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Influence of simulation on the knowledge, skills, and confidence of entry-to-practice nursing students to recognise and respond to occupational violence and aggression: A scoping review 模拟对实习护理学生认识和应对职业暴力和侵略的知识、技能和信心的影响:范围审查。
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-24 DOI: 10.1016/j.nedt.2025.106939
Monica Peddle , Matthew Jackson , Adam Searby , Louise Alexander

Background

Occupational violence and aggression (OVA) are a widespread issue in healthcare, with nurses at high risk due to frequent interactions with patients, families, and visitors. Entry-to-practice nurses are particularly vulnerable due to transition stress, workload challenges, and exposure to aggressive or distressed individuals. OVA has significant consequences, including psychological distress, increased turnover, and reduced job satisfaction. Simulation-based education is increasingly used to prepare nursing students to recognise, respond to, and manage OVA effectively. The effectiveness of different simulation methodologies in improving students' preparedness remains unclear.

Objective

This scoping review explores the use of simulation in nursing education for OVA and examines its impact on student learning outcomes.

Methods

A systematic search was conducted across multiple databases, including CINAHL, MEDLINE, EMBASE, PsycINFO, and ERIC. Studies were included if they focused on simulation-based training for OVA in entry-to-practice nursing education. Thematic analysis was used to synthesise findings.

Results

Twenty-three studies were included, with the most common simulation modalities being standardised patients (n = 8) and role-play (n = 6), followed by virtual and video-based simulations. Most studies reported improvements in knowledge, de-escalation skills, and confidence in managing OVA, where several studies demonstrated significant improvements in knowledge, confidence, and de-escalation skills with reported p-values ranging from p < 0.05 to p < 0.001. Some challenges included high student anxiety, difficulty translating skills to practice, and inconsistencies in simulation reporting.

Conclusion

Simulation enhances nursing students' ability to manage OVA, but its long-term impact remains uncertain. Future research should focus on refining simulation methods, reducing student distress, and ensuring real-world applicability.
背景:职业暴力和攻击(OVA)在医疗保健中是一个普遍存在的问题,护士由于频繁与患者、家属和来访者互动而处于高风险中。由于过渡压力、工作量挑战以及接触攻击性或痛苦的个体,新手护士特别容易受到伤害。OVA有显著的后果,包括心理困扰、离职增加和工作满意度降低。基于模拟的教育越来越多地用于培养护理学生有效地识别、应对和管理OVA。不同模拟方法在提高学生备考能力方面的有效性尚不清楚。目的:本综述探讨了模拟在OVA护理教育中的应用,并考察了其对学生学习成果的影响。方法:系统检索多个数据库,包括CINAHL、MEDLINE、EMBASE、PsycINFO和ERIC。如果研究的重点是基于模拟的OVA在进入实践护理教育中的培训,则纳入研究。专题分析用于综合研究结果。结果:纳入了23项研究,最常见的模拟方式是标准化患者(n = 8)和角色扮演(n = 6),其次是虚拟和基于视频的模拟。大多数研究报告了知识、降级技能和管理OVA的信心的改善,其中有几项研究显示了知识、信心和降级技能的显着改善,报告的p值范围为p。结论:模拟增强了护理学生管理OVA的能力,但其长期影响仍不确定。未来的研究应侧重于完善模拟方法,减少学生的困扰,并确保现实世界的适用性。
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引用次数: 0
Preferences of undergraduate nursing students for value education in professional courses: A conjoint analysis 护理本科学生对专业课价值教育的偏好:一项联合分析。
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-24 DOI: 10.1016/j.nedt.2025.106942
Yunping Fang , Wenxuan Yu , Qiuge Zhao , Rui Li , Rui Li , Xue Zhang , Tongxia Zhan , Zhiyun Lv

Background

Values education has gained prominence in undergraduate nursing education as healthcare services continue to demand higher quality of care and professionalism. Undergraduate nursing students' preferences for these values education are critical for improving learning and optimizing instructional design.

Objective

To investigate the preferences of undergraduate nursing students regarding value education in professional courses.

Methods

A preference-based method, conjoint analysis, was utilized to explore undergraduate nursing students' preferences regarding value education in professional courses. A stepwise qualitative approach to determining the attributes and attribute levels of value education in professional courses. Scenarios were defined using an orthogonal fractional factorial design, and a cross-sectional survey was conducted anonymously using an online survey platform. Data analysis was conducted using SAS v9.4 and SPSS 26.0.

Results

A total of 554 completed the questionnaire. The most important attribute for students when making decisions was the duration of value education per class session (relative importance score = 36.13), followed by the content of value education (relative importance score = 29.75), the materials of value education (relative importance score = 28.18), and finally the teaching method of value education (relative importance score = 5.94). Among the 16 combined scenarios, the most popular combination was a duration of <2 min of value education per class session, focusing on content related to professionalism, using the teacher's personal growth experiences as material, and a teaching method involving interactive discussion between teacher and students.

Conclusions

Undergraduate nursing students' preferences for value education in professional courses are influenced by the duration of value education per class session, the content of value education, the materials of value education, and the teaching method of value education. These findings can provide useful insights for nursing educators in understanding student preferences and develop value education in professional courses programs.
背景:随着医疗保健服务对护理质量和专业水平的要求不断提高,价值观教育在本科护理教育中占有重要地位。本科护生对这些价值观教育的偏好对改善学习和优化教学设计至关重要。目的:了解本科护生对专业课价值教育的偏好。方法:采用基于偏好的联合分析方法,调查护理本科学生对专业课价值教育的偏好。用逐步定性的方法确定专业课程价值教育的属性和属性层次。使用正交分数因子设计定义场景,并使用在线调查平台进行匿名横断面调查。采用SAS v9.4和SPSS 26.0进行数据分析。结果:共554人完成问卷调查。学生在决策时最重要的属性是每节课价值教育的时长(相对重要性得分为36.13),其次是价值教育的内容(相对重要性得分为29.75),其次是价值教育的材料(相对重要性得分为28.18),最后是价值教育的教学方法(相对重要性得分为5.94)。结论:护本科生对专业课价值教育的偏好受每节课价值教育时长、价值教育内容、价值教育材料和价值教育教学方法的影响。本研究结果可为护理教育工作者了解学生偏好及在专业课程中开展价值教育提供有益的见解。
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引用次数: 0
Competency talk is cheap: Rethinking global standards in nursing education 能力谈话是廉价的:重新思考护理教育的全球标准
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-23 DOI: 10.1016/j.nedt.2025.106940
Adrianna Lorraine Watson , Carmel Bond , Debra Jackson
Competency has become one of the most frequently invoked concepts in nursing education. Across curricula, accreditation standards, and scholarly discourse, it is presented as a solution to concerns about graduate readiness. Yet despite the proliferation of frameworks, the meaning, assessment, and application of competency remain inconsistent and unevenly applied. This commentary critiques the contemporary emphasis on competency, arguing that the lack of coherence in definition and implementation risks reducing it to rhetoric rather than reality. The COVID-19 pandemic exposed the fragility of these frameworks. Despite years of discourse, few nursing programs had embedded pandemic-ready preparation. Nurses across both high- and low-resource settings were thrust into roles that exceeded their training, revealing the absence of unified standards and the limitations of existing approaches. Ultimately, the claim that we are “measuring competency” may provide reassurance but, without internationally coherent yet regionally adaptable standards, such claims risk remaining rhetorical. Coherence across nursing competency frameworks can be achieved through shared terminology, regional adaptation, and sustained international dialogue. Building on the World Health Organization's (2022) Global Competency and Outcomes Framework for Universal Health Coverage, this commentary proposes a practical path toward alignment without mandating uniformity. While the WHO framework provides an essential pathway, challenges in competency assessment and translation to practice remain. The commentary invites reflection on how nursing education can collaboratively shape feasible, contextually grounded solutions.
胜任力已成为护理教育中最常被提及的概念之一。在课程、认证标准和学术论述中,它被视为解决研究生准备问题的解决方案。然而,尽管框架的扩散,能力的意义、评估和应用仍然不一致和不均匀的应用。这篇评论批评了当代对能力的强调,认为在定义和实施方面缺乏一致性有可能使其沦为修辞而不是现实。2019冠状病毒病大流行暴露了这些框架的脆弱性。尽管多年来一直在讨论,但很少有护理项目为大流行做好准备。在资源丰富和资源贫乏的环境中,护士都被迫承担超出其培训范围的角色,这表明缺乏统一的标准和现有方法的局限性。最终,我们正在“衡量能力”的说法可能会让人放心,但如果没有国际上一致但又能适应地区的标准,这种说法可能只会停留在口头上。护理能力框架之间的一致性可以通过共享术语、区域适应和持续的国际对话来实现。在世界卫生组织(2022年)《全民健康覆盖全球能力和成果框架》的基础上,本评论提出了一条在不强制统一的情况下实现一致的实际途径。虽然世卫组织框架提供了一个基本途径,但在能力评估和转化为实践方面仍然存在挑战。评论邀请反思护理教育如何协同形成可行的,情境接地的解决方案。
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引用次数: 0
Fostering professional identity development during and after undergraduate nursing education: A systematic review of intervention studies 在本科护理教育期间和之后促进职业认同的发展:干预研究的系统回顾
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-23 DOI: 10.1016/j.nedt.2025.106938
Janne Vanuytrecht , Eva Goossens , Erik Franck

Background

In light of a global need to invest in nurse retention as a prerequisite for safeguarding sustainable health systems, the crucial role of professional identity development during and after nursing education has been recognized. However, a comprehensive overview of empirical evidence supporting interventions that effectively enhance the formation of professional identity in nursing is lacking.

Aims

To synthesize the evidence on the types and impact of interventions fostering professional identity development, on levels of professional identity and retention-related outcomes in nursing students and nurses.

Design

Systematic literature review.

Review methods

A comprehensive search was performed in PubMed, SCOPUS, and Web of Science up to May 16, 2024. Eligible studies included primary peer-reviewed (quasi-)experimental research on interventions fostering professional identity in nursing, measuring at least one specified outcome. A narrative synthesis approach was adopted, and intervention types were categorized through content analysis. The effect of interventions on selected outcomes was determined by summarizing data using appropriate measures of central tendency and dispersion.

Results

A total of 3923 unique studies were identified of which 14 were eligible. Most interventions occurred in nursing education, with some in clinical practice during onboarding or continuing education. Three categories of intervention types were distinguished: initiatives fostering role and professional awareness, transition-to-practice and orientation programs, and interprofessional learning activities. Promising interventions lasted between 5 weeks and 10 months and predominantly focused on enhancing self-understanding as a nurse and reflection on the nursing image, often through peer or expert interaction or clinical practice exposure. However, their effect on retention-related outcomes remained underexplored.

Conclusions

Our findings revealed that interventions aimed at effectively fostering professional identity vary in content, duration, target population and geographic location, underscoring their multifaceted and context-sensitive nature. Strengthening the link between professional identity and nurse retention is crucial for long-term workforce sustainability.
鉴于全球需要投资留住护士,作为维护可持续卫生系统的先决条件,在护理教育期间和之后,职业认同发展的关键作用已得到承认。然而,一个全面的经验证据支持的干预措施,有效地加强职业认同的形成在护理缺乏的概述。目的综合有关护生和护士职业认同发展、职业认同水平和保留相关结果的干预措施类型和影响的证据。系统文献综述。综合检索PubMed, SCOPUS和Web of Science,截止到2024年5月16日。符合条件的研究包括对培养护理专业认同的干预措施的初步同行评审(准)实验研究,测量至少一个特定的结果。采用叙事综合方法,通过内容分析对干预类型进行分类。干预措施对选定结果的影响是通过使用适当的集中趋势和分散度量来汇总数据来确定的。结果共鉴定出3923项独特的研究,其中14项符合条件。大多数干预发生在护理教育中,一些在入职或继续教育期间的临床实践中。干预类型分为三类:培养角色和专业意识的举措,向实践的过渡和定向计划,以及跨专业学习活动。有希望的干预措施持续5周到10个月,主要侧重于提高作为护士的自我理解和对护理形象的反思,通常通过同伴或专家互动或临床实践暴露。然而,它们对记忆相关结果的影响仍未得到充分研究。结论研究结果显示,旨在有效培养职业认同的干预措施在内容、持续时间、目标人群和地理位置等方面存在差异,强调了干预措施的多面性和情境敏感性。加强职业认同与护士保留之间的联系对于劳动力的长期可持续性至关重要。
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引用次数: 0
Clinical setting belongingness and development of perceived practice readiness in prelicensure nursing students: A scoping review 临床环境、归属感和护理预科学生感知实践准备的发展:范围审查
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-22 DOI: 10.1016/j.nedt.2025.106941
Beth Nease , Cynthia Corbett , Stephanie Armstrong , Kathy Casey

Objective

The objective of this scoping review was to explore the link between belongingness in the clinical setting and the development of practice readiness in undergraduate student nurses. With higher demand for an increasingly competent nursing workforce, understanding the factors that contribute to practice readiness is crucial. The focus of this paper is the influence of prelicensure nursing students' perceptions of belongingness in the clinical learning environment on students ‘preparedness for professional practice.

Design

The Joanna Briggs Institute methodology for scoping reviews was followed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Checklist. Data Sources: PubMed, CINAHL, and EMBASE databases were systematically searched.

Results

The review included 25 articles describing 20 studies, with diverse study methodological approaches and participant demographics. The literature reveals a diverse array of methodological approaches, with qualitative studies significantly outnumbering quantitative. Furthermore, the global reach of the research underscores the widespread recognition of belongingness as a critical factor in clinical learning and the development of practice readiness.

Conclusions

Belongingness is associated with increased opportunities for learning and skill development in the clinical setting, providing a bridge between theory and practice. A keen sense of belonging positively influences confidence in clinical problem solving, confidence in managing a patient care assignment, and confidence in clinical skill performance.
目的本综述的目的是探讨本科护士在临床环境中的归属感与实习准备发展之间的联系。随着对越来越有能力的护理人员的更高需求,了解有助于实践准备的因素至关重要。本研究的重点是护生在临床学习环境中的归属感感知对其专业实习准备的影响。设计乔安娜布里格斯研究所的范围审查方法是使用系统审查的首选报告项目和范围审查清单的元分析扩展。数据来源:系统检索PubMed、CINAHL和EMBASE数据库。结果本综述包括25篇文章,描述了20项研究,采用不同的研究方法和参与者人口统计学。文献揭示了多种方法方法,定性研究明显多于定量研究。此外,该研究的全球影响力强调了归属感作为临床学习和实践准备发展的关键因素的广泛认识。结论归属感与临床环境中学习和技能发展的机会增加有关,为理论和实践之间提供了一座桥梁。敏锐的归属感积极影响临床问题解决的信心,管理病人护理任务的信心,以及临床技能表现的信心。
{"title":"Clinical setting belongingness and development of perceived practice readiness in prelicensure nursing students: A scoping review","authors":"Beth Nease ,&nbsp;Cynthia Corbett ,&nbsp;Stephanie Armstrong ,&nbsp;Kathy Casey","doi":"10.1016/j.nedt.2025.106941","DOIUrl":"10.1016/j.nedt.2025.106941","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this scoping review was to explore the link between belongingness in the clinical setting and the development of practice readiness in undergraduate student nurses. With higher demand for an increasingly competent nursing workforce, understanding the factors that contribute to practice readiness is crucial. The focus of this paper is the influence of prelicensure nursing students' perceptions of belongingness in the clinical learning environment on students ‘preparedness for professional practice.</div></div><div><h3>Design</h3><div>The Joanna Briggs Institute methodology for scoping reviews was followed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Checklist. Data Sources: PubMed, CINAHL, and EMBASE databases were systematically searched.</div></div><div><h3>Results</h3><div>The review included 25 articles describing 20 studies, with diverse study methodological approaches and participant demographics. The literature reveals a diverse array of methodological approaches, with qualitative studies significantly outnumbering quantitative. Furthermore, the global reach of the research underscores the widespread recognition of belongingness as a critical factor in clinical learning and the development of practice readiness.</div></div><div><h3>Conclusions</h3><div>Belongingness is associated with increased opportunities for learning and skill development in the clinical setting, providing a bridge between theory and practice. A keen sense of belonging positively influences confidence in clinical problem solving, confidence in managing a patient care assignment, and confidence in clinical skill performance.</div></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"158 ","pages":"Article 106941"},"PeriodicalIF":4.2,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Role strain in the obstetrical nursing student in the context of cultural influence: An observational survey study 文化影响下产科护理学生角色紧张:一项观察性调查研究
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-21 DOI: 10.1016/j.nedt.2025.106935
Amy S.D. Lee , Kimberly Wilson , Katilya Ware , Megan Mileski , Lori Harrison , Sierra Keith , Thomas McCoy

Background

Role strain occurs when an individual has a variety of roles but the associated expectations conflict. Male identifying nursing students have been previously shown to experience greater role strain than female identifying students in their obstetrical (OB) clinical experience. Surrounding sociocultural events can influence role strain experienced by students. Sociocultural events over the last three decades have generated societal awareness that has created role expectations potentially resulting in increased role strain for students in the OB clinical setting.

Objectives

Through replication of a 1991 study conducted by Sherrod, we sought to determine whether role strain differed between male and female identifying nursing students in OB clinical setting currently and compared to the 1991 students.

Design

Study participants were directed to the Sherrod Role Strain Scale (SRSS) through an online web-based survey through an anonymous link.

Setting

Study participants were recruited from baccalaureate nursing programs at three universities in the southeastern United States.

Participants

Nursing students who had completed their OB coursework at the three universities were invited to participate.

Results

Male identifying participants (n = 14) demonstrated no difference in role strain when compared to female identifying participants (n = 120) (Male M = 86.2, Female M = 79.1, Cohen's d = −0.35, 95 % CI = [−0.91, 0.21] p = 0.22). However, a majority of all study participants (n = 134) demonstrated substantial role strain (56.3 %). Both male identifying and female identifying participants demonstrated similar substantial overall role strain (males 64.3 % vs. females 55.3 %, RR = 1.16, 95 % CI = [0.76, 1.78]). Neither male identifying participants (Current M = 86.2 vs. 1991 M = 94.8) nor female identifying participants (Current M = 79.1 vs. 1991 M = 75.6) demonstrated meaningful differences in role strain when compared to the 1991 cohort.

Conclusions

Results indicate role strain experienced by OB nursing students, regardless of gender identification, continues to be a significant factor in the current clinical environment. Educators can utilize this awareness of increasing role strain in the context of sociocultural influence among students in the OB clinical setting to improve the student experience.
当一个人有各种各样的角色,但相关的期望冲突时,就会出现角色紧张。男性识别护理学生在产科(OB)临床经验中比女性识别学生经历更大的角色压力。周围的社会文化事件会影响学生所经历的角色紧张。过去三十年的社会文化事件产生了社会意识,创造了角色期望,可能导致OB临床环境中学生角色压力增加。目的通过对Sherrod 1991年的一项研究的重复研究,我们试图确定在妇产科临床环境中,与1991年的学生相比,男性和女性识别护理学生的角色压力是否存在差异。设计研究的参与者通过匿名链接通过在线网络调查被引导到Sherrod角色应变量表(SRSS)。研究参与者是从美国东南部三所大学的护理学士学位课程中招募的。参与者邀请在三所大学完成OB课程的护理学生参加。结果男性识别被试(n = 14)与女性识别被试(n = 120)在角色应变方面无差异(男M = 86.2,女M = 79.1, Cohen’s d = - 0.35, 95% CI = [- 0.91, 0.21] p = 0.22)。然而,大多数研究参与者(n = 134)表现出实质性的角色紧张(56.3%)。男性认同和女性认同的参与者都表现出相似的整体角色紧张(男性64.3%对女性55.3%,RR = 1.16, 95% CI =[0.76, 1.78])。男性认同参与者(当前M = 86.2 vs 1991年M = 94.8)和女性认同参与者(当前M = 79.1 vs 1991年M = 75.6)与1991年队列相比,都没有表现出有意义的角色压力差异。结论结果表明,无论性别认同如何,OB护生所经历的角色紧张仍然是当前临床环境中的重要因素。教育工作者可以利用这种意识,在社会文化影响的背景下,在OB临床设置学生的角色压力增加,以改善学生的经验。
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引用次数: 0
A curriculum framework for embedding artificial intelligence literacies in pre-registration nursing education 在注册前护理教育中嵌入人工智能素养的课程框架。
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-21 DOI: 10.1016/j.nedt.2025.106928
Emily Tomlinson , Monica Schoch , Jo McDonall

Background

Pre-registration nursing students need to be appropriately prepared for a healthcare environment that is increasingly utilising artificial intelligence. Currently, there are no guidelines available for embedding critical artificial intelligence literacies into nursing curricula.

Purpose

This paper presents a novel curriculum framework that was developed for systematically embedding critical artificial intelligence literacy across a three-year pre-registration nursing program.

Framework Development

The proposed framework was developed after the pilot implementation of artificial intelligence literacies into the pre-registration nursing program at Deakin University in Victoria, Australia. Consultation with university staff including academics and specialist learning designers was undertaken. The proposed framework aligns with professional clinical guidelines and the institutions artificial intelligence principles document.

Curriculum framework

This framework proposes scaffolded learning outcomes, example content and skills for use in each year of the program. In year one students can be introduced to foundational artificial intelligence concepts in academic contexts. In year two the content transitions to healthcare applications; and in year three there is an emphasis on practical clinical implementation. The proposed framework provides academics with clear learning outcomes, example content, and skill development goals specific to embedding artificial intelligence.

Conclusion

The structured approach in this framework aims to ensure that nursing graduates develop critical skills in artificial intelligence evaluation, ethical understandings, and clinical application. Future directions include broader adoption across healthcare education programs and continuous framework refinement through collaborative co-design approaches.
背景:预注册护理学生需要为越来越多地利用人工智能的医疗环境做好适当的准备。目前,还没有将关键的人工智能知识嵌入护理课程的指导方针。目的:本文提出了一个新的课程框架,该框架是为了在一个为期三年的预注册护理计划中系统地嵌入关键的人工智能素养而开发的。框架开发:拟议的框架是在澳大利亚维多利亚州迪肯大学将人工智能素养试点应用于预注册护理项目后开发的。与包括学者和专业学习设计师在内的大学工作人员进行了协商。拟议的框架与专业临床指南和机构人工智能原则文件保持一致。课程框架:该框架提出了框架式的学习成果、示例内容和技能,以便在每年的课程中使用。在第一年,学生可以在学术背景下学习基本的人工智能概念。在第二年,内容过渡到医疗保健应用程序;第三年的重点是临床实践。提出的框架为学者提供了明确的学习成果、示例内容和特定于嵌入人工智能的技能发展目标。结论:本框架中的结构化方法旨在确保护理毕业生在人工智能评估、伦理理解和临床应用方面培养关键技能。未来的发展方向包括在医疗保健教育项目中更广泛地采用,并通过协同设计方法不断改进框架。
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引用次数: 0
Within healthcare education how do simulated patients enable (or not) the transfer of learning into clinical practice: A realist review 在医疗保健教育中,模拟患者如何使(或不)将学习转化为临床实践:现实主义回顾
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-19 DOI: 10.1016/j.nedt.2025.106927
Kate O' Donovan , Michael Connolly , Freda Browne
<div><h3>Background</h3><div>Simulation-based education is recognised as a valuable approach in preparing healthcare learners for clinical practice. This approach provides learners with a safe environment to develop their skills. Simulated patients: persons who portray a patient or family member realistically are considered the highest level of realism, enabling learners to engage on an emotional, tactile and physical level. Although the reported benefits of this educational strategy include students feeling more prepared for clinical practice, little is known about how and why simulated patients enable the transfer of learning into clinical practice.</div></div><div><h3>Objective</h3><div>To understand how and why, within healthcare education, simulated patients enable (or not) the transfer of learning into clinical practice.</div></div><div><h3>Design</h3><div>A realist review, according to the RAMESES training materials and standards, was undertaken.</div></div><div><h3>Review methods</h3><div>Initial scoping of the literature and engagement with an expert advisory panel informed candidate programme and rival theory development. These theories highlighted key assumptions regarding how and why simulated patients enable the transfer of learning into clinical practice. These theories were tested and refined using an iterative approach across the stages of the review. A systematic search was undertaken using the context, intervention, mechanism and outcomes framework. Resultant papers were imported into Covidence for screening by two independent reviewers, with conflicts resolved by a third. The included papers were appraised for relevance, richness and rigour. This process was conducted simultaneously with data extraction to support analytical depth and methodological integrity. Findings were analysed and established as context mechanisms and outcome configurations (CMOc) in line with realist principles that informed theory development and refinement.</div></div><div><h3>Results</h3><div>Of 2694 papers, 43 were included in the final analysis. Key contextual factors included learner characteristics, such as prior clinical or simulation experience and preparation for the scenario, as well as simulated patient training. Mechanisms identified include realism, authenticity, spontaneity and safety. These mechanisms triggered outcomes of learner increased self-efficacy, confidence and enhanced knowledge and skills which were transferable into clinical practice.</div></div><div><h3>Conclusion</h3><div>Simulated patients play a pivotal role in healthcare education, providing a realistic and safe learning environment for learners to practice and develop their skills. Mechanisms such as realism, authenticity and feedback to the learner enable outcomes such as enhanced knowledge and increased self-efficacy, which are transferable to clinical practice. Despite these reported outcomes, further evaluation is necessary to fully understand how simulated patients
基于模拟的教育被认为是为临床实践准备医疗保健学习者的一种有价值的方法。这种方法为学习者提供了一个安全的环境来发展他们的技能。模拟病人:逼真地描绘病人或家庭成员的人被认为是现实主义的最高水平,使学习者能够在情感、触觉和身体层面上参与。尽管这种教育策略的益处包括学生感觉为临床实践做好了更多的准备,但对于模拟患者如何以及为什么能够将学习转移到临床实践中,人们知之甚少。目的了解在医疗保健教育中,模拟患者如何以及为什么能够(或不能)将学习转化为临床实践。根据RAMESES培训材料和标准,进行了现实审查。文献的初步范围和与专家顾问小组的接触,为候选人计划和竞争理论的发展提供了信息。这些理论强调了关于如何以及为什么模拟患者能够将学习转移到临床实践中的关键假设。这些理论在审查的各个阶段使用迭代方法进行测试和改进。使用背景、干预、机制和结果框架进行了系统的搜索。由此产生的论文被输入到covid中,由两名独立审稿人进行筛选,冲突由第三名审稿人解决。纳入的论文根据相关性、丰富性和严谨性进行了评价。该过程与数据提取同时进行,以支持分析深度和方法完整性。研究结果被分析并建立为情境机制和结果配置(CMOc),符合现实主义原则,为理论的发展和完善提供信息。结果2694篇论文中有43篇被纳入最终分析。关键的环境因素包括学习者的特征,如先前的临床或模拟经验和对场景的准备,以及模拟患者培训。确定的机制包括现实主义、真实性、自发性和安全性。这些机制引发了学习者自我效能感、信心和知识技能的增强,这些知识和技能可转移到临床实践中。结论模拟患者在健康教育中发挥着重要的作用,为学习者提供了一个真实、安全的学习环境来练习和发展自己的技能。诸如现实主义、真实性和对学习者的反馈等机制能够实现诸如增强知识和提高自我效能等结果,这些结果可转移到临床实践中。尽管有这些报道的结果,进一步的评估是必要的,以充分了解如何模拟患者使学习转移到临床实践。
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引用次数: 0
Exploring nursing students' experiences with simulation-based learning using educational electronic nursing records 探讨护理学生使用教育电子护理记录进行模拟学习的经验
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-19 DOI: 10.1016/j.nedt.2025.106926
Narae Heo , Jiyoung Kim

Background

Although efforts have been made to integrate electronic nursing records (ENRs) into undergraduate nursing education, evidence supporting their use is lacking.

Aim

This study aimed to obtain a practical understanding of nursing students' experiences with educational ENRs in simulation-based learning and to improve the planning and implementation of future educational strategies involving ENRs.

Design

A qualitative study was conducted to obtain a deeper understanding of nursing students' experiences of using educational ENR in simulation-based learning.

Setting

A university in South Korea.

Participants

Participants were selected through purposive sampling, and 23 fourth-year nursing students were included in the study.

Methods

A simulation was conducted using an educational ENR (fall risk assessment tool, needs assessment, clinical observations, and nursing records). The collected data were subjected to qualitative content analysis according to the preparation, organization, and reporting phases.

Results

The results of the analysis revealed the following themes: “Realism and Clinical Readiness,” “Formation of Attitudes and Responsibility as a Nurse,” “Accessibility to Information and System Usability,” “Improvement of Nursing Problem-Solving and Clinical Information Utilization Skills,” and “Educational Suggestions and Improvement Requests.” The use of an ENR in a simulation was perceived as a valuable educational opportunity to apply nursing records knowledge in a real-world context and increase readiness for clinical practice.

Conclusion

The experience of utilizing an ENR in simulations contributed to improvements in nursing record competency and professional identity. The learning effect can be maximized when structured guidance and timely feedback on nursing documentation are provided.
虽然已经努力将电子护理记录(ENRs)整合到本科护理教育中,但缺乏支持其使用的证据。目的本研究旨在了解护生在模拟学习中对教育性ENRs的体验,以改善未来涉及ENRs的教育策略的规划与实施。设计通过质性研究,深入了解护生在模拟学习中使用教育性ENR的体验。在韩国的一所大学。研究对象采用目的抽样法,选取护理专业四年级学生23名。方法采用教育ENR(跌倒风险评估工具、需求评估、临床观察和护理记录)进行模拟。收集的数据根据准备、组织和报告阶段进行定性内容分析。结果分析结果揭示了以下主题:“现实主义与临床准备”、“护士态度和责任的形成”、“信息可及性和系统可用性”、“护理问题解决和临床信息利用技能的提高”和“教育建议和改进要求”。在模拟中使用ENR被认为是一个宝贵的教育机会,可以将护理记录知识应用于现实世界,并为临床实践做好准备。结论在模拟护理中应用ENR的经验有助于提高护理记录能力和职业认同。当提供结构化的指导和及时的护理文件反馈时,学习效果可以最大化。
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引用次数: 0
Corrigendum to “A survey to understand knowledge and perception of climate change: a Delphi study on health professionals” [Nurse Educ. Today 156 (2026) 106879] “了解气候变化知识和感知的调查:对卫生专业人员的德尔菲研究”[护士教育]的勘误表。今天156(2026)106879]。
IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-17 DOI: 10.1016/j.nedt.2025.106914
Martina Batino , Eleonora Moraca , Sandra Trapani , Antonino Morabito , Daniele Ciofi
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引用次数: 0
期刊
Nurse Education Today
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