Effects of high-fidelity simulation combined with nursing integrated curriculum on undergraduate Nursing students'clinical practical ability
Objective To explore the teaching effect of high-fidelity simulation(HFS)combined with nursing integrated curriculum on undergraduate Nursing students'clinical practical ability.Methods Grade 2,grade 3 and grade 4 students from School of Nursing of Wuhan University were selected and acted as Nursing undergraduates before the high-fidelity simulation combined with nursing integrated curriculum teaching,after two semesters'teaching of the high-fidelity simulation combined with nursing integrated curriculum teaching and after all three semesters'teaching of the high-fidelity simulation combined with nursing integrated curriculum teaching respectively.Clinical practical ability was assessed using the Chinese Critical Thinking Disposition(CTDI-CV)and Chinese Lasater Clinical Judgment Rubric(C-LCJR).Results 108 students completed the questionnaire effectively.Scores of critical thinking increased sequentially among grade 2,grade 3 and grade 4 students,and the scores of analytical ability(42.16±5.58,44.94±4.60,45.31±4.64,P=0.023),systematic ability(35.94±7.49,39.82±6.57,42.69± 7.02,P=0.001)and confidence(38.59±7.23,41.23±7.16,43.91±5.48,P=0.008)and the total score(276.66±30.70,291.43±32.47,301.78±27.62,P=0.005)were statistically significant.Grade 3 students[30(27-32)]and grade 4 students[31(29-34)]were scored on a significant higher level of clinical judgement compared to grade 2 students[21(17-23)],and their difference was of statistical significance(P＜0.05);seniors have higher scores than juniors,but the difference was not statistically significant(P=0.103).More grade 3 and grade 4 students reached an accomplished or expert level of clinical judgement according to the total clinical scores(P＜0.001).Conclusion High-fidelity simulation combined with nursing integrated curriculum can effectively improve Nursing undergraduates'clinical practical ability,and the teaching time of this mode is the influence factor of clinical practical ability.
国家科技期刊平台
NSTL
万方数据
维普
