Promoting experiential learning through the use of high-fidelity human patient simulators in midwifery: A qualitative study
Promoting experiential learning through the use of high-fidelity human patient simulators in midwifery: A qualitative study
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DOI：
10.4102/curationis.v42i1.1882
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发表时间：
2019-01-01
期刊：
影响因子：
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通讯作者：
Brysiewicz, Petra
中科院分区：
文献类型：
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作者：
Amod, Hafaza B.;Brysiewicz, Petra
背景：在 21 世纪，护理教育学中使用创新教学策略的必要性非常重要。临床场所的挑战和护理学生获得临床经验的机会越来越受到许多护士教育工作者的关注。高保真病人模拟器 (HFHPS) 是复制真实患者的计算机人体模型，当融入课堂教学时，它们可以让学生完全沉浸在几乎真实的场景中。 目的：本研究的目的是描述 HFHPS 如何在助产临床紧急情况下处理产后出血后促进体验式学习。 方法：本研究采用描述性定性研究方法。研究地点是夸祖鲁-纳塔尔省的一所当地大学。总人数包括所有（N = 43）四年级护理本科学生助产士，他们作为观察员和/或角色扮演者参与情景角色扮演。进行了全面抽样。共有 43 名助产士学生参与模拟教学，其中 6 名学生每次积极参与每个角色扮演，其余 37 名学生则旁观。这发生在两个单独的会议中，所有助产士学生都参加了情况汇报会议。然后对这些助产士学生进行跟踪并要求他们参加焦点小组。本文中的数据来自两个独立的焦点小组，总共由 20 名助产士学生组成。使用内容分析对数据进行分析。结果：数据中出现了四个类别，即 HFHPS 为学生助产士提供了处理复杂的现实生活紧急情况的独特机会；通过允许学生助产士反思或审查他们的角色、决定和技能来促进反思；允许学生助产士从自己的经验中学习，并鼓励学生助产士在现实生活中尝试他们所学到的知识。 结论：高保真病人模拟器可用于复杂的病例场景，以促进临床紧急情况的体验式学习。
BACKGROUND: The need to use innovative teaching and learning strategies in the nursing pedagogy is important in the 21st century. The challenges of clinical sites and opportunities for nursing students to gain clinical experience are a growing concern for many nurse educators. High-fidelity human patient simulators (HFHPS) are computerised mannequins that replicate a real-life patient, and when integrated into classroom teaching they allow students to become fully immersed into an almost real-life scenario.OBJECTIVES: The aim of this study was to describe how HFHPS can promote experiential learning following the management of postpartum haemorrhage as a midwifery clinical emergency.METHOD: A descriptive qualitative research approach was carried out in this study. The research setting was a local university in KwaZulu-Natal. The total population included all (N= 43) fourth-year baccalaureate of nursing undergraduate student midwives who participated as observers and/or role-players of a scenario role-play. An all-inclusive sampling was performed. There were 43 student midwives involved in the simulation teaching session with 6 of these students actively participating in each role-play at a time, while the remaining 37 observed. This occurred in two separate sessions and all the student midwives were involved in a debriefing session. These student midwives were then followed up and asked to participate in a focus group. The data in this article came from two separate focus groups which comprised 20 student midwives in total. Data were analysed using content analysis.RESULTS: Four categories emerged from the data, namely HFHPS offers a unique opportunity for student midwives to manage complex real-life emergencies; promotes reflection by allowing student midwives to reflect or review their roles, decisions and skills; allows student midwives to learn from their own experiences and encourages student midwives to try out what they learnt in a real-life situation.CONCLUSION: High-fidelity human patient simulators can be used in a complex case scenario to promote experiential learning of a clinical emergency.