高仿真模拟教学法对护生自我效能感影响的Meta分析

[目的]评价高仿真模拟教学法对于护生自我效能感的影响。[方法]通过检索the Cochrane Library、PubMed、Web of Science、Science Direct、Nurimedia、万方、中国知网数据库,收集自建库至2019年6月1日发表的关于高仿真模拟教学法(试验组)和传统教学法(对照组)对护生自我效能感影响的随机对照试验研究以及类实验研究,用RevMan 5.3软件对所纳入的文献进行Meta分析。[结果]共纳入相关文献6篇,Meta分析结果显示,试验组护生的自我效能感高于对照组[SMD=0.29,95%CI(0.16,0.42),P<0.0001];亚组分析显示,无论是在亚洲还是欧美,高仿真模拟教学法均可提高护生的自我效能感[亚洲:SMD=0.32,95%CI(0.12,0.52),P<0.001;欧美:SMD=0.27,95%CI(0.09,0.44),P=0.003]。高仿真模拟教学法对护生的学业自我效能感的影响结果差异无统计学意义[SMD=0.09,95%CI(-0.13,0.32),P=0.42],对一般自我效能感的影响结果差异有统计学意义[SMD=0.39,95%CI(0.23,0.55),P<0.00001]。[结论]现有证据表明,高仿真模拟教学法可以提高护生的自我效能感,其中对护生的一般自我效能感影响更加显著。本研究纳入文献较少,未来仍需更多高质量的研究加以证实。

Effect high-fidelity simulation teaching method on self-efficacy of nursing students:a Meta-analysis

Objective:To evaluate the effect of high-fidelity simulation teaching method on self-efficacy of nursing students.Methods:Randomized controlled trials(RCTs)and similar experimental studies on effects of high-fidelity simulation teaching method(experimental group)and traditional teaching method(control group)on nursing students′self-efficacy,were retrieved from databases.These databases included Cochrane Library,PubMed,Web of Science,Science Direct,Nurimedia Korean academic journal database,Wanfang,and China National Knowledge Infrastructure(CNKI).And the retrival time was from establishment of the database to June 1,2019.Meta-analysis was performed using RevMan 5.3 software.Results:A total of 6 pieces of related literatures were included.The Meta-analysis results showed that the self-efficacy of nursing students in the experimental group was significantly higher than that in the control group[SMD=0.29,95% CI(0.16,0.42),P<0.0001].The sub-group analysis showed that no matter in Asia or Europe and the United states,self-efficacy of nursing students in the experimental group both had improved[Asia:SMD=0.32,95%CI(0.12,0.52),P<0.001;Europe and United States:SMD=0.27,95% CI(0.09,0.44),P=0.003].The effect of high-fidelity simulation teaching method on the academic self-efficacy of nursing students was not statistically significant[SMD=0.09,95% CI(-0.13,0.32),P=0.42].But there was a statistical significant difference on the general self-efficacy[SMD=0.39,95% CI(0.23,0.55),P<0.01].Conclusions:The existing evidence showed that the high-fidelity simulation teaching method could improve the self-efficacy of nursing students.The effect of teaching method on general self-efficacy of nursing students was more significant.Due to the limitation of the number of included literatures,more high-quality studies will still be needed in the future.