【摘要】 目的 旨在探讨模拟教学联合小规模限制性在线课程(small private online course, SPOC)在护理专业学生患者安全教育中的应用效果。方法 采用类实验研究设计。于2020年11月至2021年6月,选取郑州市某职业卫生学校护理系4个班级219名护生为研究对象,按班级分为干预组(n=106)和对照组(n=113)。干预组护生在进行SPOC基础上,以小组为单位实施模拟教学,每次3个学时,共2次,分为课前准备、教学实施和课后反思3个阶段。对照组护生在钉钉教学平台上采用SPOC进行理论教学,以班级为单位,每次2个学时,共计4次。课程实施后,采用患者安全胜任力自评量表(Patient Safety Competency Self-Evaluation, PSCSE)比较两组护生的教学效果。结果 干预组(n=103)和对照组(n=102)学生完成了研究。课程结束后,干预组和(176.24±13.73比144.64±13.75)和对照组(160.87±14.88比142.57±15.66)护生PSCSE总分均高于干预前(P<0.01),且干预组护生总分高于对照组(176.24±13.73比160.87±14.88,P<0.01)。课程结束后,干预组护生PSCSE各维度得分均提高(P<0.01);除不良事件报告与应对、不良事件沟通维度外(P>0.05),对照组护生PSCSE各维度得分均提高(P<0.01)。干预组护生除在安全护理认知、不良事件报告态度维度得分与对照组比较差异无统计学意义外,其余各维度得分均高于对照组(P<0.01)。结论 模拟教学联合SPOC在护生患者安全教育中实施效果较好,能够从知识、技能、态度层面提高护生的患者安全胜任力水平。更多还原

【Abstract】 Objective: This study aimed to explore the effects of the small private online course(SPOC) combined with simulation-based training in a patient safety education program among nursing students in China.Methods: A quasi-experimental design was conducted. A total of 219 nursing students from four parallel classes were selected from the nursing department of a health vocational college in Zhengzhou, China,from November 2020 to June 2021 and allocated to the intervention group(n = 113) and control group(n = 106). Based on SPOC, nursing students in the intervention group implemented simulation teaching in small groups, with three class hours each time, a total of two times, divided into three stages: pre-class preparation, teaching implementation, and after-class reflection. The control group received theoretical patient safety education through SPOC, implemented on the Ding Ding platform for two class hours each time, four times. All participants were invited to complete a demographic questionnaire and the Chinese version of Patient Safety Competency Self-Evaluation(PSCSE) before and after the intervention.Results: A total of 103 and 102 students from the intervention and control groups completed the study.The total scores of PSCSE in the post-test of the intervention group(176.24 ± 13.73 vs. 144.64 ± 13.75)and the control group(160.87 ± 14.88 vs. 142.57 ± 15.66) were higher than those in the pre-test(P < 0.01), and the total scores of PSCSE of the intervention group were higher than those of the control group(176.24 ± 13.73 vs. 160.87 ± 14.88, P < 0.01). After intervention, the scores of PSCSE in all dimensions were increased in the intervention group(P < 0.01); in the control group, the scores of patient safety competency in most dimensions were increased(P < 0.01), except for the dimensions of reporting and response to error and communication related to error(P> 0.05). Except for the dimensions of knowledge and attitude of error reporting and disclosing(P> 0.05), the scores of other dimensions in the intervention group were higher than those in the control group(P < 0.01).Conclusion: The patient safety education program using the SPOC combined with simulation-based training can effectively improve the patient safety competency of nursing students in terms of attitude, skills, and knowledge.更多还原