模拟前准备在医学情境模拟教学中应用的范围综述

doi:10.3761/j.issn.1672-9234.2025.07.019

摘要/Abstract

摘要：

目的对模拟前准备在医学情境模拟教学中的应用进行范围审查，总结模拟前准备的方式及对模拟教学的影响。方法系统检索PubMed、Web of Science、Embase、EBSCO、ProQuest Digital Dissertation & Theses、Education Resources Information Center（ERIC）、中国知网、万方、维普、中文生物医学文献数据库。检索时限为建库至2024年9月9日，对纳入文献进行资料提取和分析。结果共纳入23项研究，各研究的模拟前准备方式包括理论回顾、视频学习、专业指导等。现有研究关注专业综合能力、临床判断能力、自我效能等结局指标，针对同一结局指标的测量方式也有一定的差异性，多数研究显示模拟前准备能够提升学习者的专业综合及临床判断等能力，但部分研究未能得出该结论。结论模拟前准备方式较为多样，但整体上模拟前准备对情境模拟教学有一定裨益，能够提升学习者的多方面能力。然而，目前尚缺乏统一和标准化的模拟前准备方案，需探索更具一致性和可重复性的方案。

关键词: 模拟前准备, 情境模拟, 医学教育, 范围综述

Abstract:

Objective This scoping review aims to examine the use of pre-simulation preparation in medical simulation teaching and learning，summarizing its application methods and impact on educational outcomes. Methods A systematic searching was conducted across multiple databases，including PubMed，Web of Science，Embase，EBSCO，ProQuest Digital Dissertations & Theses，Education Resources Information Center（ERIC），CNKI，Wanfang，VIP，and Sinomed. The searching covered publications up to September 9，2024. Relevant studies were identified，and data were extracted and analyzed. Results A total of 23 studies were included，and the preparation methods of each study included theory review，video learning，and professional guidance. Existing studies focused on outcome indicators such as comprehensive professional competence，clinical judgment，and self-efficacy. There was some variability in the way the same outcome indicators were measured. Besides，most studies showed that pre-simulation preparation could improve learners’ abilities such as comprehensive professional competence and clinical judgment，though some studies failed to verify this conclusion. Conclusion There is a wide variety of pre-simulation preparation methods，though overall pre-simulation preparation is beneficial for teaching scenario simulation and can enhance learners’ competencies in a variety of areas. Still，there is a lack of uniform and standardized pre-simulation preparation protocols，and more consistent and repeatable protocols need to be explored in the future.

Key words: Pre-simulation preparation, Scenario simulation, Medical education, Scoping review

胡倩, 张志焕, 张力川, 沈傲梅, 张紫娟, 路潜. 模拟前准备在医学情境模拟教学中应用的范围综述[J]. 中华护理教育, 2025, 22(7): 890-896.

HU Qian, ZHANG Zhihuan, ZHANG Lichuan, SHEN Aomei, ZHANG Zijuan, LU Qian. Application of pre-simulation preparation in medical simulation teaching：a scoping review[J]. Chinese Journal of Nursing Education, 2025, 22(7): 890-896.

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