以强化临床思维能力为核心,以评估观察—分析判断—决策实施为主线,设计综合型虚拟仿真实验项目“车祸致多发伤患者的院前急救与院内监护”,项目包含学习引导、虚拟训练和考核评价3个功能模块,采用院前急救和院内监护2个主要虚拟情境串联院前急救、术后误吸急救、术后疼痛评估、镇痛药的应用监护、中心静脉压监测5个分项目。将项目应用于即将进入临床实习的291名护理本科生的综合护理实践课程教学中。学生自行登录进行课前自主学习、课后反复训练以及考前模拟自测。分析学生使用项目的情况和训练结果。

The comprehensive virtual reality simulation project entitled “prehospital emergency care and in-hospital intensive care of a patient with multiple injuries caused by a car accident” was designed. The project aimed to strengthen the clinical thinking ability of students and students are required to assess,analyze,and intervene based on the simulation scenario. The project included three modules of learning guidance,virtual training,and evaluation. There were five tasks including “pre-hospital first aid”,“aspiration rescue”,“post-operation pain assessment”,“analgesic monitoring”,and “central venous pressure monitoring”. The project was applied among 291 undergraduates who were going to start their clinical practice. The students logged in the platform to learn the related knowledge autonomously before class. They also practiced repeatedly after class and did the examination by themselves. Finally the training results were analyzed.