沉浸式模拟体验教学在本科老年护理学课程中的应用

doi:10.3761/j.issn.1672-9234.2024.04.004

摘要/Abstract

摘要：

目的探索沉浸式模拟体验教学在本科老年护理学课程中的应用效果。方法采用便利抽样方法，将2018级护理本科生设为对照组（n=76），2019级护理本科生设为试验组（n=76），对照组接受传统的模拟体验教学，试验组接受沉浸式老年模拟体验教学。教学后比较两组的模拟体验课成绩，并采用文本分析法分析试验组的模拟体验报告。结果试验组模拟体验课成绩为（9.52±0.26）分，对照组成绩为（7.53±1.10）分，两组比较具有统计学差异（t=15.391，P<0.001）。从试验组76份模拟体验报告中提炼出以下3个主题：理解老年人特殊行为的发生原因、形成对老年人的积极态度、深入思考老年护理发展。结论沉浸式老年模拟体验课程能够提高护理本科生的老年护理模拟体验效果，促进对老年人的理解，改善对老年人的态度，引发其对老年护理的深入思考。

关键词: 病人模拟, 教育, 护理, 学士, 老年护理学, 沉浸式体验

Abstract:

Objective To explore the impact of immersive simulation experience teaching on improving nursing undergraduates’ experience of Geriatric Nursing. Methods The convenience sampling method was used to select undergraduate nursing students，the students enrolled in 2018 were set as the control group（n=76），and the students enrolled in 2019 were set as the experimental group（n=76）. The control group received the traditional simulation experience course teaching，while the experimental group received the immersion geriatric simulation experience course teaching. After teaching，the scores of the simulated experience course were compared，and the simulation experience reports of the experimental group students were analyzed by text analysis. Results The average score of the experimental group was（9.52±0.26），and the average score of the control group was（7.53±1.10）. There was a significant difference between these two groups（t=15.391，P<0.001）. According to the simulation experience reports，the following three themes were extracted：understanding the causes of special behaviors of the elderly，forming a positive attitude towards the elderly，and thinking deeply about the development of geriatric care. Conclusion Immersive geriatric simulation experience course can improve the geriatric nursing simulation experience of nursing undergraduates，promote their understanding of the elderly，improve their attitude towards the elderly，and trigger in-depth thinking on geriatric nursing.

Key words: Patient Simulation, Education, Nursing, Baccalaureate, Geriatric Nursing, Immersive experience

张蒙, 冯冬梅, 任静, 淳雪丽, 张雪梅. 沉浸式模拟体验教学在本科老年护理学课程中的应用[J]. 中华护理教育, 2024, 21(4): 410-414.

ZHANG Meng, FENG Dongmei, REN Jing, CHUN Xueli, ZHANG Xuemei. Application of immersion experience teaching in undergraduate Geriatric Nursing course[J]. Chinese Journal of Nursing Education, 2024, 21(4): 410-414.

图/表 1

参考文献 11

[1]	国家统计局. 第七次全国人口普查公报(第五号)——人口年龄构成情况[EB/OL]. [2023-02-10]. http://www.stats.gov.cn/xxgk/sjfb/zxfb2020/202105/t20210511_1817200.html.
[2]	国务院. 国务院关于印发“十四五”国家老龄事业发展和养老服务体系规划的通知[EB/OL]. [2023-01-22]. http://www.gov.cn/zhengce/zhengceku/2022-02/21/content_5674844.htm.
[3]	邓钊, 仇海燕, 杜红娣, 等. 老年人模拟体验教学对老年科新入职护士共情能力的影响[J]. 护理研究, 2020, 34(10):1828-1830.
	Deng Z, Qiu HY, Du HD, et al. Effect of elderly simulation experience teaching on empathy ability of newly recruited nurses in the department of geratology[J]. Chin Nurs Res, 2020, 34(10):1828-1830.
[4]	何萍, 宁香香, 陈井芳, 等. 高龄体验在高职老年护理学教学中的应用[J]. 浙江医学教育, 2016, 15(3):17-19.
	He P, Ning XX, Chen JF, et al. Age experience in gerontological nursing teaching[J]. Zhejiang Med Edu, 2016, 15(3):17-19.
[5]	黄兆晶, 张雪梅, 陈茜, 等. 老年人模拟体验教学在老年专科护士培训中的应用[J]. 护理研究, 2015, 29(28):3578-3580.
	Huang ZJ, Zhang XM, Chen Q, et al. Effect of elderly simulation experience teaching for elderly specialist nurse training[J]. Chin Nurs Res, 2015, 29(28):3578-3580.
[6]	Csikszentmihalyi M. Flow:the psychology of optimal experience[M]. New York: Harper&Row Publisher, 1990.
[7]	李小花, 张琰, 王少春. 基于沉浸式教学的超声医学实践技能培训[J]. 中华诊断学电子杂志, 2021, 9(3):174-175.
	Li XH, Zhang Y, Wang SC. Ultrasonic medical practice skill training based on immersion teaching[J]. Chin J Diagn Electron Ed, 2021, 9(3):174-175.
[8]	陈燕, 黄金银, 宁香香, 等. 老年护理情境模拟综合实训课程改革与实践[J]. 中华护理教育, 2022, 19(9):773-778.
	Chen Y, Huang JY, Ning XX, et al. Curriculum reform of the comprehensive practical training of scene simulation on Geriatric Nursing[J]. Chin J Nurs Educ, 2022, 19(9):773-778.
[9]	伍沛, 申海艳, 杨彦, 等. 沉浸式临床体验教学对手术室护生共情能力的影响[J]. 护理学杂志, 2022, 37(7):45-47,75.
	Wu P, Shen HY, Yang Y, et al. Effect of clinical flow experience teaching on empathy ability of nursing students in operating room[J]. J Nurs Sci, 2022, 37(7):45-47,75.
[10]	芦文博, 赵洁, 范凯婷, 等. 基于高龄模拟体验教学的老年护理课程共情教育的设计与实施[J]. 护理研究, 2023, 37(9):1631-1635.
	Lu WB, Zhao J, Fan KT, et al. Design and implementation of empathy education in elderly nursing course based on simulated experience teaching for the elderly[J]. Chin Nurs Res, 2023, 37(9):1631-1635.
[11]	Diachun LL, Dumbrell AC, Byrne K, et al. But does it stick? Evaluating the durability of improved knowledge following an undergraduate experiential geriatrics learning session[J]. J Am Geriatr Soc, 2006, 54(4):696-701. pmid: 16686885

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