收稿日期: 2024-03-20
网络出版日期: 2025-02-19
基金资助
海军军医大学首批深蓝护理教学研究与改革项目(2022JXY03);海军军医大学教学成果培育项目(JPY2022B20)
Design and practice of neonatal jaundice nursing simulation teaching for nursing undergraduates
目的 探讨新生儿黄疸护理情境模拟教学设计与实践效果。方法 基于国际护理临床模拟教学协会最佳实践标准进行新生儿黄疸护理模拟教学设计，主要包括模拟教学需求评估、构建模拟教学目标、编制情境模拟案例，设计包含准备期、引导期、模拟期、反馈期四阶段的引导式情境模拟教学实施方案，将其应用于某校护理学四年制共29名本科生的教学实践当中，课后采用情境模拟教学设计量表（Simulation Design Scale，SDS）和自行设计的模拟教学评价问卷评价教学效果。结果 SDS量表总分为（90.82±8.57）分，各维度条目均分为4.46~4.60。模拟教学评价问卷各条目均分为3.37~4.00。结论 新生儿黄疸护理情境模拟教学案例设计可行，模拟教学可以帮助达成教学目标，学生对教学设计和教学效果的评价较好。
崔雅慧 , 崔静 , 柴世琪 , 李红 , 刘璐 , 陈如男 . 新生儿黄疸护理模拟教学设计与实践[J]. 中华护理教育, 2025 , 22(2) : 192 -197 . DOI: 10.37615/jissn.1672-9234.2025.02.010
Objective To explore the teaching design and practical effects of scenario simulation training for neonatal jaundice nursing. Methods The design of neonatal jaundice nursing simulation teaching was based on INACSL standards of best practice，which mainly included the assessment of simulation teaching needs，the construction of simulation teaching objectives，and the compilation of scenario simulation cases. The implementation plan of guided scenario simulation teaching was designed including four stages：preparation period，prebriefing period，simulation period，and debriefing period，which was applied to the teaching practice of 29 undergraduates of four-year nursing program at a university. After the course，the teaching effect was evaluated by the Simulation Design Scale and the self-designed simulation teaching evaluation questionnaire. Results The total score of Simulation Design Scale was 90.82±8.57 points，with individual dimension scores ranging from 4.46 to 4.60. The average score of items in the simulation teaching evaluation questionnaire ranged from 3.37 to 4.00. Conclusion The design of neonatal jaundice nursing scenario simulation teaching case is feasible，and the simulation teaching can help achieve the teaching objectives. The students’ evaluations of the teaching design and effectiveness were positive.
Key words： Jaundice; Newborn infant; Simulation training; Nursing; Standards of best practice
| [1] | 国家卫生健康委. 国家卫生健康委关于印发《健康儿童行动提升计划(2021—2025年)》的通知[EB/OL]. (2021-10-29). http://www.nhc.gov.cn/fys/s3585/202111/554a64ff0eff4971a37db413a00083a6.shtml. |
| [2] | 杨静丽, 王建辉. 2022版美国儿科学会新生儿高胆红素血症管理指南解读[J]. 中国当代儿科杂志, 2023, 25(1):11-17. |
| [3] | Olusanya BO, Kaplan M, Hansen TWR. Neonatal hyperbilirubinaemia:a global perspective[J]. Lancet Child Adolesc Health, 2018, 2(8):610-620. |
| [4] | 盖莹, 李淑英, 李唱, 等. 新生儿黄疸预防及护理的最佳证据总结[J]. 中华护理教育, 2023, 20(3):362-367. |
| [4] | Gai Y, Li SY, Li C, et al. Summary of the best evidence for prevention and management of neonatal jaundice[J]. Chin J Nurs Educ, 2023, 20(3):362-367. |
| [5] | 王艳, 尚少梅. 情境模拟教学法在护理教育中的研究与实践进展[J]. 中华护理教育, 2013, 10(7):304-307. |
| [6] | INACSL Standards Committee. INACSL standards of best practice:simulationSM simulation design[J]. Clin Simul Nurs, 2016, 12(S):S5-S12. |
| [7] | 钱慧. 基于“最近发展区”理论的大学英语线上线下混合教学模式构建[J]. 英语教师, 2023, 23(16):26-29. |
| [8] | Cheng A, Rodgers DL, van der Jagt é, et al. Evolution of the Pediatric Advanced Life Support course:enhanced learning with a new debriefing tool and Web-based module for Pedia-tric Advanced Life Support instructors[J]. Pediatr Crit Care Med, 2012, 13(5):589-595. |
| [9] | Jeffries PR. A framework for designing,implementing,and evaluating simulations used as teaching strategies in nursing[J]. Nurs Educ Perspect, 2005, 26(2):96-103. |
| [10] | Jeffries PR. Using simulations in nursing education:from conceptualization to evaluation[M]. New York: National League for Nursing, 2007. |
| [11] | Wang AL, Fitzpatrick JJ, Petrini MA. Use of simulation among Chinese nursing students[J]. Clin Simul Nurs, 2013, 9(8):e311-e317. |
| [12] | 秦芳, 史蕾, 方雅璇, 等. 情境模拟在急危重症护理学教学中的应用[J]. 中华护理教育, 2019, 16(7):524-528. |
| [12] | Qin F, Shi L, Fang YX, et al. Scenario simulation applied in the course of Acute and Critical Care Nursing[J]. Chin J Nurs Educ, 2019, 16(7):524-528. |
| [13] | 陈杭健, 蔡华娟, 汪国建. “5E”学习环模式在护理基本技能情境模拟教学中的应用[J]. 中华护理教育, 2019, 16(5):337-341. |
| [13] | Chen HJ, Cai HJ, Wang GJ. The application of 5E learning cycle in experimental course of basic nursing skills[J]. Chin J Nurs Educ, 2019, 16(5):337-341. |
| [14] | 侯睿, 包艾荣, 岳洁雅, 等. 基于最佳实践标准的产后出血模拟教学设计与实践[J]. 中华护理教育, 2020, 17(11):980-984. |
| [14] | Hou R, Bao AR, Yue JY, et al. The simulation in the post-partum hemorrhage teaching based on INACSL Standards of Best Practice:design and practice[J]. Chin J Nurs Educ, 2020, 17(11):980-984. |
| [15] | 田亚林, 张金晶, 张聪, 等. 护理模拟教学对提高学生实践能力和职业素养的影响研究[J]. 中文科技期刊数据库(引文版)教育科学, 2024(3):63-66. |
| [16] | INACSL Standards Committee. INACSL standards of best practice:simulationSM debriefing[J]. Clin Simul Nurs, 2016, 12(S):S21-S25. |
| [17] | 秦芳, 何小凤, 史蕾, 等. 同伴引航式引导性反馈在高仿真情境模拟教学中的应用[J]. 护理学杂志, 2023, 38(24):68-71,75. |
| [18] | 周雯露, 石玟, 王俊杰, 等. 护理本科生对高仿真模拟教学体验的Meta整合[J]. 中华护理教育, 2024, 21(3):289-294. |
| [18] | Zhou WL, Shi M, Wang JJ, et al. High-fidelity simulation teaching experience of undergraduate nursing students:a meta synthesis of qualitative studies[J]. Chin J Nurs Educ, 2024, 21(3):289-294. |
| [19] | 管静, 金晓燕, 董旭, 等. 模拟教学中护理教师实施引导性反馈的现况调查[J]. 中华护理教育, 2021, 18(11):965-972. |
| [19] | Guan J, Jin XY, Dong X, et al. A survey of debriefing used in simulation teaching by nursing teachers[J]. Chin J Nurs Educ, 2021, 18(11):965-972. |
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