高保真模拟对临床推理和患者安全的影响:范围综述

IF 4.2 4区 医学 Q1 NURSING
Mohamed Toufic El Hussein RN, PhD, NP, Sandra P. Hirst BScN, PhD
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引用次数: 3

摘要

基于模拟的学习是护理教育中公认的一种教学方法。然而,关于模拟和临床推理发展的相互作用的研究是有限的。人们认为,通过模拟培养技能和临床推理的机会将有助于患者安全。目的本综述旨在总结高保真模拟(high-fidelity simulation, HFS)在本科护理教育中对学生临床推理和患者安全影响的文献,并利用这些信息为护理教育者提供建议。方法根据乔安娜·布里格斯研究所证据合成手册的指导方针和范围界定研究的方法框架,对2011年至2022年间发表的文献进行范围审查。结果155项研究中,21项纳入最终综述。基于这些研究,HFS可能通过刺激护理本科生在安全环境中的临床推理来影响患者安全。接触HFS提高了学生的准备程度,减轻了临床环境中的“过渡休克”和预期焦虑。HFS不能取代,但可以与现实生活中的护理实践结合使用,以支持学生临床推理的发展。结论通过逼真的场景,模拟可以促进学生的主动学习。在模拟中反复练习护理技能有助于学生的灵活性,从而提高安全性,临床表现和理论到实践的转化。此外,HFS活动后的预简报和述职会议为探索影响患者安全的因素提供了机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
High-Fidelity Simulation’s Impact on Clinical Reasoning and Patient Safety: A Scoping Review

Background

Simulation-based learning is a recognized teaching approach in nursing education. However, research on the interplay of simulation and clinical reasoning development is limited. It is assumed that the opportunity to develop skills and clinical reasoning through simulation will contribute to patient safety.

Purpose

This scoping review aims to summarize the literature on the impact of high-fidelity simulation (HFS) on students’ clinical reasoning and patients’ safety in undergraduate nursing education and to use that information to provide recommendations to nursing educators.

Methods

A scoping review of the literature published between 2011 and 2022 was conducted following the guidelines of the Joanna Briggs Institute Manual for Evidence Synthesis and a methodological framework for scoping studies.

Results

Of 155 studies identified, 21 were included in the final review. Based on these studies, HFS may affect patient safety by stimulating clinical reasoning in a safe environment for undergraduate nursing students. Exposure to HFS improves students’ readiness and alleviates “transition shock” and anticipatory anxiety in the clinical setting. HFS cannot replace but may be used in conjunction with real-life nursing practice to support the development of clinical reasoning in students.

Conclusion

Simulation promotes active learning as students engage in lifelike scenarios. Repetitive practice of nursing skills in simulation contributes to students’ dexterity, leading to improved safety, clinical performance, and translation of theory to practice. In addition, prebriefing and debriefing sessions after the HFS activity provide opportunities for exploration of factors influencing patient safety.

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来源期刊
CiteScore
4.60
自引率
12.50%
发文量
50
审稿时长
54 days
期刊介绍: Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.
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