Abstract:

Objective The research aims to develop and apply clinical nursing skills training software to explore new methodology in clinical nursing practice. Methods Based on the gamified learning theory,combined with integrations of knowledge concerning clinical nursing skills,a mobile teaching software compatible with a variety of operating system was developed. The software was divided into 2 ports,consisting of 6 modules,covering 13 clinical nursing skills operations. All undergraduate students majoring in nursing,who took internships in 2 hospital districts labeled as A and B of an affiliated hospital of university in Qingdao from May to July in 2020,were selected as research subjects by cluster sampling,with 276 students in district A as the experimental group and 293 students in district B as the control group. The experimental group was trained by the game software for clinical nursing skills training on the basis of traditional teaching approaches,while the control group was only implemented with traditional teaching means. The performance evaluations of clinical skills between the 2 groups were compared separately before-post and after two-month internships. Degrees of satisfaction of teachers and students in the experimental group was investigated after using the software for 2 months. Results The average evaluation scores of 13 clinical skill operations in the experimental group were significantly higher than those in the control group after two-month internships（P<0.001）,and the mean scores of 13 clinical skills operations in the experimental group were also considerably higher than those before-post（P<0.001）. Student satisfaction with the whole software ran at 94.81% and teacher satisfaction achieved 91.33%. Conclusion The application of the software could effectively enhance training outcomes of clinical skills for students and profoundly enrich the methodology of teaching clinical nursing skills. The software was rated highly by students and teachers from all and each dimensions.

Key words: Clinical Internship, Skills Training, Gamified Learning, Nursing Students, Software Engineering

摘要：

目的 开发并应用临床护理技能培训教学软件（以下简称“软件”）,以探索临床护理实践教学新方法。 方法 基于游戏化教学理论,融合临床护理技能操作知识,研发适配于各系列操作系统的移动教学软件,包含2个端口、6个模块,纳入13项临床护理技能操作。选取2020年5月—7月青岛市某三级甲等医院A、B 2个院区的全部护理专业本科实习学生（以下简称“学生”）为研究对象,A院区共276名学生为试验组,B院区共293名学生为对照组,试验组在传统带教基础上应用软件开展临床技能培训,对照组采用传统带教方式,比较两组岗前、实习2个月后的临床技能操作考核成绩。同时调查应用软件2个月后试验组学生及带教教师对软件的满意度。 结果 实习2个月后试验组13项临床技能操作考核平均成绩高于对照组（P<0.001）,且高于其岗前成绩（P<0.001）。94.81%的学生对软件评价处于高满意度水平,91.33%的带教教师对软件评价处于高满意度水平。 结论 应用该软件能有效提高学生临床技能培训效果,丰富临床护理技能教学方法,学生及带教教师对该软件总体及各维度评价较高。

关键词: 临床实习, 技能培训, 游戏化教学, 护理实习生, 软件开发