Abstract:

Objective To explore the application effectiveness of high-fidelity scenario simulation teaching for neonatal resuscitation among undergraduate nursing students. Methods A high-fidelity scenario simulation teaching program for neonatal resuscitation was designed following “setting learning objectives-constructing scenario plots-programming and debugging-rehearsal” four steps. A total of 464 third-year undergraduate nursing students from the 2018 to 2022 cohorts at Nanjing Medical University participated in the teaching program. The teaching effectiveness was analyzed based on the results of the Chinese version of the Jeffries Simulation Design Scale（C-JSDS），the analysis of high-frequency words and semantic networks from 420 simulation logs，and the interview results of 25 students. Results The mean scores of each item on the C-JSDS exceeded 4.60. Analysis of simulation logs revealed that centering on core words such as “neonatal”，“operation” and “resuscitation”，three major associated semantic clusters of “clinical-practical-life” were formed. Four main themes were summarized from the interview data：1） emotional experience and strengthened professional identity in the face of life and death；2）construction of clinical competence from theory to practice；3） the value of error tolerance and feedback in the simulated teaching environment；and 4）precise teaching optimization paths based on student feedback. Conclusion The high-fidelity scenario simulation teaching program for neonatal resuscitation designed in this study is conducive to promoting the integration of students’ knowledge，skills and professional values，thereby fostering comprehensive clinical competence.

Key words: Education, Nursing, High-Fidelity Simulation, Neonatal Asphyxia Resuscitation, Undergraduate