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Effect of standardized patient simulation with BCG vaccination on nursing students' skills, knowledge and satisfaction, and self-confidence: A randomized controlled study 卡介苗接种标准化模拟病人对护理专业学生技能、知识、满意度和自信心的影响:随机对照研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-18 DOI: 10.1016/j.nepr.2024.104159
Eda Unal , Aysel Ozdemir , M. Okan Aydın , Züleyha Alper

Aim

To examine the effect of standardised patient simulation training on nursing students' skills and knowledge in administering the Bacillus Calmette-Guérin vaccine, as well as their satisfaction and self-confidence.

Background

The Bacillus Calmette-Guérin vaccine is administered by nurses to prevent tuberculosis. However, there have been reports of complications arising from inadequate knowledge and skills related to Bacillus Calmette-Guérin vaccine administration.

Design

A randomised controlled experimental design.

Method

This experimental study was conducted between October 2022 and January 2023 at a university, Medical Training and Simulation Centre. The fourth-year nursing students enrolled in their intern term were asked to participate in this experimental study. Participants were allocated to the intervention group (n=45) and the control group (n=45). The control group received only theoretical training and then BCG application on the model. The socio-demographic survey was conducted to collect demographic data. The Bacillus Calmette-Guérin Vaccine Knowledge Form, Bacillus Calmette-Guérin Vaccine Administration Checklist, and the student satisfaction and self-confidence scale in learning were used. The intervention group received simulation training using a standardized patient. All students' knowledge and skills were measured before and 3 months after the theoretical training.

Results

Simulation training using standardized patients significantly increased nursing students' Bacillus Calmette-Guérin vaccine knowledge (intervention group=21.57±5.12; control group=15.33±5.61), skills (intervention group=20.88±4.29; control group=10.22±4.56), confidence and satisfaction (intervention group=4.61±0.30; control group=4.17±0.3) compared with the control group (p < 0.05).

Conclusion

Training with standardized patient techniques provides students the opportunity to practice realistically in a safe environment, enabling repetitive practice, which enhances self-confidence and satisfaction.
目的:研究标准化病人模拟训练对护理专业学生接种卡介苗的技能和知识以及满意度和自信心的影响:背景:护士接种卡介苗是为了预防结核病。背景:卡介苗是由护士接种的一种预防结核病的疫苗,但有报告称,由于卡介苗接种知识和技能不足,出现了一些并发症:设计:随机对照实验设计:本实验研究于 2022 年 10 月至 2023 年 1 月在一所大学的医学培训与模拟中心进行。要求正在实习的四年级护理专业学生参与这项实验研究。参与者被分配到干预组(45 人)和对照组(45 人)。对照组只接受理论培训,然后在模型上应用卡介苗。进行社会人口调查以收集人口数据。采用卡介苗知识表、卡介苗接种管理核对表和学生学习满意度与自信心量表。干预组使用标准化病人进行模拟训练。所有学生的知识和技能都在理论培训前和培训后 3 个月进行了测量:结果:与对照组相比,使用标准化病人进行模拟训练明显提高了护理专业学生的卡介苗知识(干预组=21.57±5.12;对照组=15.33±5.61)、技能(干预组=20.88±4.29;对照组=10.22±4.56)、自信心和满意度(干预组=4.61±0.30;对照组=4.17±0.3)(P<0.05):结论:标准化病人技术培训为学生提供了在安全的环境中进行真实练习的机会,使他们能够反复练习,从而增强自信心和满意度。
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引用次数: 0
Building patient safety culture by using interprofessional simulation with nursing, paramedic and emergency telecommunication students: A mixed-methods research study 通过对护理、辅助医疗和急救电信专业的学生进行跨专业模拟,建立患者安全文化:混合方法研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-16 DOI: 10.1016/j.nepr.2024.104166
Margot Rykhoff, Rebecca Pereira, Sarah Wilkinson

Aim

The aim of this study was to investigate student attitudes toward interprofessional education and collaborative practice and their perceptions of simulation design elements after participating in an interprofessional simulation educational activity.

Background

Patient safety continues to be an international healthcare priority. However, critical incidents to patients continue to persist due to poor communication between professionals and poor teamwork.

Design

A mixed methods design.

Method

The study sample consisted of Bachelor of Nursing (n=81), Paramedic (n=38) and Emergency Telecommunication (n=11) students randomized into interprofessional groups. Following the interprofessional learning experience, students completed two standardized self-reporting instruments, Students Perceptions of Interprofessional Clinical Education, National League for Nursing Simulation Design Scale and open-ended questions of their perceptions on teamwork and collaboration, communication skills, transfer of care and patient safety.

Results

Students in each program reported high scores for attitudes toward the importance of teamwork and collaborative practice. There were significant differences in scores between programs for the ranking factors ‘Teamwork and Team-Based Practice’ (BN=4.74 SD 0.72, PM=4.66 SD 0.81, ET=4.95 SD 0.15 *; p = 0.00005) and ‘Roles & Responsibilities’ (BN=3.78 SD 1.12, PM=3.55 SD 0.92, ET=4.67 SD 0.85*; p= 0.012). Themes included: communication and collaboration in teamwork; roles, responsibilities and leadership; patient-centred care and safety; and emotional dynamics and professional growth.

Conclusion

An interprofessional simulation is an effective strategy to practice teamwork and collaboration and communication skills during transfer of care. Ensuring earlier education of roles and responsibilities during transfer of care needs review as do strategies for structured handover communication tools.
目的:本研究旨在调查学生对跨专业教育和合作实践的态度,以及他们在参加跨专业模拟教育活动后对模拟设计元素的看法:背景:患者安全一直是国际医疗保健领域的优先事项。背景:患者安全一直是国际医疗保健领域的优先考虑事项,然而,由于专业人员之间沟通不畅和团队合作不力,危及患者安全的事件仍屡禁不止:设计:混合方法设计:研究样本包括护理学学士(81 人)、辅助医务人员(38 人)和急救电信人员(11 人),他们被随机分为跨专业小组。在跨专业学习体验结束后,学生们填写了两份标准化的自我报告工具,即《学生对跨专业临床教育的看法》、《全国护理联盟模拟设计量表》,以及有关他们对团队合作与协作、沟通技巧、护理转移和患者安全看法的开放式问题:结果:每个专业的学生都对团队合作和协作实践的重要性报以高分。在 "团队合作与团队实践"(BN=4.74 SD 0.72,PM=4.66 SD 0.81,ET=4.95 SD 0.15 *;P=0.00005)和 "角色与责任"(BN=3.78 SD 1.12,PM=3.55 SD 0.92,ET=4.67 SD 0.85*;P=0.012)这两个排名因子上,各专业之间的得分存在明显差异。主题包括:团队合作中的沟通与协作;角色、责任与领导力;以病人为中心的护理与安全;情感动力与专业成长:结论:跨专业模拟是在护理转移过程中练习团队合作、协作和沟通技能的有效策略。需要对确保护理转运期间角色和责任的早期教育以及结构化交接沟通工具的策略进行审查。
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引用次数: 0
Nursing process performance measurement tool based on bloom’s revised taxonomy: A validity and reliability analysis 基于布鲁姆修订分类法的护理流程绩效测量工具:有效性和可靠性分析。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-16 DOI: 10.1016/j.nepr.2024.104165
Ji Sun Lee

Aim

This study aimed to develop a measurement tool that could evaluate educational approaches by integrating the cognitive dimensions required at each stage of the nursing process and strengthening the connection between education and clinical practice.

Background

The nursing process is a core component of nursing practice and supports nurses and nursing students in systematically performing the problem-solving process necessary for patient health management.

Design

Cross-sectional, methodological study.

Methods

A nursing process performance measurement tool that could measure the cognitive dimensions required at each stage of the nursing process was developed based on Anderson’s and Bloom’s revised taxonomy. The data for this study were collected from July to August 2023 at four universities in South Korea. The reliability and validity of the measurement tool were evaluated through a survey conducted on 406 nursing students. Participants were third- and fourth-year nursing students with clinical practice experience, recruited through purposive sampling.

Results

The developed tool was designed to systematically measure and evaluate each step of the nursing process. This tool consisted of 28 questions, each of which was divided into five assessment questions, six diagnosis questions, six planning questions, five implementation questions and six evaluation questions. Items were rated on a 5-point Likert scale, ranging from 1 (“not at all”) to 5 (“very much”). The measurement score ranged from 28 to 140 points, with higher scores indicating better nursing process performance. The cumulative variance contribution rate of the tool was 68.1 % and the Cronbach’s α value was 0.85 for all items.

Conclusions

This study provides a basis for evaluating educational approaches in nursing curricula by integrating the cognitive dimensions required at each stage of the nursing process. This approach can strengthen the connection between education and clinical practice and can be used not only as a tool to systematically evaluate the learning outcomes of nursing students but also as a standardized nursing process guide.
目的:本研究旨在开发一种测量工具,通过整合护理流程各阶段所需的认知维度,加强教育与临床实践之间的联系,从而对教育方法进行评估:背景:护理流程是护理实践的核心组成部分,支持护士和护理专业学生系统地执行患者健康管理所需的问题解决流程:设计:横断面、方法学研究:根据安德森和布卢姆的修订分类法,开发了一种护理流程绩效测量工具,可测量护理流程各阶段所需的认知维度。本研究的数据于 2023 年 7 月至 8 月在韩国四所大学收集。通过对 406 名护理专业学生进行调查,评估了测量工具的可靠性和有效性。调查对象为具有临床实践经验的三年级和四年级护理专业学生,通过有目的的抽样调查获得:所开发的工具旨在系统地测量和评估护理流程的每个步骤。该工具由 28 个问题组成,每个问题又分为 5 个评估问题、6 个诊断问题、6 个计划问题、5 个实施问题和 6 个评价问题。各项目采用李克特五点量表评分,从 1 分("完全没有")到 5 分("非常多")不等。测量得分从 28 分到 140 分不等,得分越高表示护理流程绩效越好。该工具的累积方差贡献率为 68.1%,所有项目的 Cronbach's α 值均为 0.85:本研究通过整合护理流程各阶段所需的认知维度,为评估护理课程的教育方法提供了依据。该方法可加强教育与临床实践之间的联系,不仅可作为系统评价护理学生学习成果的工具,还可作为标准化护理流程指南。
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引用次数: 0
The effect of a cultural sensitivity education program on the intercultural sensitivity and compassion levels of Turkish nurses: A randomized controlled trial 文化敏感性教育计划对土耳其护士跨文化敏感性和同情心水平的影响:随机对照试验
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-12 DOI: 10.1016/j.nepr.2024.104164
Çiğdem Şahin , Sultan Ayaz-Alkaya

Aim

This study was performed to measure the effect of a cultural sensitivity education program in increasing Turkish nurses’ intercultural sensitivity and compassion levels.

Background

Intercultural care encompasses compassion, an indispensable value of nursing care. The primary purpose of compassion is to ensure the well-being and welfare of the individuals.

Design

A parallel group randomized controlled trial.

Methods

The study was completed by 64 nurses, 32 in the intervention and 32 in the control groups. A Cultural Sensitivity Education Program was presented to the intervention group. Instruments were given to both groups before the intervention (pre-test), one week after the intervention (post-test) and three months later (follow-up test). Chi-square, and two-way mixed-design variance analysis with Bonferroni Multiple Comparison Test were used to analyze the data.

Results

The post-test and follow-up test mean scores of intercultural sensitivity and compassion of the intervention group after the intervention increased significantly compared to the control group. The intervention had a large effect size.

Conclusions

The study showed that the cultural sensitivity education program effectively increased the nurses’ intercultural sensitivity and compassion levels. Nurse managers could integrate education programs into the in-service education programs to improve the intercultural sensitivity and compassion levels of nurses.
目的本研究旨在衡量文化敏感性教育计划对提高土耳其护士跨文化敏感性和同情心水平的效果。该研究由 64 名护士完成,其中干预组和对照组各 32 人。干预组接受文化敏感性教育课程。在干预前(前测)、干预后一周(后测)和三个月后(随访测试)对两组进行问卷调查。结果干预后,干预组的跨文化敏感性和同情心的后测和随访测试平均分比对照组显著提高。结论研究表明,文化敏感性教育项目有效提高了护士的跨文化敏感性和同情心水平。护士长可将教育计划纳入在职教育计划,以提高护士的跨文化敏感性和同情心水平。
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引用次数: 0
Effectiveness of a virtual reality triage simulation program for nursing students: A mixed-methods study 针对护理专业学生的虚拟现实分诊模拟课程的有效性:混合方法研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-12 DOI: 10.1016/j.nepr.2024.104161
Li-Hsiang Wang , Chun-Chih Lin , Li-Fen Chao , Ching‑I Chang , Suzanne Goopy , Chin-Yen Han

Aims

To examine the effectiveness of a virtual reality simulation (VRS) triage in improving students’ learning motivation, attitudes, satisfaction and learning experiences in an emergency nursing course.

Background

VR facilitates the realization of clinical scenarios that are significant for teaching emergency nursing. Triage presents a unique challenge in emergency nursing courses, where practical learning opportunities are seldom available.

Design

The study employed a convergent parallel mixed-methods design.

Methods

A total of 164 third-year nursing students were recruited from an emergency nursing course. The experimental group of 73 students participated in a VRS triage program and the control group of 91 students received a traditional program based on written case studies. The learning outcomes were evaluated using the Attention, Relevance, Confidence and Satisfaction motivational learning inventory together with questionnaires on learning attitudes and satisfaction. Qualitative data were collected through phenomenographic interviews.

Results

The learning outcomes from the experimental group showed significant improvement in motivational learning inventory scores, with the greatest increase in satisfaction, followed by confidence, attention and relevance. Qualitative interviews with 30 students revealed four main themes in their learning experiences: “reflecting a real-world clinical environment,” “enabling the internalization of knowledge,” “enhancing clinical skills proficiency,” and “cultivating a positive attitude toward patient care.” The core theme was the establishment of professional core competency.

Conclusions

VRS learning shows positive outcomes in enriching students’ learning experiences. This study contributes to the literature on the use of VR technology in nursing education by offering insights into the effectiveness of VRS learning.
目的:在急诊护理课程中,研究虚拟现实模拟(VRS)分诊在改善学生学习动机、态度、满意度和学习体验方面的效果:背景:虚拟现实技术有助于实现对急诊护理教学具有重要意义的临床场景。在急诊护理课程中,分诊是一项独特的挑战,因为在急诊护理课程中很少有实践学习的机会:研究采用收敛平行混合方法设计:方法:从急诊护理课程中招募了 164 名三年级护理学生。实验组的 73 名学生参加了 VRS 分流课程,对照组的 91 名学生接受了基于书面案例研究的传统课程。学习成果使用注意力、相关性、信心和满意度学习动机清单以及学习态度和满意度问卷进行评估。通过现象学访谈收集了定性数据:结果:实验组的学习结果显示,学习动机量表得分有了显著提高,其中满意度的提高幅度最大,其次是自信心、注意力和相关性。对 30 名学生进行的定性访谈揭示了他们学习经历中的四大主题:"反映真实的临床环境"、"使知识内化"、"提高临床技能熟练程度 "和 "培养对病人护理的积极态度"。核心主题是建立专业核心能力:VRS 学习在丰富学生学习经历方面取得了积极成果。本研究通过深入了解 VRS 学习的有效性,为护理教育中使用 VR 技术的文献做出了贡献。
{"title":"Effectiveness of a virtual reality triage simulation program for nursing students: A mixed-methods study","authors":"Li-Hsiang Wang ,&nbsp;Chun-Chih Lin ,&nbsp;Li-Fen Chao ,&nbsp;Ching‑I Chang ,&nbsp;Suzanne Goopy ,&nbsp;Chin-Yen Han","doi":"10.1016/j.nepr.2024.104161","DOIUrl":"10.1016/j.nepr.2024.104161","url":null,"abstract":"<div><h3>Aims</h3><div>To examine the effectiveness of a virtual reality simulation (VRS) triage in improving students’ learning motivation, attitudes, satisfaction and learning experiences in an emergency nursing course.</div></div><div><h3>Background</h3><div>VR facilitates the realization of clinical scenarios that are significant for teaching emergency nursing. Triage presents a unique challenge in emergency nursing courses, where practical learning opportunities are seldom available.</div></div><div><h3>Design</h3><div>The study employed a convergent parallel mixed-methods design.</div></div><div><h3>Methods</h3><div>A total of 164 third-year nursing students were recruited from an emergency nursing course. The experimental group of 73 students participated in a VRS triage program and the control group of 91 students received a traditional program based on written case studies. The learning outcomes were evaluated using the Attention, Relevance, Confidence and Satisfaction motivational learning inventory together with questionnaires on learning attitudes and satisfaction. Qualitative data were collected through phenomenographic interviews.</div></div><div><h3>Results</h3><div>The learning outcomes from the experimental group showed significant improvement in motivational learning inventory scores, with the greatest increase in satisfaction, followed by confidence, attention and relevance. Qualitative interviews with 30 students revealed four main themes in their learning experiences: “reflecting a real-world clinical environment,” “enabling the internalization of knowledge,” “enhancing clinical skills proficiency,” and “cultivating a positive attitude toward patient care.” The core theme was the establishment of professional core competency.</div></div><div><h3>Conclusions</h3><div>VRS learning shows positive outcomes in enriching students’ learning experiences. This study contributes to the literature on the use of VR technology in nursing education by offering insights into the effectiveness of VRS learning.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"81 ","pages":"Article 104161"},"PeriodicalIF":3.3,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478271","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 Australian nursing and midwifery academic workforce: A cross-sectional study 澳大利亚护理和助产士学术队伍:横断面研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-12 DOI: 10.1016/j.nepr.2024.104156
Leah East , Elizabeth Halcomb , Daniel Terry , Debra Jackson , Marie Hutchinson

Aim

To explore the demographics, employment characteristics, job satisfaction and career intentions of the Australian nursing and midwifery academic workforce.

Background

The academic workforce is crucial in preparing the next generation of nurses and midwives. Thus, understanding current satisfaction, challenges, opportunities and intentions is important for recruitment and succession planning.

Design

Cross-sectional online Australian academic nursing and midwifery survey.

Method

Respondents were invited to complete an online survey via social media platforms, advertisements on professional websites and circulation via professional associations. Descriptive and inferential statistics were used to analyse the data.

Results

Of the 250 respondents, most were Registered Nurses (n=212), female (n=222), held tenured teaching and research positions (n=126) and were over the age of 50 (n=130). Almost half of respondents held a PhD (n=98), with 55 (43.7 %) of those without a Doctoral qualification indicating no intention in undertaking doctoral studies. Over 85 % (n=213) of respondents indicated working regular unpaid hours. Female respondents had a significantly higher mean annual teaching allocation compared with males who had higher research workload allocations (p=0.033). Job satisfaction and intention to leave academia were linked with workload and perceived value. Job satisfaction was significantly higher among teaching-only and research-only academics (p=0.005).

Conclusion

The sustainability of the Australian nursing and midwifery workforce is at risk due to an ageing workforce and some academics' lack of intention in pursuing doctoral studies. Gender inequities emerged as a finding in this study. Workforce strategies are required to address gender disparities and workload imbalances that have an impact on job satisfaction.
目的:探讨澳大利亚护士和助产士学术队伍的人口统计学、就业特点、工作满意度和职业意向:背景:学术队伍对于培养下一代护士和助产士至关重要。因此,了解当前的满意度、挑战、机遇和意向对于招聘和继任规划非常重要:设计:横断面澳大利亚护理和助产学术在线调查:方法:通过社交媒体平台、专业网站上的广告以及专业协会的宣传,邀请受访者完成在线调查。采用描述性和推论性统计方法对数据进行分析:在 250 名受访者中,大多数是注册护士(n=212),女性(n=222),担任终身教职和研究职位(n=126),年龄在 50 岁以上(n=130)。近一半的受访者拥有博士学位(n=98),其中 55 人(43.7%)没有博士学位,表示无意攻读博士学位。超过 85% 的受访者(n=213)表示经常从事无偿工作。女性受访者的年平均教学工作量明显高于男性,后者的研究工作量更高(p=0.033)。工作满意度和离开学术界的意愿与工作量和感知价值有关。只从事教学工作的学者和只从事研究工作的学者的工作满意度明显更高(p=0.005):结论:澳大利亚护理和助产士队伍的可持续发展面临风险,原因是队伍老龄化以及一些学者缺乏攻读博士学位的意愿。性别不平等是本研究的一项发现。需要制定劳动力战略,以解决影响工作满意度的性别差异和工作量不平衡问题。
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引用次数: 0
The effectiveness of enhanced reality simulation on postmastectomy patient care management provided by nursing students: a quasi-experimental study 增强现实模拟对护理专业学生进行乳房切除术后病人护理管理的效果:一项准实验研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-11 DOI: 10.1016/j.nepr.2024.104163
Sevgül Demi̇rel , Belkız Kızıltan , Sema Koçan
<div><h3>Aim</h3><div>The aim of this study was to evaluate the effect of enhanced reality simulation on nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care.</div></div><div><h3>Background</h3><div>Breast cancer is a common disease with increasing incidence and mastectomy is the treatment of choice. Postmastectomy patient care is a multidimensional and complex process. For various reasons, nursing students today graduate with inadequate clinical skills and do not have experience with many cases.</div></div><div><h3>Design</h3><div>This quasi-experimental study was conducted using a pretest–posttest design with a nonequivalent control group.</div></div><div><h3>Methods</h3><div>This study was conducted with fourth-year nursing students (78 students). Students were allocated to each group through a simple random allocation using IBM SPSS Statistics version 24. Research data were collected at the Clinical Simulation Training Center of the university in 2020–2021 academic year. The study group (n=39) learned using a scenario-based learning approach with moulage in a real clinical setting using enhanced reality simulation, while the control group (n=39) learned using the same scenario-based approach with the routine practice adult standard patient care model. The data were collected through the “Student Sociodemographic and Descriptive Characteristics Data Collection Form”, the “Student Satisfaction and Self-Confidence in Learning Scale”, the “Postmastectomy Patient Care Skills Checklist” and the “Pre–Post Knowledge Test on Postmastectomy Patient Care Management”.</div></div><div><h3>Results</h3><div>All 78 participants completed the training course. The training significantly increased the Student Satisfaction and Self-Confidence in Learning Scale subdimension scores of both groups (p<0.05). The Postmastectomy Patient Care Management scores of the study group students who received enhanced reality simulation training significantly increased (p<0.05), while there was no significant effect on the scores of the control group students (p>0.05). While most the students in the study group increased their rates of correct answers to Postmastectomy Patient Care Management questions significantly (p<0.05) after the enhanced reality simulation training, the students in the control group showed no significant improvement (p>0.05). The training significantly (p<0.001) increased the mean postmastectomy patient care skills control scores. This increase had a high effect size on the study group.</div></div><div><h3>Conclusion</h3><div>Enhanced reality simulation is a learning method that increases nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care. Learning with enhanced reality simulation is an effective approach for nursing education that improves nursing students' learning
背景乳腺癌是一种常见疾病,发病率不断上升,乳房切除术是治疗乳腺癌的首选方法。乳房切除术后的病人护理是一个多层面的复杂过程。由于种种原因,现在的护理专业学生毕业时临床技能不足,没有处理过很多病例的经验。方法本研究以四年级护理专业学生(78 名)为对象,采用前测-后测设计进行准实验研究。学生通过 IBM SPSS 统计软件版本 24 进行简单的随机分配。研究数据于 2020-2021 学年在该校临床模拟训练中心收集。研究组(39 人)采用基于情景的学习方法,在真实的临床环境中使用增强现实模拟进行模拟学习,而对照组(39 人)则采用相同的基于情景的学习方法,使用常规实践成人标准患者护理模式进行学习。数据通过 "学生社会人口学和描述性特征数据收集表"、"学生学习满意度和自信心量表"、"乳房切除术后患者护理技能检查表 "和 "乳房切除术后患者护理管理前-后知识测试 "收集。培训明显提高了两组学员的满意度和学习自信心量表分维度得分(p<0.05)。接受增强现实模拟训练的研究组学生的乳房切除术后病人护理管理得分明显提高(p<0.05),而对照组学生的得分没有明显影响(p>0.05)。接受增强现实模拟训练后,研究组大多数学生在回答乳房切除术后病人护理管理问题时的正确率明显提高(p<0.05),而对照组学生的正确率没有明显提高(p>0.05)。培训明显提高了(p<0.001)乳房切除术后病人护理技能控制的平均分。结论增强现实模拟是一种学习方法,可提高护生的学习满意度和自信心,以及有关乳房切除术后护理的患者护理管理知识和技能。增强现实模拟学习是一种有效的护理教育方法,可提高护生的学习满意度和自信心,以及有关乳房切除术后护理的病人护理管理知识和技能。
{"title":"The effectiveness of enhanced reality simulation on postmastectomy patient care management provided by nursing students: a quasi-experimental study","authors":"Sevgül Demi̇rel ,&nbsp;Belkız Kızıltan ,&nbsp;Sema Koçan","doi":"10.1016/j.nepr.2024.104163","DOIUrl":"10.1016/j.nepr.2024.104163","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;The aim of this study was to evaluate the effect of enhanced reality simulation on nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Breast cancer is a common disease with increasing incidence and mastectomy is the treatment of choice. Postmastectomy patient care is a multidimensional and complex process. For various reasons, nursing students today graduate with inadequate clinical skills and do not have experience with many cases.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This quasi-experimental study was conducted using a pretest–posttest design with a nonequivalent control group.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This study was conducted with fourth-year nursing students (78 students). Students were allocated to each group through a simple random allocation using IBM SPSS Statistics version 24. Research data were collected at the Clinical Simulation Training Center of the university in 2020–2021 academic year. The study group (n=39) learned using a scenario-based learning approach with moulage in a real clinical setting using enhanced reality simulation, while the control group (n=39) learned using the same scenario-based approach with the routine practice adult standard patient care model. The data were collected through the “Student Sociodemographic and Descriptive Characteristics Data Collection Form”, the “Student Satisfaction and Self-Confidence in Learning Scale”, the “Postmastectomy Patient Care Skills Checklist” and the “Pre–Post Knowledge Test on Postmastectomy Patient Care Management”.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;All 78 participants completed the training course. The training significantly increased the Student Satisfaction and Self-Confidence in Learning Scale subdimension scores of both groups (p&lt;0.05). The Postmastectomy Patient Care Management scores of the study group students who received enhanced reality simulation training significantly increased (p&lt;0.05), while there was no significant effect on the scores of the control group students (p&gt;0.05). While most the students in the study group increased their rates of correct answers to Postmastectomy Patient Care Management questions significantly (p&lt;0.05) after the enhanced reality simulation training, the students in the control group showed no significant improvement (p&gt;0.05). The training significantly (p&lt;0.001) increased the mean postmastectomy patient care skills control scores. This increase had a high effect size on the study group.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Enhanced reality simulation is a learning method that increases nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care. Learning with enhanced reality simulation is an effective approach for nursing education that improves nursing students' learning","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"81 ","pages":"Article 104163"},"PeriodicalIF":3.3,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446885","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
An exploration of the Return to Practice experience of nursing students: An evaluative mixed methods research study 探索护理专业学生重返实习岗位的经历:评价性混合方法研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-11 DOI: 10.1016/j.nepr.2024.104152
Helen Freedman, Ann Ooms

Aim

This study was conducted to explore the experiences of nursing students on a Return to Practice course; including their confidence levels and intention to remain on the nursing register.

Background

Nurses and midwives whose registration with the NMC (Nursing & Midwifery Council) has lapsed may choose to undertake a Return to Practice course. This course enables those who have left the profession to update their skills and knowledge and to re-join the register. Currently, little information exists concerning the experience of returners as they prepare to re-enter the nursing workforce.

Design

Exploring the confidence levels and preparedness of Return to Practice nursing students and measuring the effectiveness of a Return to Practice course using an online questionnaire.

Methods

Mixed methods research design was used to address the evaluative research questions. An anonymous questionnaire was administered online to collect quantitative and qualitative data reflecting the experiences of the Return to Practice nursing students.

Results

Return to Practice nursing students feel well prepared by their Return to Practice course and report a high level of confidence in returning to the clinical workforce.

Conclusions

Despite their concerns around aspects of nursing, such as the highly pressured working environment, most Return to Practice students intend to continue as a nurse for the remainder of their careers and should therefore be supported with this route into the nursing profession.
背景在 NMC(护理与助产委员会)注册失效的护士和助产士可以选择参加重返实践课程。该课程使那些已经离开护理行业的人能够更新他们的技能和知识,并重新加入注册行列。设计通过在线问卷调查的方式,探索护理专业学生对重返实习岗位的信心水平和准备情况,并衡量重返实习岗位课程的效果。方法采用混合方法研究设计来解决评估性研究问题。方法采用混合方法研究设计来解决评估研究中的问题。在线发放匿名调查问卷,收集定量和定性数据,反映 "重返实践 "护理专业学生的经历。结果 "重返实践 "护理专业学生认为他们的 "重返实践 "课程为其做好了充分准备,并表示对重返临床工作岗位信心十足。结论尽管 "重返实践 "护理专业学生对护理工作的方方面面(如高压力的工作环境)感到担忧,但他们大多打算在职业生涯的剩余时间里继续从事护理工作,因此应支持他们通过这一途径进入护理行业。
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引用次数: 0
The effects of problem-based learning integrated with the nursing process on clinical reasoning, communication skills attitude and nursing process competency among nursing students: A quasi-experimental study 基于问题的学习与护理过程相结合对护理专业学生临床推理、沟通技巧态度和护理过程能力的影响:准实验研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-11 DOI: 10.1016/j.nepr.2024.104131
Ji Sun Lee , Hae Kyoung Son

Aim

This study aimed to evaluate the effects of problem-based learning integrated with the nursing process on clinical reasoning, communication skills attitude and nursing process competency of nursing students.

Background

Systematic and integrated application of nursing process in various nursing scenarios are necessary as an alternative to limited learning experiences during conventional lectured-based learning. Thus, an innovative nursing curriculum should be developed by adopting problem-based learning integrated with the nursing process, the effectiveness of this process should be tested to improve the quality of nursing education and explore effective educational strategies.

Design

A quasi-experimental non-equivalent control group pre-test and post-test design.

Methods

The study was conducted from September to October, 2023. Third-year nursing students who were selected by intentional sampling were allocated to the control (n=69) and experimental (n=87) groups. The control group participated in conventional lectures, whereas the experimental group participated in the problem-based learning integrated with the nursing process (six sessions) regarding various high-risk obstetrics and gynecology nursing. Thereafter, the students completed structured questionnaire on Google surveys including items on clinical reasoning, communication skills attitude and nursing process competency.

Results

Clinical reasoning (t=-4.599, p=<.001), communication skills attitude (t=-1.848, p=.033) and nursing process competency (t=-3.795, p<.001) increased significantly more in the post-test for the experimental than the control group.

Conclusions

This study shed light on the learning effects that enable effective communication and enhance confidence in nursing students for applying clinical reasoning and the nursing process based on various high-risk obstetrics and gynecology nursing modules. Moreover, learners are expected to experience knowledge expansion and transfer through reasoning and application. Therefore, modules of high-prevalence diseases should be developed for various nursing major courses and problem-based learning integrated with the nursing process linked to these modules should be designed for use in nursing classes.
目的:本研究旨在评估与护理流程相结合的基于问题的学习对护生临床推理、沟通技巧态度和护理流程能力的影响:背景:有必要在各种护理情景中系统地综合应用护理过程,以替代传统讲授式学习中有限的学习经验。因此,应采用与护理过程相结合的基于问题的学习方式,开发创新的护理课程,并检验该过程的有效性,以提高护理教育质量,探索有效的教育策略:设计:准实验性非等效对照组前测和后测设计:研究时间:2023年9月至10月。通过有意抽样选出的护理专业三年级学生被分配到对照组(69 人)和实验组(87 人)。对照组参加常规授课,而实验组则参加与护理过程相结合的问题式学习(6 次),内容涉及各种高危妇产科护理。之后,学生们完成了谷歌调查的结构化问卷,包括临床推理、沟通技巧态度和护理流程能力等项目:临床推理(t=-4.599,p=结论:本研究揭示了基于各种高危妇产科护理模块的临床推理和护理流程的学习效果,使护理专业学生能够进行有效的沟通并增强应用临床推理和护理流程的信心。此外,学习者有望通过推理和应用体验到知识的扩展和迁移。因此,应为各种护理专业课程开发高发疾病模块,并设计与这些模块相联系的护理过程中的问题式学习,用于护理课堂。
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引用次数: 0
The paths of career aspiration for intern nursing students: A fuzzy-set qualitative comparative analysis 实习护生的职业理想之路:模糊集定性比较分析。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-02 DOI: 10.1016/j.nepr.2024.104155
Yuye Zhang, Qiufang Li, Xiaokai Wang, Yan Zhang, Hongfeng Li, Ruixing Zhang

Aim

This study was conducted to explore the combination of different conditional variables that led to high career aspiration of intern nursing students.

Background

A severe shortage of nurses exists nationwide, and nurses’ low career aspiration contribute to high turnover rates and hinder the high-quality development of the nursing field. Nursing students undergoing clinical practice will become the backbone of future nursing staff. Enhancing their career aspiration is crucial for developing nursing career education and stabilizing the nursing team.

Design

This was a cross-sectional study. Using the cluster sampling method, 521 intern nursing students from Henan and Anhui in China were selected as participants from December 2023 to January 2024.

Methods

This study employed the fuzzy-set qualitative comparative analysis (fsQCA) to explore the configuration for paths of leading to high career aspiration among intern nursing students. General information questionnaires, career aspiration scale, clinical practice maladjustment scale, self-reflection and insight scale were used as measures in this study.

Results

The results showed that students’ origin, professional attitude, GPA, self-reflection and insight, relationship with preceptors and clinical practice maladjustment have a combined effect on career aspiration. This study found that eight configuration combined into four models could explain 75.9 % of high-level career aspiration (solution consistency = 0.786; solution coverage = 0.759).

Conclusion

The level of career aspiration among intern nursing students is the result of the combination of different conditional variables. Using a configurational perspective to intervene in nursing students with various characteristics is expected to enhance the career aspiration of intern nursing students.
目的:本研究旨在探讨导致实习护生高职业理想的不同条件变量的组合:背景:全国护士严重短缺,护士职业理想低导致护士流失率高,阻碍了护理事业的高质量发展。正在进行临床实习的护生将成为未来护理人员的中坚力量。提高他们的职业理想对发展护理职业教育、稳定护理队伍至关重要:本研究为横断面研究。设计:本研究为横断面研究,采用整群抽样法,选取 2023 年 12 月至 2024 年 1 月来自河南和安徽的 521 名实习护生作为研究对象:本研究采用模糊集定性比较分析法(fsQCA)探讨实习护生实现高职业理想的路径配置。研究采用一般信息问卷、职业理想量表、临床实践不适应量表、自我反思与洞察力量表作为测量指标:结果表明,学生的出身、职业态度、平均学分绩点、自我反省和洞察力、与实习医生的关系和临床实践不适应对职业理想有综合影响。本研究发现,八个配置组合成的四个模型可以解释 75.9 % 的高层次职业理想(解一致性 = 0.786;解覆盖率 = 0.759):实习护生的职业理想水平是不同条件变量组合的结果。结论:实习护生的职业理想水平是不同条件变量组合的结果,采用配置视角对不同特征的护生进行干预,有望提高实习护生的职业理想水平。
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引用次数: 0
期刊
Nurse Education in Practice
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