情境模拟教学法在本科精神科护理学课程中的应用

doi:10.3761/j.issn.1672-9234.2023.10.004

Abstract

Abstract:

Objective To explore the effect of the clinical-situation simulation teaching method in violence risk assessment and management in psychiatric nursing in nursing undergraduates. Methods A total of 84 junior undergraduates from two classes of Grade 2019 were classified into control group and experimental group randomly，with 42 students in each group. The routine practical teaching method was conducted in the control group，while clinical-situation simulation was implemented in the experimental group. The after-class theoretical examination and objective structured clinical skills examination（OSCE） were used to evaluate the learning effect of the two groups. The Chinese version of the Modified Course Experience Questionnaire（CEQ） was employed to measure students’ experience with the course in the two groups. Results Both scores of each OSCE station and total OSCE score in the experimental group were significantly higher than those in the control group（P<0.05），while there was no significant difference in terms of the score of theoretical examination in the two groups（P>0.05）. And the overall mean score of the CEQ and mean scores on the dimensions of good teaching，good quality of the course and gain a lot in the experimental group were significantly higher than those in the control group（P<0.05）. Conclusion The clinical-situation simulation teaching is more effective than traditional teaching in improving students’ experience and cultivating the students’ ability to identify risk factors of psychiatric violence and to deal with psychiatric violence.

Key words: Nursing, Education, Scenario simulation, Psychiatric violence, Risk assessment

GAO Yun, ZHAO Jinmei, ZENG Gang, YE Junrong, XIA Zhichun, WEI Hongmei, XIAO Aixiang. The application of clinical-situation simulation in practical teaching of psychiatric violence risk assessment and management[J].Chinese Journal of Nursing Education, 2023, 20(10): 1174-1180.

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[1]	张帮峰, 朱要国, 张太栋, 等. 精神科暴力行为风险管理的研究进展[J]. 护理研究, 2018, 32(10):1516-1521.
	Zhang BF, Zhu YG, Zhang TD, et al. Research progress on risk management of psychiatric violence[J]. Chin Nurs Res, 2018, 32(10):1516-1521.
[2]	Whiting D, Lichtenstein P, Fazel S. Violence and mental disorders:a structured review of associations by individual diagnoses,risk factors,and risk assessment[J]. Lancet Psychiatry, 2021, 8(2):150-161. doi: 10.1016/S2215-0366(20)30262-5 pmid: 33096045
[3]	Bach M. Violence,research,and non-identity in the psychiatric clinic[J]. Theor Med Bioeth, 2018, 39(4):283-299. doi: 10.1007/s11017-018-9451-2
[4]	夏志春, 叶君荣, 肖爱祥, 等. 焦点解决缓和技巧培训减少精神科病人保护性约束使用的效果[J]. 护理研究, 2020, 34(23):4248-4251.
	Xia ZC, Ye JR, Xiao AX, et al. Effect of solution-focused de- escalation training model in reducing physical restraint for psychiatric patients[J]. Chin Nurs Res, 2020, 34(23):4248-4251.
[5]	黄艳, 吴永红, 张文隆. 防暴力技能培训对精神科护士心理状态及暴力事件发生率的影响[J]. 临床医药实践, 2021, 30(6):472-474.
	Huang Y, Wu YH, Zhang WL. Influence of anti-violence skills training on mental state and incidence of violent incidents of psychiatric nurses[J]. Proceeding Clin Med, 2021, 30(6):472-474.
[6]	覃凤琼, 骆伟娟, 韦驱, 等. 情景模拟联合微格教学在精神科低年资护士暴力处理操作培训中的应用[J]. 护理研究, 2019, 33(6):921-924.
	Qin FQ, Luo WJ, Wei Q, et al. Application of scenario simulation combined with micro-teaching in training of violent proces-sing operation among low-experience nurses in psychology depart-ment[J]. Chin Nurs Res, 2019, 33(6):921-924.
[7]	杨振, 张会君, 张春颀, 等. 实习护生工作场所垂直暴力发生现状及影响因素研究[J]. 护理研究, 2021, 35(8):1409-1413.
	Yang Z, Zhang HJ, Zhang CQ, et al. Status and influencing factors of vertical violence in nursing students’ practice work-place[J]. Chin Nurs Res, 2021, 35(8):1409-1413.
[8]	石荣光, 李冬梅, 夏季芳, 等. 三级医院实习护生遭受职场暴力的调查分析[J]. 护理实践与研究, 2016, 13(9):86-87.
	Shi RG, Li DM, Xia JF, et al. The investigation and analysis of workplace violence for internship nursing students in tertiary hospital[J]. Nurs Pract Res, 2016, 13(9):86-87.
[9]	丁宁. 情境模拟教学模式的功能定位与实现[J]. 高教探索, 2018(2):45-49.
	Ding N. Function orientation and realization of situational simu-lation teaching mode[J]. High Educ Explor, 2018(2):45-49.
[10]	王冰飞, 赵岩岩, 陈春宁, 等. 情境模拟教学在本科生口服给药护理实验课中的应用[J]. 中华护理教育, 2020, 17(9):827-830.
[11]	关艳华, 夏志春. 精神科常用护理技能规范培训手册[M]. 北京: 人民卫生出版社, 2016:37-76.
[12]	中华护理学会精神卫生专业委员会. 精神科保护性约束实施及解除专家共识[J]. 中华护理杂志, 2022, 57(2):146-151. doi: 10.3761/j.issn.0254-1769.2022.02.003
[13]	彭琳, 王昊, 刘智, 等. 基于课程体验的大学课堂教学质量评估问卷的开发[J]. 天津职业技术师范大学学报, 2012, 22(3):74-78.
	Peng L, Wang H, Liu Z, et al. Development of the questionnaire for class teaching quality evaluation of university students based on course experience[J]. J Tianjin Univ Technol Educ, 2012, 22(3):74-78.
[14]	Xiao SS, Fang J, Zhao XX, et al. Analysis of obstetric clinical nursing integrating situational teaching simulation[J]. Comput Math Methods Med, 2022, 2022:6843196.
[15]	夏志春, 叶君荣, 李思珏, 等. 应用缓和技巧防范精神科工作场所暴力的研究进展[J]. 中华护理杂志, 2018, 53(11):1391-1394.
	Xia ZC, Ye JR, Li SJ, et al. Research progress on prevention of workplace violence in psychiatric department by using mitiga-tion skills[J]. Chin J Nurs, 2018, 53(11):1391-1394.
[16]	向彦琪, 李晓娟, 陈琼妮. 非暴力沟通在精神科护患交流中的应用[J]. 中华护理教育, 2020, 17(9):845-848.
[17]	李亚玲, 罗祎晟. 国外应对精神病患者暴力降阶技术模型研究进展[J]. 中国护理管理, 2019, 19(8):1184-1188.
	Li YL, Luo YS. Research progress of coping with psychotic patients’ violence de-escalation technology models abroad[J]. Chin Nurs Manag, 2019, 19(8):1184-1188.
[18]	Lach HW, Leach KM, Butcher HK. Evidence-based practice guideline:changing the practice of physical restraint use in acute care[J]. J Gerontol Nurs, 2016, 42(2):17-26. doi: 10.3928/00989134-20160113-04
[19]	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.
	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.
[20]	王敏, 范翠翠. 学习动机理论下的成人自主学习意识培养[J]. 中国成人教育, 2018(24):11-13.
[21]	王晶晶, 周发明. 基于结构方程模型的高校大学生学习负担形成机制研究:以湖南省六所本科院校学生为例[J]. 湖南人文科技学院学报, 2020, 37(2):108-114,125.
	Wang JJ, Zhou FM. Research on the formation mechanism of college students’ learning burden based on structural equation model—based on the survey of students from six universities in Hunan Province[J]. J Hunan Univ Humanit Sci Technol, 2020, 37(2):108-114,125.
[22]	杜艳丽, 王璐, 廖雨风, 等. 临床情境模拟结合标准化病人教学法在培养护生压疮风险评估能力的应用[J]. 护理学报, 2021, 28(15):10-14.
	Du YL, Wang L, Liao YF, et al. Effect of clinical-situation simulation combined with standardized patient teaching in cultivation of pressure ulcer risk assessment in nursing students[J]. J Nurs (China), 2021, 28(15):10-14.

The application of clinical-situation simulation in practical teaching of psychiatric violence risk assessment and management

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