基于INACSL标准的缺陷式情景模拟教学在护生岗前技能培训中的应用

王鹏举; 赵晓霜; 徐兆宁; 杨广宇

doi:10.3760/cma.j.cn116021-20250217-02164

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基于INACSL标准的缺陷式情景模拟教学在护生岗前技能培训中的应用

医学模拟教育 | 更新时间：2026-02-13

- 基于INACSL标准的缺陷式情景模拟教学在护生岗前技能培训中的应用
- Application of defect-based scenario simulation teaching following INACSL standards in pre- employment skill training for nursing interns
- 中华医学教育探索杂志 2026年25卷第1期页码：64-70
- 作者机构：
  
  1.吉林大学第一医院护理部，长春 130021
  2.吉林大学第一医院耳鼻咽喉头颈外科，长春 130021
- 作者简介：
  
  杨广宇，Email：sryyxf@jlu.edu.cn
- 基金信息：
  
  2024年吉林省高教科研重点自筹课题(JGJX24C020)
- DOI：10.3760/cma.j.cn116021-20250217-02164
  中图分类号： R47
- 收稿：2025-02-17，
  
  纸质出版：2026-01-20
- 稿件说明：
移动端阅览
王鹏举, 赵晓霜, 徐兆宁, 等. 基于INACSL标准的缺陷式情景模拟教学在护生岗前技能培训中的应用[J]. 中华医学教育探索杂志, 2026, 25(1): 64-70.

Wang Pengju, Zhao Xiaoshuang, Xu Zhaoning, et al. Application of defect-based scenario simulation teaching following INACSL standards in pre- employment skill training for nursing interns[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 64-70.
王鹏举, 赵晓霜, 徐兆宁, 等. 基于INACSL标准的缺陷式情景模拟教学在护生岗前技能培训中的应用[J]. 中华医学教育探索杂志, 2026, 25(1): 64-70. DOI： 10.3760/cma.j.cn116021-20250217-02164.

Wang Pengju, Zhao Xiaoshuang, Xu Zhaoning, et al. Application of defect-based scenario simulation teaching following INACSL standards in pre- employment skill training for nursing interns[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 64-70. DOI： 10.3760/cma.j.cn116021-20250217-02164.

摘要

目的

探讨并验证基于国际护理临床模拟教学协会（International Nursing Association of Clinical Simulation Learning，INACSL）的缺陷式情景模拟教学在护理实习生岗前技能培训中的应用效果。

方法

采用整群抽样法，选取2022年6月至2024年4月在吉林省某三甲医院实习的101名护理本科生作为研究对象。其中，将2022年6月至2023年4月实习的52名护理本科生设为对照组，将2023年6月至2024年4月实习的49名护理本科生设为观察组。对照组采用传统的岗前技能培训方法，观察组采用基于INACSL的缺陷式情景模拟教学模式进行培训。使用IBM SPSS 27.0软件进行统计学分析，通过

检验比较培训后两组护生的临床技能考核评分、护生满意度得分、自信心得分及批判性思维能力得分的差异；通过卡方检验比较两组的不良事件发生率差异。

结果

①培训后，观察组临床技能考核成绩[95.46（94.54，96.46）分

]

高于对照组[87.29（87.02，87.29）分

]

，差异有统计学意义（

0.001）。②培训后，在护理实习生满意度和自信心评价方面，观察组成绩高于对照组[满意度：（20.43±2.20）分 vs. （17.35±1.74）分；自信心：（34.92±1.75）分 vs. （30.90±2.31）分

]

，差异均有统计学意义（

0.001）。 ③培训后，批判性思维能力总分方面，观察组（339.69±14.90）高于对照组（330.65±10.61），差异有统计学意义（

0.001）。④观察组护理操作相关不良事件发生例数低于对照组（1例 vs. 8例）。

结论

基于INACSL的缺陷式情景模拟教学培训有助于提升护理实习生操作技能、对培训的满意度、对临床工作的自信心及批判性思维能力，降低护理操作相关不良事件发生率。

Abstract

Objective

To explore and validate the application effectiveness of defect-based scenario simulation teaching in pre-employment skill training for nursing interns following the International Nursing Association of Clinical Simulation Learning (INACSL) standards.

Methods

A cluster sampling method was used to select 101 nursing undergraduates who interned at a tertiary hospital in Jilin Province between June 2022 and April 2024 as the study subjects. Among them

52 nursing undergraduates who interned from June 2022 to April 2023 were assigned to the control group

while 49 nursing undergraduates who interned from June 2023 to April 2024 were assigned to the observation group. The control group received traditional pre-employment skill training

while the observation group was trained using the defect-based scenario simulation teaching model following INACSL standards. Statistical analysis was performed using IBM SPSS 27.0. The independent samples

-test was conducted to compare the differences between the two groups in post-training clinical skill assessment scores

satisfaction and self-confidence scores

and critical thinking ability scores. The chi-square test was used to compare the incidence of adverse events between the two groups.

Results

After training

the observation group achieved significantly higher clinical skill assessment scores compared to the control group [95.46 (94.54

96.46) vs. 87.29 (87.02

87.29)

0.001

]

. In terms of nursing intern satisfaction and self-confidence evaluation

the observation group scored significantly higher than the control group [satisfaction: (20.43±2.20) vs. (17.35±1.74); self-confidence: (34.92±1.75) vs. (30.90±2.31);

0.001

]

. The observation group scored significantly higher than the control group in critical thinking ability [(339.69±14.90) vs. (330.65±10.61)

0.001

]

. The number of adverse events related to nursing procedures was lower in the observation group than in the control group (1 case vs. 8 cases).

Conclusions

Defect-based scenario simulation teaching following INACSL standards helps improve the operational skills

satisfaction with training

self-confidence in clinical work

and critical thinking ability of nursing interns

while reducing the incidence of nursing-related adverse events.

关键词

Keywords

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