【摘要】 目的 探讨新生儿复苏高仿真模拟教学在护理本科生中的应用效果。方法 遵循“学习目标设定—情景剧情构建—编程调试—预演”4个环节，设计新生儿复苏高仿真模拟教学，并对南京医科大学2018级—2022级共464名大学三年级护理本科生开展教学。通过中文版Jeffries模拟教学设计量表调查结果、对420份模拟日志的高频词汇与语义网络分析结果，以及对25名学生的访谈结果，分析教学效果。结果 学生对中文版Jeffries模拟教学设计量表各条目的评分均数均>4.60分；模拟日志分析结果显示，围绕“新生儿”“操作”“复苏”等核心词，形成“临床-实际-生命”三大关联语义群；从访谈资料中归纳出四大主题：直面生死的情感体验与职业认同强化、临床能力从理论到实践的构建、仿真教学环境的容错与反馈价值，以及基于学生反馈的精准教学优化路径。结论 设计的新生儿复苏高仿真模拟教学有助于促进学生知识、技能与专业价值观的融合，形成综合性临床胜任力。更多还原

【Abstract】 Objective To explore the application effectiveness of high-fidelity scenario simulation teaching for neonatal resuscitation among undergraduate nursing students. Methods A high-fidelity scenario simulation teaching program for neonatal resuscitation was designed following “setting learning objectives-constructing scenario plotsprogramming and debugging-rehearsal” four steps. A total of 464 third-year undergraduate nursing students from the2018 to 2022 cohorts at Nanjing Medical University participated in the teaching program. The teaching effectiveness was analyzed based on the results of the Chinese version of the Jeffries Simulation Design Scale(C-JSDS),the analysis of high-frequency words and semantic networks from 420 simulation logs,and the interview results of 25 students. Results The mean scores of each item on the C-JSDS exceeded 4.60. Analysis of simulation logs revealed that centering on core words such as “neonatal”, “operation” and “resuscitation”,three major associated semantic clusters of “clinical-practical-life” were formed. Four main themes were summarized from the interview data:1) emotional experience and strengthened professional identity in the face of life and death;2)construction of clinical competence from theory to practice;3) the value of error tolerance and feedback in the simulated teaching environment;and 4)precise teaching optimization paths based on student feedback. Conclusion The high-fidelity scenario simulation teaching program for neonatal resuscitation designed in this study is conducive to promoting the integration of students’ knowledge,skills and professional values,thereby fostering comprehensive clinical competence.更多还原