看護基礎教育における患者急変対応シミュレーション教材の開発とその効果

Development and Effects of Simulation Materials for Sudden Changes in Patients' Conditions in Basic Nursing Education

要旨

　目的：看護基礎教育における患者急変対応シミュレーション教材の開発とその効果を検証する．

　方法：A大学看護学部4年生83名を対象に演習を行い，事前・事後課題，ARCS評価シート等をカークパトリックの4段階評価モデルの視点で分析した．

　結果：レベル1の反応は演習への興味（76.6％）とやりがい（82.8％）が高く，「講義よりも印象に残った」，「楽しかった」など肯定的な意見があった．レベル2学習については事前・事後課題の平均点が高く行動目標は達成された．急変対応への自信は54.7％であった．

　結論：本教材の学習効果は認められたが，急変対応への自信や満足度をさらに高める教材の工夫，改善の必要性が示唆された．

　Objective: To develop simulation teaching materials within basic nursing education to aid nurses in addressing sudden changes in patients' conditions and to verify such teachings' effects.

　Methods: A seminar was conducted with 83 fourth-year students from the nursing department of University A. Pre- and post-assignments, a simulation seminar checklist, and an attention, relevance, confidence and satisfaction (ARCS) evaluation sheet were analyzed based on the Kirkpatrick's Four-Level Training Evaluation Model.

　Results: Level 1 responses included high interest in (76.6%) and sense of fulfillment with (82.8%) the seminar, with positive supporting comments such as “it left a stronger impression than lectures” and “it was fun.” Regarding Level 2 learning, the mean scores of the pre‐ and post-seminar tasks, as well as for the simulation seminar checklist, were high. These findings indicate that the action goal was achieved. Confidence in responding to sudden changes in conditions was 54.7%.

　Conclusion: Although the learning effect of the teaching material was found, the results suggest that there is a need for modifying and improving the teaching material in order to further raise nursing students' confidence in and satisfaction with addressing sudden changes in patients' conditions.