目的 通过分析近20年国内外护理模拟教育中复盘(引导性反馈)的相关文献,梳理该领域的研究现状和发展趋势,为未来的护理教育研究指引方向。方法 以科学引文数据库和中国知网等数据库为数据来源,检索自建库至2024年收录的护理模拟教育中复盘的相关文献,应用CiteSpace 软件对其进行可视化分析。结果 本研究共纳入英文文献740篇,中文文献41篇,发文量整体呈现波动上升趋势;发文量主要集中在美国;研究热点主要集中在本科护理教育和模拟教学方法等方面;研究前沿主要集中在模拟教学实践标准和教学效果研究等方面。结论 复盘逐渐受到国际护理学教育者的关注,但文献质量有待于进一步提高,应通过开展高质量的随机对照试验提升复盘在护理模拟教育应用中的深度和广度。
Objective To review the current research status and development trends in the field of debriefing in nursing simulation education,by analyzing relevant literature in the field over the past 20 years,so as to provide guidance for future research directions in nursing education. Methods Using data from the Web of Science database and CNKI,we conducted a literature search on debriefing in nursing simulation education from inception to 2024.Visual analysis of these articles was performed using CiteSpace software.Results This study included a total of 740 English articles and 41 Chinese articles,showing an overall increasing trend in publication volume.The majority of publications originated from the United States.The research focus predominantly lies in nursing education and simulation teaching.At the forefront of research are simulation teaching practice standards and studies on teaching effectiveness.Conclusions Debriefing is increasingly capturing the attention of international nursing educators,yet there is room for improvement in the quality of the literature.Enhancing the depth and breadth of debriefing in nursing simulation education can be achieved through conducting rigorous randomized controlled trials.
[1] Kim YJ,Yoo JH.The utilization of debriefing for simulation in healthcare: a literature review[J].Nurse Educ Pract,2020,43:102698. DOI:10.1016/j.nepr.2020.102698.
[2] Tachakra S, Creagh-Brown B. Using telemedicine for distance education[J]. J Telemed Telecare, 2001,7 Suppl 1:43-44. DOI: 10.1177/1357633X010070S117.
[3] 刘茜.护理模拟教学中应用引导性反馈的研究进展[J].护理学杂志,2015,30(1):96-98. DOI:10.3870/hlxzz.2015.01.097.
[4] Sando CR, Coggins RM, Meakim C, et al. Standards of Best Practice:Simulation Standard VII:participant assessment and evaluation[J].Clinical Simulation in Nursing,2013,9(6):S30-S32. DOI:10.1016/j.ecns.2013.04.007.
[5] INACSL Standards Committee. INACSL Standards of Best Practice: SimulationSM Participant Evaluation[J]. Clinical Simulation in Nursing, 2016, 12: S26-S29. DOI: 10.1016/j.ecns.2016.09.009.
[6] INACSL Standards Committee. INACSL Standards of Best Practice: SimulationSM Debriefing[J]. Clinical Simulation in Nursing, 2016, 12: S21-S25. DOI:10.1016/j.ecns.2016.09.008.
[7] Levett-Jones T, Lapkin S. A systematic review of the effectiveness of simulation debriefing in health professional education[J]. Nurse Educ Today, 2014,34(6):e58-63. DOI: 10.1016/j.nedt.2013.09.020.
[8] INACSL Standards Committee, Decker S, Alinier G, et al. Healthcare Simulation Standards of Best PracticeTM the Debriefing Process[J].Clinical Simulation in Nursing,2021,58:27-32.DOI:10.1016/j.ecns.2021.08.011.
[9] 秦芳,何小凤,史蕾,等.同伴引航式引导性反馈在高仿真情境模拟教学中的应用[J].护理学杂志,2023,38(24):68-71,75.DOI:10.3870/j.issn.1001-4152.2023.24.068.
[10] Waznonis AR.Simulation debriefing practices in traditional baccalaureate nursing programs: national survey results[J].Clinical Simulation in Nursing,2015,11(2):110-119. DOI:10.1016/j.ecns.2014.10.002.
[11] Clark R, McLean C. The professional and personal debriefing needs of ward based nurses after involvement in a cardiac arrest: an explorative qualitative pilot study[J]. Intensive Crit Care Nurs, 2018,47:78-84. DOI: 10.1016/j.iccn.2018.03.009.
[12] Neill Mark A,Karen Wotton.High-fidelity simulation debriefing in nursing education: a literature review[J].Clinical Simulation in Nursing,2011,7(5):e161-e168. DOI:10.1016/j.ecns.2011.02.001.
[13] Góes F, Jackman D. Development of an instructor guide tool: 'three stages of holistic debriefing'[J]. Rev Lat Am Enfermagem, 2020,28:e3229. DOI: 10.1590/1518-8345.3089.3229.
[14] Penalo LM. Effects of the virtual simulation prebriefing-debriefing educational strategy on nursing students' self-efficacy and virtual simulation performance:a quasi-experimental study[J].Clinical Simulation in Nursing,2023,82:101431. DOI:10.1016/j.ecns.2023.101431.
[15] Koy V, Preechawong S, Yunibhand J, et al. Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: a quasi-experimental study[J]. Heliyon, 2023,9(10):e20341. DOI: 10.1016/j.heliyon.2023.e20341.
[16] 杨冰香,黄润,徐爱京,等.模拟教学引导性反馈的标准和策略[J].中华护理教育,2020,17(1):18-23. DOI:10.3761/j.issn.1672-9234.2020.01.003.
[17] Brett-Fleegler M, Rudolph J, Eppich W, et al. Debriefing assessment for simulation in healthcare: development and psychometric properties[J]. Simul Healthc, 2012,7(5):288-294. DOI: 10.1097/SIH.0b013e3182620228.
[18] Reed Shelly J. Debriefing Experience Scale:development of a tool to evaluate the student learning experience in debriefing[J].Clinical Simulation in Nursing,2012,8(6):e211-e217. DOI:10.1016/j.ecns.2011.11.002.