模拟前导引在护理教育中应用的范围综述  

Prebriefing in simulation-based learning in nursing education:a scoping review

作　　者：蔡春凤[1] 郑双会 彭夏丽 刘培书 CAI Chunfeng;ZHENG Shuanghui;PENG Xiali;LIU Peishu

机构地区：[1]武汉大学护理学院,武汉市430061 [2]湖北省中医医院

出　　处：《中华护理教育》2023年第7期878-884,共7页Chinese Journal of Nursing Education

基　　金：教育部产学合作协同育人项目(220505634232425)。

摘　　要：目的对模拟前导引(prebriefing)在护理教育中应用的相关文献进行范围审查,以了解目前护理领域模拟前导引的组成,及其在护理教育中的应用现状及效果。方法对中国知网、万方数据库、维普、中国生物医学文献数据库、Web of Science、PubMed、Cochrane Library、Embase数据库进行文献检索,检索时限为建库至2022年10月27日。按照纳入和排除标准进行文献筛选,提取并归纳文献中的信息。结果共检索出897篇文献,22篇文献符合纳入标准。绝大多数文献报告的模拟体验遵循模拟前导引(prebriefing)、场景或案例(scenario or case)和引导性反馈(debriefing)3个标准实践环节;一些文献确定了模拟前导引的基本要素与活动内容;证据支持教育者在保证学习者为基于模拟的学习做好准备方面起着至关重要的作用。证据表明,模拟前导引显著改善心理安全感和信心水平相关结果指标;还与减少学习者的压力、优化技能与知识以及促进反思性和建设性的汇报有关。结论研究结果为模拟前导引实践提供了依据,可能会促使护理教育者进一步了解模拟前导引框架或标准化,并探讨模拟前导引的不同做法或策略的效果。Objective This scoping review aims to summarize available evidence related to the component of prebriefing in simulation-based experiences,the current-status of application and its impact on learning outcomes in nursing education.Methods Databases were searched from their time of establishment to October 27,2022 for studies regarding prebriefing in simulation-based learning,including Wanfang,CNKI,VIP,SinoMed,Cochrane Library,PubMed,Web of Science,and Embase.Articles were screened according to the inclusion and exclusion criteria,and the information in the articles was extracted and summarized.Results A total of 897 articles were retrieved,and 22 articles were finally included.The simulation-based learning was reported in the vast majority of literature and encompassed into three typical sessions,namely prebriefing,scenario or case and debriefing.Some literature identified the essential components and activities of prebriefing.Evidence supported the vital role of simulation educator in preparing simulation participants for a successful simulation-based learning experience.Evidence indicated that a significant improvement in outcome measures related to psychological safety and confidence levels.Prebriefing was helpful in reducing learners'stress,optimizing skills and knowledge,and facilitating a reflective and constructive debriefing.Conclusion The results provide evidence for prebriefing practice in simulation-based nursing education.Moreover,results support nursing educators to get insight of the framework or standardization of this process,and pay more attention to the effectiveness of different strategies or approaches.

关 键 词：教育 护理 模拟 模拟前导引 范围综述 

分 类 号：G353.1[文化科学—情报学] R47-4[医药卫生—护理学]