基于屏幕的虚拟模拟在护理学专业小腿骨折情境模拟教学中的应用效果评价

doi:10.3760/cma.j.cn115259-20240722-00767

中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (8): 616-620.DOI: 10.3760/cma.j.cn115259-20240722-00767

基于屏幕的虚拟模拟在护理学专业小腿骨折情境模拟教学中的应用效果评价

金三丽¹, 韩凤萍², 路潜¹, 庞冬¹, 杨萍¹

¹北京大学护理学院内外科护理学教研室,北京 100191;
²北京大学护理学院实验教学中心,北京 100191

收稿日期:2024-07-22 出版日期:2025-08-01 发布日期:2025-07-30
通讯作者: 金三丽, Email: jinsanli@bjmu.edu.cn
基金资助:
2024年度北京大学医学部教育教学研究课题(2024YB25)

Evaluation of the effectiveness of screen-based simulation for a lower leg fracture simulation for undergraduate nursing students

Jin Sanli¹, Han Fengping², Lu Qian¹, Pang Dong¹, Yang Ping¹

¹Division of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing 100191, China;
²Laboratory Center, School of Nursing, Peking University, Beijing 100191, China

Received:2024-07-22 Online:2025-08-01 Published:2025-07-30
Contact: Jin Sanli, Email: jinsanli@bjmu.edu.cn
Supported by:
Education Research Project of Peking University Health Science Center in 2024 (2024YB25)

摘要/Abstract

摘要： 目的评价基于屏幕的虚拟模拟(Screen-based simulation,SBS)作为模拟前准备在护理学专业学生小腿骨折情境模拟教学中的应用效果。方法采用横断面研究设计调查国内某院校的本科护理学专业三年级93名学生。作为模拟前准备,学生在小腿骨折的现场模拟之前完成SBS练习。在现场模拟中,教师根据“小腿骨折——学生表现核查表”评估学生在现场模拟中的表现;现场模拟结束后,采用护士临床推理量表和临床学习环境比较调查表对学生进行问卷调查。结果 85名(91.4%)学生认为SBS练习对现场模拟有很大或非常大帮助;学生在现场模拟中的表现评分均值为72.83分,高于上届学生均值(57.67分);学生的临床推理量表总分为(62.28±6.94)分,处于较高水平;学生在现场模拟教学环境中的临床学习环境比较调查表总分高于屏幕模拟教学环境,分别为(87.14±13.36)分和(77.77±16.79)分,其差异具有统计学意义(P<0.001)。结论采用SBS作为模拟前准备,有效改善了学生在现场模拟中的表现,并训练了学生的临床推理能力。今后需要进一步研究SBS作为模拟前准备的最佳实践,以及是否可以纳入更多的SBS来提高模拟的教学效果。

关键词: 护理学, 基于屏幕的虚拟模拟, 现场模拟, 临床推理能力

Abstract: Objective To evaluate the effectiveness of screen-based simulation (SBS) as presimulation preparation for a lower leg fracture simulation for undergraduate nursing students. Methods A cross-sectional study was employed among 93 junior nursing students from nursing school of a university. They were required to complete SBS as presimulation preparation for a lower leg fracture simulation. The students' performance in in-person simulation were evaluated by facilitators according to a demonstrating checklist for simulation of lower leg fracture. After in-person simulation, students were invited to answer the Nurses Clinical Reasoning Scale (NCRS) and Clinical Learning Environment Comparison Survey (CLECS). Results Totally 85(91.4%) students believed that SBS was of great or very great help to in-person simulation. The mean score of the students' performance in in-person simulation was 72.83, which was higher than that of previous students (57.67). The total NCRS score was 62.28±6.94, indicating a high level of clinical reasoning ability. The total CLECS score in in-person simulation was higher than that in SBS, which was 87.14±13.36 and 77.77±16.79 respectively, and the difference was statistically significant (P<0.001). Conclusions The use of SBS as presimulation preparation was effective in improving the students' performance score in simulation and training their clinical reasoning ability. Further study is needed to determine best practices of using SBS before in-person simulation, and whether more SBS could be involved to enhance the learning outcomes.

Key words: Nursing, Screen-based simulation, In-person simulation, Clinical reasoning ability

中图分类号:

R-05

金三丽, 韩凤萍, 路潜, 庞冬, 杨萍. 基于屏幕的虚拟模拟在护理学专业小腿骨折情境模拟教学中的应用效果评价[J]. 中华医学教育杂志, 2025, 45(8): 616-620.

Jin Sanli, Han Fengping, Lu Qian, Pang Dong, Yang Ping. Evaluation of the effectiveness of screen-based simulation for a lower leg fracture simulation for undergraduate nursing students[J]. Chinese Journal of Medical Education, 2025, 45(8): 616-620.

参考文献

[1] Fields L, Trostian B, Moroney T, et al. Active learning pedagogy transformation: a whole-of-school approach to person-centred teaching and nursing graduates[J]. Nurse Educ Pract, 2021,53:103051. DOI: 10.1016/j.nepr.2021.103051.
[2] Spigelmyer PC, Loughran MC. Simulation: an active learning pedagogy for an undergraduate nursing leadership course[J]. Nurs Forum, 2022,57(5):765-772. DOI: 10.1111/nuf.12760.
[3] Lei YY, Zhu L, Sa Y, et al. Effects of high-fidelity simulation teaching on nursing students' knowledge, professional skills and clinical ability: a meta-analysis and systematic review[J]. Nurse Educ Pract, 2022,60:103306. DOI: 10.1016/j.nepr.2022.103306.
[4] INACSL Standards Committee. Healthcare Simulation Standards of Best Practice^TMPrebriefing: preparation and briefing [J]. Clin Simul Nurs, 2021, 58: 9-13. DOI: 10.1016/j.ecns.2021.08.008.
[5] Chamberlain J. The impact of simulation prebriefing on perceptions of overall effectiveness, learning, and self-confidence in nursing students[J]. Nurs Educ Perspect, 2017,38(3):119-125. DOI: 10.1097/01.NEP.0000000000000135.
[6] Tyerman J, Luctkar-Flude M, Graham L, et al. A systematic review of health care presimulation preparation and briefing effectiveness[J]. Clin Simul Nurs, 2019, 27: 12-25. DOI: 10.1016/j.ecns.2018.11.002.
[7] Luo Y, Geng C, Pei X, et al. The evaluation of the distance learning combining webinars and virtual simulations for senior nursing students during the COVID-19 period[J]. Clin Simul Nurs, 2021,57:31-40. DOI: 10.1016/j.ecns.2021.04.022.
[8] Shorey S, Ng ED. The use of virtual reality simulation among nursing students and registered nurses: a systematic review[J]. Nurse Educ Today, 2021,98:104662. DOI: 10.1016/j.nedt.2020.104662.
[9] Dubovi I. Online computer-based clinical simulations: the role of visualizations[J]. Clin Simul Nurs, 2019, 33: 35-41. DOI: 10.1016/j.ecns.2019.04.009.
[10] Peddle M, Bearman M, McKenna L, et al. "Getting it wrong to get it right": faculty perspectives of learning non-technical skills via virtual patient interactions[J]. Nurse Educ Today, 2020,88:104381. DOI: 10.1016/j.nedt.2020.104381.
[11] Luctkar-Flude M, Tyerman J, Tregunno D, et al. Designing a virtual simulation game as presimulation preparation for a respiratory distress simulation for senior nursing students:usability, feasibility, and perceived impact on learning [J]. Clin Simul Nurs, 2021, 52(C): 35-42. DOI: 10.1016/j.ecns.2020.11.009.
[12] Jeffries PR. The NLN Jeffries simulation theory[M]. Alphen aan den Rijn: Wolters Kluwer Health, 2015: 39-42.
[13] Liou SR, Liu HC, Tsai HM, et al. The development and psychometric testing of a theory-based instrument to evaluate nurses' perception of clinical reasoning competence[J]. J Adv Nurs, 2016,72(3):707-717. DOI: 10.1111/jan.12831.
[14] 王玉静. 沈阳市三级甲等医院护士临床推理能力现状及与自主学习能力的相关性研究[D]. 沈阳: 中国医科大学, 2018.
[15] Leighton K. Development of the clinical learning environment comparison survey[J].Clin Simul Nurs, 2015, 11 (1): 44-51. DOI: 10.1016/j.ecns.2014.11.002.
[16] Leighton K, Kardong-Edgren S, Schneidereith T, et al. Meeting undergraduate nursing students' clinical needs: a comparison of traditional clinical, face-to-face simulation, and screen-based simulation learning environments[J]. Nurse Educ, 2021,46(6):349-354. DOI: 10.1097/NNE.0000000000001064.
[17] Gu YH, Xiong L, Bai JB, et al. Chinese version of the clinical learning environment comparison survey: assessment of reliability and validity[J]. Nurse Educ Today, 2018,71:121-128. DOI: 10.1016/j.nedt.2018.09.026.
[18] Sharoff L. Student's perception of vSim for nursing^® using the simulation effectiveness tool-modified[J]. Clin Simul Nurs, 2022,68:1-8. DOI: 10.1016/j.ecns.2022.04.006.
[19] Mistry D, Brock CA, Lindsey T. The present and future of virtual reality in medical education: a narrative review[J]. Cureus, 2023,15(12):e51124. DOI: 10.7759/cureus.51124.
[20] 赵文晓, 刘艳丽. 虚拟病人联合模拟实践教学在护理本科生临床推理能力培养中的应用效果[J].护理研究,2021,35(19):3511-3513. DOI: 10.12102/j.issn.1009-6493.2021.19.028.
[21] Sim J, Rusli K, Seah B, et al. Virtual simulation to enhance clinical reasoning in nursing: a systematic review and meta-analysis[J]. Clin Simul Nurs, 2022,69:26-39. DOI: 10.1016/j.ecns.2022.05.006.
[22] Foronda CL, Gonzalez L, Meese MM, et al. A comparison of virtual reality to traditional simulation in health professions education: a systematic review[J]. Simul Healthc, 2024,19(1S):S90-S97. DOI: 10.1097/SIH.0000000000000745.
[23] 金三丽, 黄天笑, 李佳晋. 护理学专业本科生在实景教学与模拟教学环境中学习效果的比较[J].中华医学教育杂志,2023,43(6):437-440. DOI: 10.3760/cma.j.cn115259-20221018-01316.

基于屏幕的虚拟模拟在护理学专业小腿骨折情境模拟教学中的应用效果评价

Evaluation of the effectiveness of screen-based simulation for a lower leg fracture simulation for undergraduate nursing students

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