网络标准化病人在本科护生精神科临床护理线上实习中的应用  

Effects of web standardized patients in online clinical nursing practice of undergraduate nursing students in Psychiatry Department

作　　者：武平平[1] 程艮[1] 张丽[2] 徐江玲[3] 李勇洁[4] 封砚村[5] Wu Pingping;Cheng Gen;Zhang Li;Xu Jiangling;Li Yongjie;Feng Yancun(Psychology Department,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China;Nursing Department,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China;Six District,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China;Ten District,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China;Seven District,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China)

机构地区：[1]首都医科大学附属北京安定医院心理病房,北京100088 [2]首都医科大学附属北京安定医院护理部,北京100088 [3]首都医科大学附属北京安定医院6区,北京100088 [4]首都医科大学附属北京安定医院10区,北京100088: [5]首都医科大学附属北京安定医院7区,北京100088

出　　处：《中华现代护理杂志》2023年第4期532-537,共6页Chinese Journal of Modern Nursing

摘　　要：目的评价使用网络标准化病人(Web-SP)进行本科护生精神科临床护理线上实习的教学效果。方法采用便利抽样法,选取2021年6月北京市某高校的219名本科护生作为研究对象,进行1周的线上精神科护理实习,组建线上实习教研组,在医院护士中招募并培训15名标准化病人(SP),根据临床真实案例设计具备典型症状的精神分裂症患者、抑郁症患者、双相情感障碍患者等共12种角色。按实习计划在腾讯会议平台上开设线上实习课堂,由临床带教老师直播和现场访谈SP及SP扮演的家属,学生通过视频、语音或文字与线上带教的老师及SP进行互动。实习结束后,向219名护生在线发放SP模拟质量评价量表(SQSPS)以及自制"精神科Web-SP的使用效果评价问卷"。共发放调查问卷219份,回收有效问卷219份,有效回收率为100%。结果219名本科护生SQSPS总分为(92.08±10.89)分,护生对Web-SP应用于线上实习的总体评价得分为(46.52±4.60)分,其中"加深了对患者的共情"得分最高,为(4.79±0.47)分;其次是"加深了对精神科护理工作的认识",为(4.75±0.68)分;第3位是"理解了症状对患者影响",为(4.73±0.52)分。结论将Web-SP应用于线上精神科临床护理实习可以满足护生对精神科及护理课程的实习需求,经过系统培训的Web-SP可以替代真实的患者完成教学目标。Objective To evaluate the teaching effect of online clinical nursing practice in Psychiatry Department for undergraduate nursing students by using Web standardized patients(Web-SP).Methods In June 2021,219 undergraduate nursing students from a university in Beijing were selected as research subjects by convenient sampling.We organized a week of online nursing practice in Psychiatry Department,set up an online practice teaching and research group,recruited and trained 15 standardized patients(SP)among hospital nurses,and designed 12 roles including schizophrenia patients,depression patients,and bipolar disorder patients with typical symptoms according to the actual clinical cases.According to the practice plan,an online practice class was opened on Tencent conference platform.The clinical teachers broadcastedand interviewed SP and SP's family members on the spot.Studentsinteracted with the online teachers and SP through video,voice or text.After the practice,219 undergraduate nursing students were issued SP Simulated Quality of Standardized Patient Scale(SQSPS)and self-made Web-SP Use Effect Evaluation Questionnaire in Psychiatry Department online.A total of 219 questionnaires were distributed online,and 219 valid questionnaires were recovered,with a valid recovery rate of 100%.Results The total score of SQSPS of 219 nursing students was(92.08±10.89).The overall evaluation score of nursing students on the application of Web-SP in online practice was(46.52±4.60),and the highest score was"deepened empathy for patients",which was(4.79±0.47).The second was"deepened the understanding of psychiatric nursing",which was(4.75±0.68).The third was"understanding the impact of symptoms on patients",which was(4.73±0.52).Conclusions Applying Web-SP to online clinical nursing practice in Psychiatry Department can meet the practice needs of nursing students for Psychiatric Department and nursing courses,and Web-SP after systematic training can replace real patients to achieve teaching goals.

关 键 词：教育 护理 精神科 网络模拟病人 线上实习 本科护生 

分 类 号：G642.44[文化科学—高等教育学] R47-4[文化科学—教育学]