{"title":"基于能力的客观结构化临床检查的模拟区域方法。","authors":"Laura Klenke-Borgmann, Nate Mattson","doi":"10.1097/NNE.0000000000001829","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Competency-based education (CBE) can be achieved through purposeful structuring of experiential learning. Yet, there is scant guidance for nurse educators to operationalize this transition.</p><p><strong>Purpose: </strong>To describe a semester-long CBE simulation curriculum for third-year nursing students, using the SimZone (Zone 0-3) framework.</p><p><strong>Methods: </strong>Zone 0 ensured foundational knowledge. Objective Structured Clinical Examination (OSCE) Prep Lab 1 (Zone 1) and Prep Lab 2 (Zone 2) provided deliberate skill practice and small group simulation practice, respectively. Zone 3 was the summative OSCE.</p><p><strong>Results: </strong>Students' (n = 107) performance was assessed on patient safety, clinical judgment, assessment, and communication. Initially, 64% of students were deemed competent, increasing to 92% after additional practice and to 100% with further iteration. Students also reviewed their OSCE recordings and completed reflective writing.</p><p><strong>Conclusion: </strong>This approach may serve as a model for other nursing programs to implement competency-based curricula through leveled simulations and iterative learning.</p>","PeriodicalId":54706,"journal":{"name":"Nurse Educator","volume":" ","pages":"173-178"},"PeriodicalIF":3.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"SimZones Approach to a Competency-Based Objective Structured Clinical Examination.\",\"authors\":\"Laura Klenke-Borgmann, Nate Mattson\",\"doi\":\"10.1097/NNE.0000000000001829\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Competency-based education (CBE) can be achieved through purposeful structuring of experiential learning. Yet, there is scant guidance for nurse educators to operationalize this transition.</p><p><strong>Purpose: </strong>To describe a semester-long CBE simulation curriculum for third-year nursing students, using the SimZone (Zone 0-3) framework.</p><p><strong>Methods: </strong>Zone 0 ensured foundational knowledge. Objective Structured Clinical Examination (OSCE) Prep Lab 1 (Zone 1) and Prep Lab 2 (Zone 2) provided deliberate skill practice and small group simulation practice, respectively. Zone 3 was the summative OSCE.</p><p><strong>Results: </strong>Students' (n = 107) performance was assessed on patient safety, clinical judgment, assessment, and communication. Initially, 64% of students were deemed competent, increasing to 92% after additional practice and to 100% with further iteration. Students also reviewed their OSCE recordings and completed reflective writing.</p><p><strong>Conclusion: </strong>This approach may serve as a model for other nursing programs to implement competency-based curricula through leveled simulations and iterative learning.</p>\",\"PeriodicalId\":54706,\"journal\":{\"name\":\"Nurse Educator\",\"volume\":\" \",\"pages\":\"173-178\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nurse Educator\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NNE.0000000000001829\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/11 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nurse Educator","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NNE.0000000000001829","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/11 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
SimZones Approach to a Competency-Based Objective Structured Clinical Examination.
Background: Competency-based education (CBE) can be achieved through purposeful structuring of experiential learning. Yet, there is scant guidance for nurse educators to operationalize this transition.
Purpose: To describe a semester-long CBE simulation curriculum for third-year nursing students, using the SimZone (Zone 0-3) framework.
Methods: Zone 0 ensured foundational knowledge. Objective Structured Clinical Examination (OSCE) Prep Lab 1 (Zone 1) and Prep Lab 2 (Zone 2) provided deliberate skill practice and small group simulation practice, respectively. Zone 3 was the summative OSCE.
Results: Students' (n = 107) performance was assessed on patient safety, clinical judgment, assessment, and communication. Initially, 64% of students were deemed competent, increasing to 92% after additional practice and to 100% with further iteration. Students also reviewed their OSCE recordings and completed reflective writing.
Conclusion: This approach may serve as a model for other nursing programs to implement competency-based curricula through leveled simulations and iterative learning.
期刊介绍：
Nurse Educator, a scholarly, peer reviewed journal for faculty and administrators in schools of nursing and nurse educators in other settings, provides practical information and research related to nursing education. Topics include program, curriculum, course, and faculty development; teaching and learning in nursing; technology in nursing education; simulation; clinical teaching and evaluation; testing and measurement; trends and issues; and research in nursing education.
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