■手术护理是高风险的,高压,复杂的领域。护士需要广泛的知识,技能,和能力。基于问题的学习(PBL)和基于模拟的学习(SBL)是有效的以学生为中心的方法。哪种方法更适合外科护士培训?需要更多的研究来确定本科外科护士教育的最佳方法。
■比较PBL和SBL对本科护生的影响,并提高外科护理教育的学习成果。
■我们对318名护理本科生进行了前测/后测设计,随机分为两组。参与者完成了三个以外科护理病例为重点的渐进方案。专家们使用70项韩国护士核心能力量表(KNCCS)盲目审查了视频记录,以评估绩效。13项学习满意度和自信心量表(SSS)测量了学习信心和满意度。SBL参与者还完成了16项模拟教育实践量表(EPSS)和20项模拟设计量表(SDS)。
■研究发现对两组都有显著的积极作用,随着后测的明显改善,保留,及随访结果(P<0.001)。SBL组护士胜任能力水平较高(P<0.001)。各种技能的科恩d和效应大小(r)如下:临床表现(0.84767和6.39023),批判性思维(0.31017和0.15325),专业态度(0.85868和0.39452),和沟通技巧(1.55149和0.61294)。与PBL组(4.32±0.689;4.25±0.632)相比,SBL组护士的满意度和自信心均高于SSS各维度(4.53±0.596;4.47±0.611)(均P<0.05)。SBL小组在仿真设计和EPSS方面也得分很高。然而,在保真度方面需要改进,目标,信息,和学生的期望。
■SBL和PBL提高护士核心能力,满意,和自信。SBL更胜一筹。本研究提倡以学生为中心的教育,提高外科护理专业人员的素质,确保未来患者的安全。
UNASSIGNED: Surgical nursing is a high-risk, high-pressure, and complex field. Nurses need extensive knowledge, skills, and abilities. Problem-Based Learning (PBL) and Simulation-Based Learning (SBL) are effective student-centered methods. Which method is better for surgical nurse training? More research is needed to determine the best approach for undergraduate surgical nurse education.
UNASSIGNED: To compare the impact of PBL and SBL on undergraduate nursing students\' performance and improve learning outcomes in surgical nursing education.
UNASSIGNED: We used a pretest/post-test design with 318 nursing undergraduates randomly assigned to two groups. Participants completed three progressive scenarios focused on surgical nursing cases. Experts blindly reviewed video recordings using the 70-item Korean Nurses\' Core Competence Scale (KNCCS) to assess performance. The 13-item Satisfaction and Self-confidence in learning Scale (SSS) measured learning confidence and satisfaction. SBL participants also completed the 16-item Educational Practices in Simulation Scale (EPSS) and 20-item Simulation Design Scale (SDS).
UNASSIGNED: The study found significant positive effects on both groups, with noticeable improvements in post-test, retention, and follow-up test results (P < 0.001). The SBL group showed higher competency levels in nurses (P < 0.001). The Cohen\'s d and effect size (r) for various skills were as follows: clinical performance (0.84767 and 6.39023), critical thinking (0.31017 and 0.15325), professional attitude (0.85868 and 0.39452), and communication skills (1.55149 and 0.61294). The satisfaction and self-confidence of nurses were higher in the SBL group (4.53±0.596; 4.47±0.611) compared to the PBL group (4.32±0.689; 4.25±0.632) in all dimensions of SSS (all P < 0.05). The SBL group also scored high in simulation design and EPSS. However, improvements are needed in fidelity, objectives, information, and students\' expectations.
UNASSIGNED: SBL and PBL improve nurses\' core competence, satisfaction, and self-confidence. SBL is superior. This study promotes student-centered education, enhancing surgical nursing professionals\' quality and ensuring future patient safety.