Mucahide Gokcen Gokalp ,&nbsp;Sebnem Cinar Yucel ,&nbsp;Ozgun Yilmaz","doi":"10.1016/j.nepr.2024.104172","DOIUrl":"10.1016/j.nepr.2024.104172","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to determine the efficiency of game-based learning in nursing students' IMI skills training.</div></div><div><h3>Background</h3><div>Today, with the unstoppable development of digital technologies, the skills required by modern health services and the needs of nursing students have changed. For this reason, new teaching methods have been researched instead of traditional methods. Game-based learning will choose a dynamic learning environment for the use of game design elements in the acquisition of knowledge and the teaching of psychomotor skills, based on the theory of experimental learning while improving learning experiences with active student participation. However, its use in nursing education is limited.</div></div><div><h3>Design</h3><div>A pretest-posttest randomized controlled experimental study design was used.</div></div><div><h3>Methods</h3><div>The study was conducted at Ege University Faculty of Nursing in western Turkey. The sample size was determined through stratified randomization method and 135 nursing students participated in the study. Data were gathered by questionnaire method with the Student Descriptive Characteristics Form (SDCF), Intramuscular Injection Knowledge Form (IMIKF), Intramuscular Injection Implementation Checklist (IMIIC), Student Satisfaction and Confidence in Learning Scale (SSCLS) and Visual Comparison (Comfort) Scale (VCS). The chi-square test, the Mann-Whitney U test and the Brunner Langer method were performed in the SPSS 25.0 program.</div></div><div><h3>Results</h3><div>After the Intramuscular Injection Game-Based Learning Practice (IMIGBLP), the mean score of IMIICL (61±4.4) of the intervention group was significantly higher than the mean score of the control group (38±2.1) (p&lt;0.05). The mean score of the students in the intervention group was determined to be significantly higher than the mean score of the control group (p&lt;0.05). A significant difference was detected between the intervention and control group students in terms of their VCS scores after IMIGBLP (p&lt;0.05).</div></div><div><h3>Conclusion</h3><div>Considering the results of the study, it is recommended to use the game-based learning method in psychomotor skill training in nursing.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"82 ","pages":"Article 104172"},"PeriodicalIF":3.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of an escape room as a gamification evaluation tool on clinical reasoning and teamwork skills among nursing students: A quasi-experimental study 将逃生室作为游戏化评估工具对护理专业学生临床推理和团队合作技能的影响:准实验研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-14 DOI: 10.1016/j.nepr.2024.104188
Esraa Elsayed Rushdan , Marwa Ahmed El-Sayed Mohamed , Ghada Elsayed Abdelhalim , Ayman Mohamed El-Ashry , Heba Fakieh Mansy Ali

Aim

This study investigates the impact of using escape rooms as a gamification evaluation tool on nursing students' clinical reasoning and teamwork skills.

Background

Escape rooms, originating in Japan in 2007, are team-based live-action games requiring participants to solve puzzles within a time limit. They develop essential skills such as teamwork, leadership, logic, creativity, critical thinking, communication and problem-solving. Educational escape rooms’ focuses on learning goals connected to curricula and are tailored to specific student groups.

Design

Pretest and posttest quasi-experimental study with a study and control groups were conducted.

Methods

The study involved 160 fourth-year nursing students, divided into study (80) and control (80) groups over four months, from October 2023 to the end of January 2024, in Egyptian, Alexandria nursing college. The tools used included the Teamwork Skills Questionnaire, the Nurses Clinical Reasoning Scale and a socio-demographic and academic data questionnaire.

Results

The study group showed significant improvements in clinical reasoning and teamwork skills post-intervention. Positive correlations between clinical reasoning and teamwork skills indicated that the escape room experience has a significant impact on students' critical thinking and collaborative abilities.

Conclusion

Escape rooms are effective educational tools for enhancing nursing students' clinical reasoning and teamwork skills, bridging the gap between theoretical knowledge and practical application. Escape rooms can be valuable additions to traditional teaching methods, better preparing students for clinical practice.
目的:本研究探讨了将逃生室作为游戏化评估工具对护理专业学生临床推理能力和团队合作技能的影响:背景:逃生室于 2007 年起源于日本,是一种以团队为基础的真人游戏,要求参与者在限定时间内解开谜题。这些游戏可以培养学生的基本技能,如团队合作、领导力、逻辑思维、创造力、批判性思维、沟通和解决问题的能力。教育逃生室 "侧重于与课程相关的学习目标,并为特定学生群体量身定制:设计:进行前测和后测的准实验研究,分为研究组和对照组:研究涉及XXXX护理学院的160名四年级护理学生,分为研究组(80人)和对照组(80人),从2023年10月至2024年1月底,历时4个月。使用的工具包括团队合作技能问卷、护士临床推理量表以及社会人口学和学术数据问卷:结果:研究组在干预后的临床推理和团队合作技能方面均有明显改善。临床推理和团队协作技能之间的正相关表明,密室逃脱体验对学生的批判性思维和协作能力有重大影响:逃生室是提高护理专业学生临床推理和团队合作技能的有效教育工具,是理论知识与实际应用之间的桥梁。密室逃脱是对传统教学方法的宝贵补充,能让学生更好地为临床实践做好准备。
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引用次数: 0
Enhancing training transfer among stroke specialist nurses: Insights from latent profile analysis 加强中风专科护士的培训转移:潜在特征分析的启示
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.nepr.2024.104180
Wenqiong Lin , Panpan Zhang , Yaru Li , Songyao Li , Ziru Fang , Hongmei Zhang

Aim

Using Latent Profile Analysis (LPA) to identify distinct categories within stroke specialist nurses training transfer and to explore the factors influencing these categories.

Background

Stroke represents a significant worldwide health challenge. During the treatment and rehabilitation of stroke, stroke specialist nurses play an essential role. However, despite significant resources devoted in the training of stroke specialist nurses, the effectiveness of training transfer is still at a moderate or low level. Therefore, there is an urgent need to identify the factors affecting the training transfer of stroke specialist nurses and to formulate effective strategies for improvement based on these findings.

Design

This is a cross-sectional study.

Method

From August to September 2023, demographic questionnaires, stroke specialist nurses training transfer scales, nursing work environment scales, and job crafting questionnaire were used to survey 413 stroke specialist nurses in 5 tertiary hospitals in Henan Province, China. LPA was used to analyze the latent characteristics of nurse training transfer and to explore the predictive factors of different categories using univariate analysis and logistic regression.

Results

A total of 397 stroke specialist nurses were included, identifying three categories of training transfer: "low training transfer group" (20.40 %), "medium training transfer group" (31.74 %), and "high training transfer group" (47.86 %). Work experience, employment type, training duration, nursing work environment, and job crafting significantly influence the training transfer categories.

Conclusion

The majority of stroke specialist nurses fall into medium and low training transfer group. Contract employment and less work experience are the main reasons for medium and low levels of training transfer. Enhancing work experience, designing effective training courses, ensuring equal pay, improving the nursing environment, and implementing job crafting strategies could effectively improve training transfer for various types of stroke specialist nurses.
目的利用潜伏特征分析(LPA)确定中风专科护士培训转移中的不同类别,并探讨影响这些类别的因素。 背景中风是世界性的重大健康挑战。在中风的治疗和康复过程中,中风专科护士发挥着至关重要的作用。然而,尽管在培训卒中专科护士方面投入了大量资源,但培训转化的效果仍处于中等或较低水平。方法 2023 年 8 月至 9 月,采用人口统计学问卷、脑卒中专科护士培训转岗量表、护理工作环境量表、工作工艺问卷对河南省 5 家三级甲等医院的 413 名脑卒中专科护士进行调查。采用 LPA 分析护士培训转移的潜在特征,并通过单变量分析和逻辑回归探讨不同类别的预测因素。结果 共纳入 397 名脑卒中专科护士,确定了三类培训转移:"低培训转移组"(20.40%)、"中培训转移组"(31.74%)和 "高培训转移组"(47.86%)。工作经验、就业类型、培训时间、护理工作环境和工作工艺对培训转移类别有显著影响。合同工和较少的工作经验是造成中、低培训转移的主要原因。提高工作经验、设计有效的培训课程、确保同工同酬、改善护理环境、实施岗位设计策略可有效改善各类卒中专科护士的培训转移。
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引用次数: 0
Enhancing nursing education through mobile health clinics: Aligning AACN core competencies with pediatric clinical experiences in rural and indigenous communities 通过流动诊所加强护理教育:将 AACN 核心能力与农村和土著社区的儿科临床经验相结合。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.nepr.2024.104200
Shelly Hogan, Madeline Metcalf, Ann Galloway, Nicole Krueger, Laura Larsson

Aim

A well-prepared nursing workforce is essential to meet the healthcare needs of rural, underserved, and Indigenous communities. This study examines nursing students' perceptions of a Mobile Health Training Program (MHTP) that integrates AACN core competencies, with a focus on culturally responsive care, interprofessional collaboration, and professional development. Over the past two years, the MHTP conducted preschool health screenings for children aged 0–5 at four Tribal nations in Montana.

Design

Survey followed by qualitative analysis.

Methods

A total of 160 nursing undergraduate nursing students completed post-clinical surveys between September 2022 and May 2024. The survey responses were analyzed qualitatively to identify themes related to rural healthcare, culturally responsive care, exposure to diverse communities and professional growth.

Results

The MHTP was valued by 95 % of students. Four key themes emerged: insights into rural healthcare, practicing culturally responsive care, exposure to diverse communities, and professional growth. American Indian/Alaska Native students emphasized the need for culturally reflective opportunities for all. The MHTP aligned with AACN competencies, enhancing skills in patient-centered care, cultural competence, interprofessional collaboration, and systems-based practice.

Conclusion

The MHTP represents a practical model for nursing education, providing immersive, pediatric patient-focused experiences while engaging with high-priority communities. This study contributes to the limited literature on rural and Tribal clinical placements, highlighting the value of balancing simulation with direct clinical practice and preparing nursing students to address healthcare challenges in underserved areas.
目的:一支准备充分的护理队伍对于满足农村、服务不足和土著社区的医疗保健需求至关重要。本研究探讨了护理专业学生对移动健康培训计划(MHTP)的看法,该计划整合了美国护理学会(AACN)的核心能力,重点关注文化适应性护理、跨专业合作和专业发展。在过去的两年中,MHTP 在蒙大拿州的四个部落民族为 0-5 岁的儿童进行了学前健康检查:设计:先进行调查,再进行定性分析:共有 160 名护理本科生在 2022 年 9 月至 2024 年 5 月期间完成了临床后调查。对调查回复进行了定性分析,以确定与农村医疗保健、文化响应护理、接触多元化社区和专业成长相关的主题:结果:95% 的学生对 MHTP 给予了高度评价。出现了四个关键主题:深入了解农村医疗保健、实践文化响应型护理、接触多元化社区和专业成长。美国印第安人/阿拉斯加原住民学生强调了为所有人提供文化反思机会的必要性。MHTP符合AACN的能力要求,提高了以患者为中心的护理、文化能力、专业间合作和基于系统的实践等方面的技能:MHTP代表了一种实用的护理教育模式,它提供了身临其境、以儿科患者为中心的体验,同时与高度优先社区合作。这项研究为有关农村和部落临床实习的有限文献做出了贡献,强调了平衡模拟与直接临床实践的价值,并为护理专业学生应对服务不足地区的医疗保健挑战做好了准备。
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引用次数: 0
Using virtual patient simulation with partial task trainer: A quasi-experimental study 使用虚拟病人模拟和部分任务训练器:准实验研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.nepr.2024.104177
Gul Sahin Karaduman, Tulay Basak, Senem Duman

Background

Nursing students need educational approaches that provide sufficient knowledge and practice opportunities to improve their skills.

Aim

To analyze the benefits of incorporating partial task trainers into virtual patients, focusing on the effectiveness, performance, self-confidence, satisfaction and knowledge scores among senior nursing students in urinary catheterization for patients with acute urinary retention.

Design

A randomized, quasi-experimental design.

Methods

The study was conducted at a nursing faculty between April-May 2023 with 71 senior nursing students: 35 in the virtual patient group (Group I) and 36 in the virtual patient and partial task trainer group (Group II). The data were gathered using: Personal Information Form, Student Satisfaction and Self-confidence in Learning Scale, Simulation Effectiveness Tool, Performance Report and Knowledge Report.

Results

The satisfaction and self-confidence scores for Group I were 4.67 (SD 0.49) and 4.38 (SD 0.48), whereas Group II scored 4.88 (SD 0.22) and 4.70 (SD 0.34), respectively. The differences were statistically significant (p<0.05). For the Simulation Effectiveness Tool, Group I scored 31.05 (SD 3.28) for confidence subdimension and 85.05 (SD 7.37) for the total score, whereas Group II scored 32.57 (SD 2.73 and 88.48 (SD 6.60), respectively. These differences were statistically significant (p<0.05). No significant differences were found between the groups in the prebriefing, learning and debriefing subdimensions of the Simulation Effectiveness Tool (p>0.05). Performance and knowledge scores also showed no significant differences (p>0.05). Effect sizes for all statistically significant differences were moderate.

Conclusions

The results show that using virtual patients with partial task trainers increases students’ satisfaction and self-confidence and is perceived as effective in developing nursing interventions for patients with acute urinary retention.
背景护理专业学生需要能提供足够知识和实践机会的教育方法来提高他们的技能。目的分析将部分任务培训师纳入虚拟患者的益处,重点关注高年级护理专业学生在为急性尿潴留患者导尿时的效果、表现、自信心、满意度和知识得分。方法该研究于 2023 年 4 月至 5 月在护理学院进行,共有 71 名高年级护理专业学生参加:虚拟患者组(I 组)35 人,虚拟患者和部分任务培训师组(II 组)36 人。收集数据的方法如下结果 I 组的满意度和自信心得分分别为 4.67(SD 0.49)和 4.38(SD 0.48),而 II 组的满意度和自信心得分分别为 4.88(SD 0.22)和 4.70(SD 0.34)。差异具有统计学意义(P<0.05)。在模拟效果工具方面,第一组的信心子维度得分为 31.05(标准差 3.28),总分为 85.05(标准差 7.37);第二组的信心子维度得分为 32.57(标准差 2.73),总分为 88.48(标准差 6.60)。这些差异具有统计学意义(P<0.05)。在模拟效果工具的汇报前、学习和汇报子维度上,各组之间没有发现明显差异(p>0.05)。表现和知识得分也无明显差异(p>0.05)。结论结果表明,使用虚拟病人和部分任务培训师可提高学生的满意度和自信心,并被认为是对急性尿潴留病人进行护理干预的有效方法。
{"title":"Using virtual patient simulation with partial task trainer: A quasi-experimental study","authors":"Gul Sahin Karaduman,&nbsp;Tulay Basak,&nbsp;Senem Duman","doi":"10.1016/j.nepr.2024.104177","DOIUrl":"10.1016/j.nepr.2024.104177","url":null,"abstract":"<div><h3>Background</h3><div>Nursing students need educational approaches that provide sufficient knowledge and practice opportunities to improve their skills.</div></div><div><h3>Aim</h3><div>To analyze the benefits of incorporating partial task trainers into virtual patients, focusing on the effectiveness, performance, self-confidence, satisfaction and knowledge scores among senior nursing students in urinary catheterization for patients with acute urinary retention.</div></div><div><h3>Design</h3><div>A randomized, quasi-experimental design.</div></div><div><h3>Methods</h3><div>The study was conducted at a nursing faculty between April-May 2023 with 71 senior nursing students: 35 in the virtual patient group (Group I) and 36 in the virtual patient and partial task trainer group (Group II). The data were gathered using: <em>Personal Information Form</em>, <em>Student Satisfaction and Self-confidence in Learning Scale</em>, <em>Simulation Effectiveness Tool</em>, <em>Performance Report and Knowledge Report</em>.</div></div><div><h3>Results</h3><div>The <em>satisfaction</em> and <em>self-confidence</em> scores for Group I were 4.67 (SD 0.49) and 4.38 (SD 0.48), whereas Group II scored 4.88 (SD 0.22) and 4.70 (SD 0.34), respectively. The differences were statistically significant (p&lt;0.05). For the Simulation Effectiveness Tool, Group I scored 31.05 (SD 3.28) for <em>confidence</em> subdimension and 85.05 (SD 7.37) for the <em>total</em> score, whereas Group II scored 32.57 (SD 2.73 and 88.48 (SD 6.60), respectively. These differences were statistically significant (p&lt;0.05). No significant differences were found between the groups in the prebriefing, learning and debriefing subdimensions of the Simulation Effectiveness Tool (p&gt;0.05). <em>Performance</em> and <em>knowledge</em> scores also showed no significant differences (p&gt;0.05). Effect sizes for all statistically significant differences were moderate.</div></div><div><h3>Conclusions</h3><div>The results show that using virtual patients with partial task trainers increases students’ <em>satisfaction</em> and <em>self-confidence</em> and is perceived as effective in developing nursing interventions for patients with acute urinary retention.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"81 ","pages":"Article 104177"},"PeriodicalIF":3.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Nurse Education in Practice
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