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Evaluation of undergraduate students’nursing assessment and communication skills through an objective structured clinical examination within a high-fidelity simulation using a student-simulated patient

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Frontiers of Nursing 2021年第2期8卷 159-168页

作者： Hao-Bin Yuan School of Health Sciences and Sports Macao Polytechnic InstituteRua de Luis Gonzaga GomesMacaoChina

Objective:To evaluate nursing students’assessment and communication skills through an objective structured clinical examination(OSCE)within a high-fidelity simulation using a student-simulated patient(SSP)and analyze the validity,reliability,degree of difficulty,and discriminability of the ***:A descriptive study was conducted at one nursing school in *** scenarios were designed using a high-fidelity simulator combined with SSPs.A convenience sample of 54 baccalaureate nursing students completed the *** nursing assessment OSCE checklist(NAOC)and the communication evaluation rubric(CER)were used as observational measurements with three-point Likert scales(2=Achieved,1=Partly achieved,0=Not completed/Incorrect).Results:Difficulty coefficients of the exam were 0.63 for nursing assessment skills and 0.56 for communication *** discrimination index of the majority items of the NAOC(86.4%)was>0.20,showing a better to good *** items of the CER had satisfactory indexes of item discrimination(from 0.38 to 0.84).Students received high scores in conducting blood oxygen saturation and cardiac and lung auscultation but low scores in vomiting and diarrhea *** presented good communication skills in eye contacting and listening,but culture assessment needs to be *** students with experiences in simulation or simulated patient(SP)interactions had better assessment and communication skills than students without those *** was a positive relationship between nursing assessment and communication skills(r=0.67,P=0.000).Conclusions:SSPs were involved in enhancing the realism of interactions in simulated *** students can conduct nursing assessments specific to patient conditions,explain the conditions to the patient,and ensure that the patient remains informed at all times of the precautions to be ***,students’cultural awareness and some communication skills need further ***

关键词： communication high-fidelity simulation nursing assessment OSCE student-simulated patient

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A review of clinical reasoning in nursing education:based on high-fidelity simulation teaching method

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Frontiers of Nursing 2018年第3期5卷 175-183页

作者： Qiao-Qian Luo Marcia A Petrini School of Health Sciences Wuhan University Hope School of Nursing Wuhan University

Objective： Clinical reasoning is an essential feature of health care practice; it is also a crucial ability for providing patient care of high quality. It has been identified that graduate nurses may lack the clinical reasoning skills to deliver safe and effective patient cam. It is therefore of paramount importance to enhance nursing students＇ clinical reasoning ability. high-fidelity simulation （HFS） is proved to be an effective teaching and learning method, which may also have some advantages over other teaching methods. Methods： The authors retrospectively reviewed the related literature, illustrated the application of high-fidelity simulation teaching method in nursing education, putting the focus on the use of it in teaching with clinical reasoning. Results： The application of high-fidelity simulation to nursing education can simulate the clinical situation, thus to create a safe, continuous and efficient learning environment for students, and it can effectively improve students＇ clinical reasoning ability. Conclusions： high-fidelity simulation is effective for clinical reasoning teaching in nursing education. The extension of its application in China should be of great value. The relevant further study is suggested focusing on how to overcome its own limitations and have it better applied in nursing education in China.

关键词： clinical reasoning high-fidelity simulation nursing education teaching method

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Development of student simulated patient training and evaluation indicators in a high-fidelity nursing simulation:a Delphi consensus study

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Frontiers of Nursing 2021年第1期8卷 23-31页

作者： Hao-Bin Yuan School of health sciences and sports Macao Polytechnic InstituteMacao 999078China

Objective:This study is aimed to develop student simulated patient(SSP)training content and evaluation indicators,and further explores their validity and ***:Delphi consultations with 20 nursing exper ts were *** weights of indicators were calculated through the analytic hierarchy *** training was conducted with a high-fidelity nursing ***:The expert positive coefficients were 0.952 in the first round consultation and 1.00 in the second round *** expert authority coefficient was reported as *** training included role and responsibility of simulated patient(SP),script interpretation,plot performance,and training for a rater,with a total of 17 *** evaluation consisted of disease knowledge,role portrayal,and performance fidelity and since being a rater,it consists of 20 indicators in *** coordination coefficients of two rounds of consultation ranged from 0.530 to *** content validity of SSP evaluation indicators was *** inter-rater reliability was repor ted as 0.866,and the internal consistency established using Cronbach’sαwas ***:Students as SPs should have first-hand knowledge and experience within the simulated *** training content and evaluation indicators were determined through the Delphi consensus combined with analytic hierarchy *** evaluation indicators were valid and reliable,and provided the objective and quantifiable measurements for SSP training in nursing。

关键词： student simulated patient high-fidelity simulation Delphi method nursing training

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Lebanese Student’s Experience of Benefits of high fidelity simulation in Nursing Education: A Qualitative Approach

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Open Journal of Nursing 2016年第10期6卷 853-862页

作者： Mirna A. Fawaz Ayman M. Hamdan-Mansour Adult Health Nursing Nursing Department Faculty of Health Sciences Beirut Arab University Beirut Lebanon Mental Health Nursing Community Health Department School of Nursing the University of Jordan Amman Jordan

Background: simulation is perceived as an important part to the nursing clinical educational experience since it can offer a safe learning environment for the students’ clinical practice. Objective: The purpose of this study was to explore the Lebanese student’s experience of benefits of high fidelity simulation in nursing education. Design: A qualitative study using open-ended questionnaire. Setting: This study was implemented at private university in Lebanon between January and April 2015. Participants: A purposive sample was sought from those who have a simulated experience. Methods: Qualitative data were collected via interviews and analysed using a thematic approach. Findings: Four major themes were identified: “Bridging Theory to Clinical Practice”, “Developing Critical Thinking and Decision-making”, “Practicing Safely Leads to Enhancing Confidence”, “Teamwork Spirit and students’ motivation to earn and practice more”. Conclusion: simulation was found to be an acceptable learning strategy for novice nursing students. The use of simulations is a useful and effective learning strategy. Students with a higher positive attitude towards the simulation experience displayed better learning outcomes. Thus, the integration of simulation into the learning experience of nursing students will bridge the gap between theory and practice;enhance their critical thinking and motivation aptitudes along with traditional clinical practice by sparing them a safe milieu.

关键词： high-fidelity simulation Nursing Students Personal Experience

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