基于模拟的学习经验对护生应对死亡的影响：一项实验研究

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-05-19 DOI:10.1016/j.ecns.2025.101740

Miguel Ángel Martín-Parrilla , Noelia Durán-Gómez , Casimiro Fermín López-Jurado , Jesús Montanero-Fernández , Macarena C. Cáceres

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引用次数: 0

摘要

对死亡的恐惧对护理专业的学生来说是一个重大的心理挑战，经常阻碍他们提供有效的临终关怀的能力。发展应对机制来解决这种恐惧对他们的职业成长至关重要。基于模拟的学习体验（SBLE）提供了一种新颖的教学方法，使学生能够在安全和受控的环境中参与与死亡相关的场景。目的本研究旨在评估护生对死亡恐惧的基线水平，并评估与传统课堂教学相比，SBLE在减少这种恐惧和提高他们应对死亡能力方面的有效性。方法选取埃斯特雷马杜拉大学护理专业二年级学生240名进行随机实验研究。参与者被分配到接受SBLE的干预组或接受传统课堂教学的对照组。采用Collett-Lester短暂死亡恐惧量表（BFDS）和Bugen应对死亡量表（CDS）在基线（T0）和干预后（T1）收集数据。采用配对t检验和重复测量方差分析进行统计分析。结果在基线时，两组均表现出中等程度的死亡恐惧，差异无统计学意义。干预后，SBLE组应对能力显著提高(CDS平均评分：109.16-132.35,p <；.001)和对死亡的恐惧减少，与对照组相比(CDS平均评分：109.34- 118.94,p <；措施)。重复方差分析证实了SBLE方法的优越性(p <；措施)。结论sble能有效降低护生对死亡的恐惧，强化护生的应对机制。通过整合反思和体验式学习，SBLE增强了情感弹性，并为学生应对临终关怀的挑战做好准备，强调了其在护理教育课程中的重要性。

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Impact of simulation-based learning experiences on enhancing coping with death in nursing students: An experimental study

Introduction

Fear of death poses a significant psychological challenge for nursing students, often hindering their abilities to provide effective end-of-life care. Developing coping mechanisms to address this fear is crucial for their professional growth. Simulation-Based Learning Experiences (SBLE) offer a novel pedagogical approach, enabling students to engage with death-related scenarios in a safe and controlled environment.

Objectives

This study aimed to assess baseline levels of fear of death among nursing students and evaluate the effectiveness of SBLE in reducing this fear and enhancing their ability to cope with mortality, compared to traditional classroom instruction.

Methods

A total of 240 second-year nursing students from the University of Extremadura participated in this randomized experimental study. Participants were allocated to either an intervention group, which underwent SBLE, or a control group receiving traditional classroom instruction. Data were collected at baseline (T0) and postintervention (T1) using the Collett-Lester Brief Fear of Death Scale (BFDS) and Bugen’s Coping with Death Scale (CDS). Paired t-tests and repeated measures ANOVA were employed for statistical analysis.

Results

At baseline, both groups exhibited moderate levels of fear of death, with no significant differences. Postintervention, the SBLE group showed a significant increase in coping ability (CDS mean score: 109.16-132.35, p < .001) and a reduction in fear of death, compared to the control group (CDS mean score: 109.34- 118.94, p < .001). Repeated ANOVA measures confirmed the superiority of the SBLE approach (p < .001).

Conclusion

SBLE effectively reduces nursing students' fear of death and strengthens their coping mechanisms. By integrating reflective and experiential learning, SBLE enhances emotional resilience and prepares students for the challenges of end-of-life care, underscoring its importance in nursing education curricula.

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.