高仿真模拟经验、临床推理和新护士临床能力之间的关系:横断面研究

IF 3.8 3区 医学 Q1 NURSING International Nursing Review Pub Date : 2024-04-30 DOI:10.1111/inr.12973
Hyeran Park MSN, CHNP, RN, Young Joo Lee PhD, RN, Debra K. Moser PhD, RN, FAHA, FAAN, JuHee Lee PhD, RN, APRN, FAAN
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引用次数: 0

摘要

背景高仿真模拟(HFS)已被广泛应用于护理教育中。方法 收集在本科四年级课程中体验过 HFS 的新护士(n = 224)的数据。对 HFS 的数量、模拟元素的包含情况、模拟元素对学习、临床推理和临床能力的重要性进行了测量。分层回归模型考察了与临床推理和临床能力相关的因素。结果反馈是HFS学习中最充分的元素,参与者认为它是最重要的。与临床能力相关的一个重要因素是临床推理,HFS设计通过临床推理间接影响了临床能力。提高学生的临床推理能力应该是本科课程中 HFS 学习的一个重要目标,以培养学生成为有临床能力的护士。对护理政策的启示护士教育者和领导者可以通过在护理教育政策中强调培养护士临床推理能力的教育来提高护士的临床能力。
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Relationship of high-fidelity simulation experience, clinical reasoning, and clinical competence of new nurses: A cross-sectional study

Aim

This study aimed to determine which high-fidelity simulation (HFS) experiences were associated with clinical reasoning and clinical competence among new nurses.

Background

HFS has been actively used in nursing education. It is necessary to verify the effects of HFS transfer to the clinical environment.

Design

A cross-sectional study reported following STROBE criteria.

Methods

Data were collected on new nurses (n = 224) who experienced HFS in their fourth-year undergraduate courses. The number of HFSs, the inclusion of simulation elements, the importance of elements to learning, clinical reasoning, and clinical competence were measured. Hierarchical regression models examined factors associated with clinical reasoning and clinical competence.

Results

Feedback was the most sufficiently included element of the HFS learning, and participants perceived it as the most important. A significant factor associated with clinical competence was clinical reasoning, and HFS design indirectly affected clinical competence through clinical reasoning.

Conclusions

HFS learning is one of the best ways to improve clinical reasoning. Improving students' clinical reasoning should be an important goal of HFS learning in undergraduate courses to prepare students to be clinically competent nurses.

Implications for nursing

The ultimate goal of nursing education is to prepare nursing students to be competent nurses. Validating the outcomes of nursing education in the clinical environment setting is an essential task to improve clinical practice.

Implications for nursing policy

Nurse educators and leaders can increase nurses' clinical competence by emphasizing education to foster nurses' clinical reasoning in nursing education policies.

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来源期刊
CiteScore
7.90
自引率
7.30%
发文量
72
审稿时长
6-12 weeks
期刊介绍: International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.
期刊最新文献
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