虚拟仿真技术在助产临床思维能力训练中应用的范围综述  

The application of virtual simulation based clinical thinking system in midwifery education:a scoping review

作　　者：杨佳洵 陈睿 倪依莎 张晶[1] Yang Jiaxun;Chen Rui;Ni Yisha;Zhang Jing(School of Nursing,Hangzhou Normal University,Hangzhou 311121,China)

机构地区：[1]杭州师范大学护理学院,杭州311121

出　　处：《中国实用护理杂志》2025年第6期473-480,F0003,共9页Chinese Journal of Practical Nursing

基　　金：教育部第二批产学合作协同育人项目(202102579003)。

摘　　要：目的综述分析虚拟仿真技术在助产临床思维能力训练中的系统构建、应用及效果评价,为该领域的研究提供参考。方法以乔安娜布里格斯研究所发布的范围综述指南为方法学框架,检索中国知网、万方、PubMed、Web of Science核心合集等国内外数据库,检索时限为建库至2023年9月1日。根据纳入与排除标准进行文献筛选,并对纳入文献进行统计与分析。结果共检索到文献314篇,最终纳入13篇文献。基于虚拟仿真技术的助产临床思维训练系统在国内外助产教学中均处于起步阶段,目前国内在系统开发过程中缺少理论支持、教学内容局限于分娩期与计划生育、暂未发现基于虚拟产妇的系统、运行路径选择较为单一、干预方案有待完善、评价指标缺乏统一标准,评价工具缺乏特异性。结论初步证实虚拟仿真技术在培养助产临床思维能力方面具有一定的积极效果,但建议应以助产临床思维相关理论为指导,结合教学目标及内容,选择合适的虚拟仿真类型及运行路径,拓展教学内容,完成系统构建与开发。在应用与评价中完善干预方案,选择特异性评价工具,进一步探究虚拟仿真技术对学生助产临床思维能力的影响。ObjectiveTo explore and analyze the system development,application and evaluation of virtual simulation(VS)based clinical thinking system in midwifery education,and to provide reference for the research in this area.MethodsThe scoping review guidelines published by the Joanna Briggs Institute was used as the methodological framework.Literature was searched from the domestic and international databases such as CNKI,Wanfang,PubMed,and Web of Science Core Collection,from the date of database construction to September 1,2023.The literature was screened according to the inclusion and exclusion criteria,and the included literature was statistically and analytically reviewed.ResultsA total of 314 articles were retrieved,and 13 articles were finally included.The VS based clinical thinking system is in its infancy in midwifery education at home and abroad.In China,there is a lack of theoretical framework underpinned the system development.The content was limited to the care during labor and delivery and family planning,and virtual woman and multiply operation paths have not been adopted in the system development.Besides,research design of the studies was less rigid and the indicators were not specifically selected for clinical thinking.ConclusionsCurrent studies have preliminarily proved some positive effects of VS on midwifery clinical thinking.However,it is suggested that development of VS system needs to be underpinned by theoretical framework related to clinical thinking.Types of VS and its operation path need to be adopted according to learning contents and objectives,whilst learning content should be extended to the wider midwifery scope of practice.Improve intervention plans in application and evaluation,select specific high evaluation tools,and further explore the impact of virtual simulation technology on students′clinical thinking ability in midwifery.

关 键 词：虚拟仿真 助产临床思维 助产教育 范围综述 

分 类 号：TP3[自动化与计算机技术—计算机科学与技术]