超越床边：探索模拟和基于绩效的学习对护理学生老年护理能力的影响

IF 4.2 2区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Nurse Education Today Pub Date : 2025-10-06 DOI:10.1016/j.nedt.2025.106887

Sayed Ibrahim Ali , Mostafa Shaban

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引用次数: 0

摘要

人口老龄化加剧了对本科护士的需求，他们准备提供有能力的，富有同情心的老年护理。模拟和基于绩效的学习越来越多地用于弥合理论与实践的差距。目的探讨护理本科生模拟学习和绩效学习的经验，以及这些策略如何塑造老年护理的感知能力。设计定性探索性研究。方法16名完成老年模拟和绩效评估的学生参加半结构化访谈。数据分析采用Colaizzi的七步法。可信性通过成员检查、审计跟踪和同行汇报得到支持。结果出现了四个主题：(1)衔接理论与实践；(2)培养同理心和情绪洞察力；(3)树立职业自信和身份认同；(4)认识体制性障碍。学生报告临床推理能力增强，对老年评估工具更加熟悉，移情参与更强，实践准备更充分，同时注意到与教师参与和临床环境时间有关的限制。结论模拟学习和基于绩效的学习可以促进老年护理在认知、情感和专业领域的能力。协调学术和临床环境对于将技能转移到实践中至关重要。对护理教育的启示早期，纵向整合以老年病学为重点的模拟，结构化的汇报，以及与导师一致的临床机会可以加强对老龄化人口的准备。

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Beyond the bedside: Exploring the impact of simulation and performance-based learning on nursing students' competence in geriatric care

Background

Aging demographics heighten the need for undergraduate nurses who are prepared to deliver competent, compassionate geriatric care. Simulation and performance-based learning are increasingly used to bridge theory–practice gaps.

Aim

To explore undergraduate nursing students' experiences of simulation and performance-based learning and how these strategies shape perceived competence in geriatric care.

Design

Qualitative exploratory study.

Methods

Sixteen students who completed geriatric-focused simulation and performance assessments participated in semi-structured interviews. Data were analyzed using Colaizzi's seven-step approach. Trustworthiness was supported through member checking, audit trail, and peer debriefing.

Results

Four themes emerged: (1) bridging theory and practice; (2) developing empathy and emotional insight; (3) building professional confidence and identity; and (4) recognizing systemic barriers. Students reported enhanced clinical reasoning, greater familiarity with geriatric assessment tools, stronger empathic engagement, and increased readiness for practice, while noting constraints related to preceptor engagement and time in clinical settings.

Conclusions

Simulation and performance-based learning foster geriatric care competence across cognitive, affective, and professional domains. Aligning academic and clinical environments is crucial to sustain transfer of skills to practice.

Implications for nursing education

Early, longitudinal integration of geriatrics-focused simulation, structured debriefing, and preceptor-aligned clinical opportunities may strengthen readiness for an aging population.

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来源期刊

Nurse Education Today 医学-护理

CiteScore

6.90

自引率

12.80%

发文量

349

审稿时长

58 days

期刊介绍： Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.