NGHIEN ciru KHOA HOC
8. G.V. Oiamantisvd V.K. Benos, University of Piraeus, Greece (2007), Measuring student satisfaction with their studies in an International and European Studies Oeparterment, Operational Research, An International Journal. Vol.7.
No 1,pp 4 7 - 5 9 .
9. Hall, Rachel M., "Effects of High Fidelity Simulation on Knowledge Acquisition, Self Confidence, and Satisfaction with Baccalaureate Nursing Students Using the Solomon-Four Research Design" (2013).
Electronic Theses and Dissertations. Paper 2281. httD://de.etsu.edu/etd/2281
10. Levett-Jones, T., McCoy, M., Lapkin, S., Noble, 0., Hoffman, K., Dempsey, J., Arthur, C , & Roche, J. (2011). The development and psychometne testing of
the Satisfaction with Simulation Experience Scale. Nurse Education Today, 31(7), 705- 710. doi:10.1016/j.nedt .2011.01.004.
11. Prystowsky, J. B. &Bordage, G.
(2001). An outcomes research perspective on medical education: the predominance of trainee assessment and satisfaction.
MedicalEducatlon, 35(4), 331-336. doi:
10.1046/J.1365-2923.2001.00910.
12. Smith SJ, Roehrs CJ. Hight-Fidelity Simulation: Factors Correlated with Nursing Student Satisfaction and Self-Confidenee.
NursEduePerspeet. 2009;30(2):74-8.
13. Tagwa Omer Nursing Students' Perceptions of Satisfaction and Self- Confidenee with Clinical Simulation Experience Joumal of Education and Practice Vol.7, No.5, 2016
K^T QUA LPNG DUNG PHUONG P H A P M 6 P H 6 N G TRONG D A O TAO CCr NHAN D I ^ U DU'aNG TAI TRU'OFNG DAI HOC DI^U DU'aNG NAM DINH
' Mai Thj Lan Anh,' Pham Thj Thanh Hwang, ' Vu Nggc Anh, ' Mai Thj Yin, ^Nguyin Thj Thanh Huyin
' Dai hgc Biiu du&ng Nam Binh
md ta vi so sinh cap t-test dwgc su dung di phan tich dw llpu. Kit qua: Theo quan diim cua sinh vien, md phdng glOp cii thien cic kynang thwc hanh lam sang (t = -33,95), tw duy tieh ewe (t = -33,95) va sw ti/ tin, sw hai Idng trong hgc tip (t - -29,45) vaip < 0,001.
Tir gdc dp cua giang vien, kit qua cho thiy md phong ed thi giiip sinh vien phat triin nang li^ nghe diiu dwang (t = -12,43) vaip
< 0,001. Kit luan: Phuvng phap md phdng giup cai thiin rd ret cic ky ning lam sang, tw duy tich cue, sw hii ldng, tw tin va nang ILK; thwc hinh lim sang cua sinh vien. Can ed nhieu nghien cwu siu han di dinh gia toan dien han hieu qua cOa phwang phap md phdng tai trung tam thi/c hinh tiin lim sang.
Tir khoa: phwang phap md phdng, ky nang lim sing.
T6M TAT
Muc tieu: Danh gia hieu qua eua phirang phap md phdng trong dao tao ky ning lam sang cho sinh vien dai hge dilu dudng ehinh quy. Phutmg phap: Nghien cwu can thiep mpt nhdm cd so sanh trwac sau kit hgp vai khio sit djnh tinh tren 80 sinh viin cir nhan diiu dwang trong hgc ky I nam hge 2016 -2017. Bp edng cu danh gia trwac vi sau can thiip bao gom: Bp ciu hdi diiu dirang; Bp ciu hdi dieu dudng quic gia {NLN, 2005) vi Bp ciu hoi danh gii md phdng Creighton. Phwcmg phap thong ke
Ngudi chju trach nhigm: Mai Thj Lan Anh Email: [email protected] Ngdy phan bi$n: 23/01/2018 Ngay duyet bai: 23/02/2018 Ngay xuat ban: 14/03/2018
Khoa hpc Dilu dudng - Tap 01 - S l 01
NGHISN cCfu KHOA HQC
EFFICACY OF USING SIMULATION FOR TRAINING UNDERGRADUATE NURSING STUDENTS IN NAM DINH UNIVERSITY OF NURSING
ABSTRACT
Objects: To evaluate the effectiveness of simulation technique in training of clinical skills for novice bachelor nursing students. Methods: The one group pre- test and post-test educational inten/ention combined with the qualitative survey with structured interview. Pre- and post- intervention evaluation tools Included:
Nursing Knowledge Questionnaire; National League of Nursing Questionnaires (NLN, 2005) and Creighton Simulation Evaluation Instrument Descriptive and paired t-test statistical methods used for quantitative data analysis and contents analysis used for qualitative data. Results: From the students' perspective, the results revealed that simulation technique Improved pertormance
LDATVANOe
Thyc hanh dya tren md phdng la phuang phap dao tgo trong dd ngudi hpc cd ea hdi tim hilu, phdt triln va dp dung kiln thdc va ky nang trong tinh huong lam sdng thye t l khi tham gia vdo eac trai nghiem hpc tap ed tuang tae tai phdng md phdng. Md phdng vdi muc dfch nhdn rdng cdc kinh nghiem Idm sang va giup sinh vien hpe tgp trong mpt mdi trudng an todn va cd kiim soat.
Trdn thyc t l , cd nhieu loai md phong khac nhau nhu bang md hinh vdi dd trung thyc d cac muc dp khac nhau; su dung ngudi benh chuan; dya tren may tinh,... trong dd dugc sd dung rpng rai nhat la hinh thue md phdng bang md hinh vdi dp trung thyc d cac mdc dp khac nhau va md phong sd dyng ngudi benh chuan bdi tinh uu viet cua nd v l mat kinh t l eung nhu kit qua hpc tgp eua sinh vidn. Hai hinh thuc md phdng nay tao CO hdi cho sinh vien tuang tac vol md hinh/
ngudi bdnh trong mpt mdi trudng cham sdc gilng nhu thye t l , cai thien nang luc thyc hanh lam sang va tu duy tich eye [7].
skills (t = -33.95), critical thinking skills (t = -33.95) and self-confidence (t = -29.45) with p < 0.001. From the Instructor's perspective, the results did suggest that simulation technique may positively influence nursing competency (t = -12.43) with p < 0.001.
Conclusions: Simulation technique significantly Improved the students' pertormance skills, critical thinking skills, satisfaction, self-confidence and nursing competency. A further study on all nursing student levels should be conducted to more fully evaluate the effectiveness of simulation technique at the Pre-elinical practice Center.
Keywords: simulation technique, clinical skills.
Qua tong quan tdi lieu, mdt sd nghien cdu cho rang phuang phap md phdng cd hieu qua tren kiln thue dieu dudng, ky nang thye hanh va sy ty tin cCia sinh vien, td dd, giup sinh vien trai nghiem hpc tap lam sang mpt each an toan va hidu qua [4] Md phdng phat trien nhgn thuc v l cac vln dd lam sang, can thiep, va thue day lam viec nhdm d l giai quylt van de. Oao tgo thye hdnh lam sang chuydn nganh ngoai va san su dyng tinh huong md phdng giup sinh vien thye hanh ky nang nhanh han, hidu suit edng vide cao hon so vdi phuang phap ddo tgo lam sang truyen thong [7], Kit qua nghien cdu cua Alice va dong nghiep (2010) cho bilt cd sy khac bidt dang k l v l mgt thing ke lien quan din nang lyc cOa sinh vien trong viec ung dyng quy trinh dieu dudng vao cham sdc ngudi benh giua nhdm tham gia thyc hanh lam sdng qua md phdng va nhdm dao tao lam sdng theo phuang phap truyen thing [3],
Khoa hpe Oieu dudng - Tdp 01 - So 01
NGHIEN CU'U KHOA HOC
Tai Viet Nam, da ed nhieu ngdnh nghien cdu ve hidu qua cua phuang phap md phdng trong thyc hanh vd phat trien nghi nghidp.
Tuy nhidn, doi vdi ngdnh khoa hpc sdc khde mac du da cd nhilu trudng eung nhu benh vidn ap dyng phuong phap md phdng de dao tgo vd ndng eao tay nghi eho cae doi tugng cung d p dich vu cham sdc sue khde, nhung hilm tim thay nhung nghien edu lien quan din ITnh vyc md phdng vdi phat triln va thyc hdnh nghi nghidp. Dac biet, vdi nganh dilu dudng thi chua ed nghien edu ehinh thdc nao danh gia ve hidu qua cua viec sd dyng md phdng d i i vdi kit qua hpc tgp, dac bidt la nang lyc thyc hanh nghd didu dudng cua sinh vien [1], [2]. Vi vdy, de danh gia mdc dp hidu qua cua phuang phap md phdng khi ap dyng vdi doi tugng sinh vien dgi hpe dieu dudng chfnh quy, tu dd d l t^n dyng toi da hi#u qua vd khde phye nhung nhugc dilm eua phuang phap nay tgi trudng Dai hpc Oilu dudng Nam Djnh thi nghidn cdu "t^ng dung phwang phap md phdng trong dio tao cO' nhin diiu dwang tai truang Dal hgc Diiu dirang Nam 0/n/j" thyc sy mang tfnh cap thiet. Nghien cuu dugc tiln hanh vdi myc tidu ddnh gid hieu qua eua phuong phap md phdng trong ddo tgo cd nhdn dilu dudng. Tu dd chf ra mpt s l han chi can eai thien d l ndng cao hon nua chat lugng ddo tgo eu nhan dilu dudng bang phuang phap md phdng tgi trung tam thye hanh Tien lam sang, trudng Ogi hpe Dieu dudng Nam Djnh.
2. 0 6 l TU'P'NG VA PHU'aNG PHAP NGHIEN CCrU
2.1. Doi tugng, thdi gian va dja diem nghien cuu: 80 sinh vidn dai hpe dieu dudng chfnh quy khda 10 dugc chpn tham gia nghien edu trong thang 10 nam 2016 tgi Trung tdm thye hanh Tien lam sang, trudng Dgi hpc Dieu dudng Nam Djnh
2.2. Phuxi'ng phap nghien cdu 2.2.1 Thiet ke nghien ciru: Nghien edu can thiep mdt nhdm cd so sdnh trudc sau kit hgp vdi khao sdt dmh tinh.
2.2.2 Cong cu nghien ciru:
Bd cdng cy danh gia: bao gdm bp edu hdi danh gia kiln thue didu dudng trudc - sau md phdng; bp cdng eu NLN (2005) ddnh gia quan diem cua ban thdn sinh vidn v l sy phat trien ky nang tu duy tfch eye, ky nang thye hdnh va sy ty tin, hai Idng khi thyc hien eham sde ngudi benh qua thye hanh md phdng; vd bd edng cy C-CEI [11]
danh gia nang luc sinh vidn theo quan dilm cua giang vien qua hoat dpng md phong.
Hai cau hdi khao sat djnh tfnh d l danh gia dilm mgnh va nhung mat edn eai thien eua phuang phdp md phdng tai trung tdm thye hanh tiln lam sang dugc thyc hidn sau khi kit thuc toan bd qua trinh md phdng.
Bd edng cy can thiep: La eac tinh huong duoc thilt k l sdn theo 4 chuyen nganh: ndi, ngoai, san va nhi. 80 sinh vidn dugc chia thanh 4 nhdm thyc hidn cae tinh hudng theo k l hoach.
2.2.3 Phan tich dip lieu:
Tat ea cac du lidu djnh lugng dugc phan tfch bang phan mim SPSS 17. Thing ke md ta va so sanh cap Mest duge sd dung de phan tich du lieu. Mdc y nghTa thing kd duge thilt lap tgi p <0,05. Du lieu dinh tinh dugc phdn tfch bdng phuang phap ma hda tren 40 mau dugc chpn ngdu nhien trong cde nhdm md phdng va tinh t i n suit xuit hien cac quan diem gidng nhau.
3. K^T QUA NGHIEN CLTU 3.1. Kit qua nghien cdu djnh lugng Cac kit qua kiim djnh t-test cgp dagc t h i hien d Bang 1.
Ooi vdi kiln thue, chdnh lech dilm trung binh ly thuylt dilu dudng trudc va sau md phdng la -0,09 cho thdy khdng cd sy khdc bidt ve diem kiln thue trude va sau md phdng vdi p > 0,05.
v l kha nang dao tao cac ky nang, chenh lech dilm tmng binh thyc hanh ky nang trudc va sau md phdng la -1,52 cho thay ed sy khac biet v l ky nang thyc hanh sau md phdng so vdi trudc md phdng vdi p < 0,001.
Khoa hpe Dieu dudng - Tap 01 - So 01
NGHIEN CO'U KHOA HOC Bang 1: K i t qua kiem djnh t-test hieu
qua cua mo phdng Kiem djnh cap t-test
Kiln thyc qua mo phong Kha nang dao tao cac Ky nang ty duy tich eye Sy hai long va ty tin Nang lyc thyc hanh nghe
M -0,09 -1.52 -1.25 -1.26 -0.19
t 0,67 -36,4 -33,9 -29,5 -12,4
P
>0,05
< 0,001
< 0,001
< 0,001
< 0,001 v l ky nang tu duy tich cue, chdnh lech dilm trung binh ky nang tu duy tich eye trude va sau md phdng Id -1,25 eho thdy cd sy khac biet ve ky nang tu duy tich eye sau md phdng so vdi trude md phdng.
v l sy hai Idng va ty tin, chdnh Idch diem trung binh hai Idng va ty tin trudc va sau md phdng la -1,26 cho thay ed sy khac biet ve mue dp hai Idng vd ty tin sau md phdng so vdi trude md phdng vdi p < 0,001.
Theo danh gia cua giang vien, chenh lech dilm trung binh nang lye thyc hanh nghi cCia sinh vidn trudc va sau md phdng la - 0,19 cho thay cd sy khac biet vd nang lyc thye hdnh nghi sau md phdng so vdi trude md phdng vdi p < 0,001.
D nang lyc iruac MP
• nangli/csauMP
Hinh 1: K i t qua danh gia nang lire thyc hanh nghe qua mo phdng
3.2. Ket qua nghidn cuu djnh tinh Nhung dilm mgnh cua phuang phap md phdng: Quan dilm cua SV v l cac khia canh cua phuang phdp giang dgy md phdng cd nhung mat mgnh va ed nhung mat can eai thidn. Nhung mat manh cua phuong phap md phdng khi thye hidn tgi trung tam thye hanh Tiln lam sang dugc sinh vidn ddnh gia nhu sau: Md phdng giup sinh vien cd ca hOi rdn luydn eae ky nang can thiet cho nghe nghiep (92% dong y). Ben canh dd, SV eung danh gia rdt cao v l vide giang vidn ho trg va dua ra thdng tin phan hoi kjp thdi giup sinh vidn phdt trien kiln thdc (80%) khi thye hdnh vdi md phdng dgc bi$t phdn djnh hudng trudc md phdng va thao lugn sau md phdng. Mdt diem mgnh khac the hign rat dgc trung doi vdi thye hanh md phdng dd la eae bieu hien lam sang, tinh trang ngudi benh dugc giang vien thilt k l gilng nhu that (82% dong •}), ddng thdi, md phdng eung edp da dgng eac dyng cy vd trang thilt bi d l sinh vidn cd eo hdi thyc hanh (87% ddng y).
Nhung mgt edn eai thidn cda phuong phap md phdng: Theo quan diem eua SV, ben eanh nhung diem mgnh, phuang phap md phdng cung t h i hien nhung dilm yiu eln cai thien d l nang cao hieu qua ddo tao tai trung tam thyc hanh Tien lam sang. Sinh vidn khdng nhay ben d l nhan ra sy thay doi cae bilu hidn Idm sang (65%) vd dua ra can thigp ehua phd hgp. Dua ra ly do cho vln d l nay Id vi ed mdt sd giang vidn t h i hien dau higu thay doi cda ngudi bdnh ehua thyc sy rd rang. 40% sinh vien cho ring thao luan sau md phdng nhilu khi nhdm te, giang vien phan hoi mdt chilu ddn din sinh vien thu dpng trong hpe tgp. 57% sinh vien eho rang mgc du thye hanh vdi md phdng tao CO hpi cho sinh vien rdn luygn ky nang lam vide nhdm, nhung kit qua lam vide nhdm ehua thye sy hidu qua. Sinh vien eho rang can dugc quan sat mdt nhdm eham sde do gidng vien lam mau trong buoi dlu djnh hudng thyc hanh md phdng de hinh dung rd vai trd eua tdng thanh vien trong nhdm.
Khoa hpc Dieu dudng - T|p 01 - S6 01
N G H I E N C U U K H O A HOC
4. BAN LUAN
Qua phdn tieh du ligu ve quan dilm cua sinh vien va danh gia cua giang vien cho thiy hieu qua cua phuang phap md phdng trong dao tgo ^ l u dudng tgi trung tam thyc hanh Tien Idm sang the hien d vide eai thien ky nang thyc hanh, ky nang tu duy tich eye va sy hdi Idng, ty tin vdi hpc tdp theo quan diem eua sinh vien vd ndng cao nang lyc lam sang eua sinh vidn theo sy ddnh gia eua giang vidn, tuy nhien kit qua nghien edu cho thiy thye hanh vdi md phdng khdng lam tang kien thdc dilu dudng eua sinh vien. Ket qua ndy tuang ung vdi mpt s l nghidn edu trudc day ve hieu qua cua md phdng trdn vide eai thien cae ky nang lam sang ndi rieng va nang lyc thyc hanh Idm sdng eua sinh vidn ndi chung [12], [4].
4.1. Kiln thdc dieu duang cua sinh vien qua md phdng.
Qua phdn tieh du lieu kiln thdc dilu dudng cho thay khdng cd sy khac biet v l dilm kiln thdc sau md phdng so vdi trudc md phdng vol p > 0,05. Giai thich cho kit qua nay, nghien cuu cua Gates va cpng sy nam 2012 v l hieu qua cua md phdng tren kiln thue sinh vidn phdu thudt y hpc d hpc ky hai cho thiy md phdng giup sinh vien tang diem kiim tra ly thuyet chi 8%;
trong dd kiln thuc duge kiim tra Id ve quy trinh dilu dudng vd ndi dung cua kjch ban md phdng, ehd khdng phai ve kiln thdc ly thuyet dieu dudng chuydn ngdnh. Trong nghidn cuu nay, cae cau hdi trong bai kiim tra tap trung vao kiln thdc td eac bdi hpe ly thuyet md khdng phai la npi dung cua kjch ban md phong.
4.2. Thyc hanh cac ky nang cua sinh vien qua mo phong.
Kit qua kiim djnh t-test eho thay sy khac biet ed y nghTa thong ke (p < 0,001) v l ky ndng thyc hanh tnj-dc va sau md phdng.
Trude md phdng sinh vien danh gia mdc
ky nang trung binh dat dugc 2,54 + 0,29, nhung sau md phdng mue nay tang len den 4,06 ± 0,22. Theo nghien cdu eua Kardong- Edgren vd cgng sy nam 2008 cho biet eae tinh hulng md phdng vdi myc tieu hudng din quy trinh dilu dudng, eung cap cae thdng tin lien quan din tinh trgng ngudi benh, dua ra cac dap dng cua ngudi benh thdng qua cae can thiep dilu dudng eua sinh vidn va trpng tam vao thao lugn cudi buli d l cung edp thdng tin phan hoi cho sinh vien v l nhung bai hpc qua md phdng da giup cho sinh vien cd ca hdi thue hdnh, dat duge va duy tri eac ky nang lam sang cdn thilt trudc khi budc vao mdi trudng cham sdc ngudi benh.
Theo kit qua nghien cdu dinh tfnh, eae ky nang dugc sinh vien danh gia la cd co hpi ren luyen nhilu tai trung tdm thyc hdnh tiln lam sang la: ky nang giao tilp (87%), ky ndng ra quylt dinh va giai quylt van de (82%), ky nang lam viec nhdm (72%), ky nang tu vln va giao dye sdc khde cho ngudi bdnh vd gia dinh (78%),... tuy nhien, kit qua lam viec nhdm chua thyc sy hieu qua. Sinh vien cho rdng do ehua duge quan sdt nhdm cham sdc mdu thyc hanh md phdng de hinh dung rd vai trd eua tung thanh vien trong nhdm. Vdi pham vi nghidn cuu nay chi tren ddi tugng eu nhan dilu dudng, nen khdng cho phdp khai quat hda eho tdt ca mpi ddi tugng dugc dao tao tai Trudng dai hpc Dieu dudng Nam Oinh, nhung kit qua nghien cuu nay se ed y nghTa trong edng tae dao tao dieu dudng eung nhu trong cac nganh khoa hpc sue khde khde, ky nang lam vide nhdm trong ngdnh va lien nganh can dugc ehu trpng de nang cao chat lugng djch vy cham sdc sue khde.
4.3. Ky nang tu* duy tich eye cua sinh vien qua mo phong
Kit qua nghidn cuu eho thay theo quan diem cua sinh vidn, ky nang tu duy tich eye
Khoa hpe Oieu dudng - Tdp 01 - So 01
NGHIEN CU'U KHOA HOC
cua sinh vien qua md phdng tang len mdt each dang ke vdl p < 0,001. Kit qua nay bo sung cho nghidn edu eua Maggie Oavis- Kendrick nam 2015 eho ring md phdng ed hieu qua tot doi vdi tu duy tieh eye eua sinh vien dac bidt tren pham tru ldp lugn lam sang de dua ra quylt djnh can thidp phu hgp [14]. Kit qua nghidn euu dmh tinh cho thiy, eae bilu hidn lam sang, tinh trang ngudi benh duge giang vien thilt k l gidng nhu that (82% ding y): Cac dlu hieu phan ung cda ngudi benh dgc biet Id ddu hieu sinh ton dugc dua ra kjp thdi (73%),... Ben cgnh do, phdn thao lugn sau md phdng giup sinh vidn phan bidt dugc nhung can thiep phu hgp trdn ngudi benh da dugc thyc hien (72%), rut ra bai hpe kinh nghidm dac biet la td nhung can thiep sai eua ban than hoac cua bgn minh trong tinh hulng md phdng de tranh mac phai trong cham sdc ngudi bdnh that tgi mdi trudng lam sdng (70%).
Kit qua nghien euu djnh tfnh cho thdy, mac du tinh hulng md phdng da eung cap thdng tin v l dau hieu, dap dng cua ngudi b^nh nhung sinh vidn thudng khdng nhay ben d l nhan ra sy thay doi dd va dua ra can thigp ehua phu hgp (65%) do vlee the hi^n dau hidu thay dii chua thyc sy rd rang.
Tuy vgy, dudi gdc dp khoa hpe, nghien edu cOa Douglas nam 2013 eho ring do thieu tinh thyc t l nhu: man hinh dau giudng kha cao, khdng ed bdo hidu su thay dii khi eae dau hieu sinh ton vugt gidi han cho phep, m$t so bilu hidn Idm sdng ed khi Igi thai qua [6]. Kit qua nay cd y nghTa thye tien eao doi vdi vide nang cao chit lugng giang day md phdng, giang vien qua y Igi vao edng nghe md khdng ehu y din vide tao ra mpt mdi trudng eham sdc thdn thidn gan vdi thye te eung nhu nang cao trinh dp chuyen mdn thi nhung trung tdm md phdng khdng the mang Igi higu qua nhu mong muon [9].
4.4. Sy hai Idng va t y tin cua sinh vien qua mo phdng
Theo quan dilm cua sinh vidn, sy hai Idng va ty tin qua md phdng tang ldn mpt each dang k l vdi p < 0,001. Kit qua nay bo sung cho nghidn edu eua McRae (2017) trdn dii tugng dieu dudng edp cdu ngogi tim mach eho bilt dilm s l ty tin eua dilu dudng de thye hidn eac ky nang tang len ddng ke sau md phdng (td -0.50 din 1,78), tong dilm hai Idng cao (80,2 ± 1,06) cho thay dilu dudng rit hai Idng vdi thyc hdnh md phdng [6], Kit qua nghien cuu djnh tinh cho thay, md phdng eung elp da dang eae dung cu va trang thilt bj hien dgi glCip sinh vien cd co hpi thye hanh (87% ddng;/). Cdc giang vidn ho trg vd dua ra thdng tin phan hdi kjp thdi giup sinh vien phat trien kiln thdc (80%).
Ojnh hudng trudc md phdng giup sinh vidn cd cai nhin tong quat ve ngudi bdnh can cham sdc (79% ddng y); Thao luan sau md phdng giup sinh vien phdn bidt dupe nhung can thiep phu hgp tren ngudi benh da duge thyc hidn (72%), rut ra bai hpe dac biet Id tu nhung can thiep sai cda ban than hoac eua bgn minh de tranh mac phai trong eham sde ngudi bdnh thdt tgi mdi trudng lam sang.
Tuy nhien, phan thao ludn sau md phdng nham te, giang vien phan hoi mpt chilu, ddn din sinh vidn thy ddng trong hpc tap. Bdn canh dd, ndi dung thao luan khdng didn ra theo tu duy logic nen sinh vien khd he thing ndi dung da hpc. Ddy cung Id mdt rao can gap phai d hau hit eac trung tam md phdng dieu dudng khdng ehi d Vidt Nam ma ca d cac nude tien tien. Nghien cdu cua Mary (2014) kiln nghj ring eac trung tam md phdng nen phdn bo nguIn lye cho cae hoat dpng quan trpng md phdng, ehi dinh mdt quan tri vidn md phdng duge dao tao bai ban v l giang day md phdng. Cac gidng vidn khac cdn dugc dao tgo vd ddnh gia nang lyc thudng xuyen dgc biet la chu trpng thao ludn sau md phdng [14].
Khoa hpc Oieu duang - Tap 01 - So 01
NGHIEN CU'U KHOA HOC
4.5. Nang lyc lam sang cua sinh vien qua mo phdng
Kit qua nghien edu eho thiy theo danh gia cua giang vidn, nang lyc thyc hanh lam sang cua sinh vidn qua md phdng tang len mpt each dang k l vdi p < 0,001. Qua danh gia cua giang vien, nang lye thyc hanh lam sang eua sinh vien the hidn trdn cac ITnh vyc: nhan djnh ro dugc cae vln d l trdn ngudi benh va mdi trudng xung quanh;
thye hien giao tilp hieu qua vdi ngudi bgnh, ngudi nha va nhdm cham sdc; cd lap luan lam sang logic va thyc hien cham sde ngudi benh mdt each an todn. Kit qua nay tuong dng vdi kit qua nghien edu cua Kirkman (2015) trdn ddi tugng sinh vidn cu nhan (Slu dudng mdi tham gia vao khda hpe ly thuylt didu dudng va lam sdng ddu tidn cho bilt thyc hanh vdi md phdng giup sinh vien thi hidn nang lyc lam sang todn didn hon [10]. Vdi nhung diem manh eua md phdng d\rgc sinh vidn dua ra trong phdn nghidn cuu dinh tfnh da ban luan d tren t h i hien hidu qua cua phuang phap md phdng trong dao tgo dilu dudng tai trung tam thyc hanh tiln lam sang. Phat huy nhung diem manh va eai thlgn nhung rao can trong thyc hdnh giang day mo phdng se giup ndng eao hieu qua ddo tgo didu duang tai dan vi nay.
5. K^T LUAN
Sau qua trinh thye hign triln khai nghien euu danh gia hieu qua ap dyng phuong phap md phdng trong vide ddo tgo ky nang lam sang tgi trung tdm thye hanh Tiln Idm sdng, nghien edu da dat dugc muc tidu d l ra vdi nhung kit qua thu dugc cy the nhu sau:
5.1. Hieu qua ung dung phuang phap mo phdng dao tao ky nang lam sang
Theo quan diem cua sinh vien md phong tao ca hdi thyc hanh tdt cae ky nang lam sang nhu ky nang giao tilp, ky nang ra quylt
djnh va giai quylt vln d l , ky nang lam vide nhdm,... Md phdng giup eai thien ky nang tu duy tieh cue nhd thilt k l mdi tafdng md phdng giong nhu mdi trudng eham sde ngudi bdnh tai benh vien, ddng thdi thao luan sau md phdng giup sinh vien phan bidt dugc nhung can thiep phu hpp trdn ngudi benh va rut ra bai hpe, dac biet la tu nhung can thiep sai cua ban thdn hay bgn minh trong tinh hulng md phdng. Ben canh do, sinh vien t h i hien sy hai Idng va ty tin khi thye hanh vdi md phdng bdi nd cung elp da dang cac trang thilt bj giup sinh vien cd eo hdi thyc hanh. Mdt kit qua mang tfnh khach quan la danh gia td phfa giang vien v l mdc dp dat dugc nang lyc thye hanh lam sang eua sinh vidn rdt cao qua md phdng.
5.2. Mgt so giai phap nang cao chat lugng dao tao ky nang lam sang bang phuang phap mo phong
Qua nghien cdu djnh tinh cho thiy, kit qua Idm vide nhdm eua sinh vien qua thye hanh vdi md phong chua thuc sy hidu qua, vi vgy, edng tac dao tao dilu dudng eung nhu trong ede ngdnh khoa hpe sue khde khac, ky nang lam vide nhdm trong ngdnh va lidn nganh eln dugc chu trpng de nang cao chat lugng djch vy cham sde sdc khde.
Giang vidn khdng nen qua y lai vao cdng nghe hien dai ma ndn ehu y de tgo ra mdt mdi trudng eham sdc gan vdi thyc t l cung nhu nang eao trinh dd chuyen mdn trong dao tao md phdng Ben cgnh dd, trung tam dao tao md phong nen phdn b l nhdn lyc phu hgp cho cac hoat ddng quan trpng eua md phdng, ndn cd ngudi quan ly duge dao tao bai ban vd md phdng va tdt ea eae giang vien khdc eln dugc ddo tao va danh gia nang lye thudng xuyen v l giang dgy md phdng dac bidt la ehu trpng hogt ddng thao lugn sau md phdng.
Khoa hpc Dieu duang - Tap 01 - S l 01
NGHIEN CO'U KHOA HOu TAI LIEU THAM K H A O
1. Cao Van Thjnh (2015). Giao trinh huln luyen ky nang. Nha xuit ban y hpc, 1-12.
2. Hpi dilu dudng Vigt Nam (2014). Thyc trgng ddo tao dieu dudng d Vigt Nam. Tap chlB'iiu dudng Viet Nam, 5, 2-3.
3. Bambini, D., Washburn, J., & Perkins, R. (2009). Outcomes of clinical simulation for novice nursing students: Communication, self-confidence, clinical judgment. Nursing Education Perspectives, 30(2), 79-82,
4. Blum, C. A., Borglund, S., & Pareells, D, (2010). High-fidelity nursing simulation:
Impact on student self-confidence and clinical competence. International Journal of Nursing Education Scholarship, 7(1), Article 18. doi:10:2202/1548-923X.2035
5. Crouch L. (2009). Undergraduate nursing students' perceptions of the simulation design, learning, satisfaction, self -concept, and collaboration in high -fidelity human patient simulation. International Journal of Nursing Education Scholarship, 5(1), 1-16
6. Elfrink, V. L., Kirkpatrick, B., Nininger, J., & Schubert, C. (2010). Using learning outcomes to inform teaching practices in human patient simulation. Nursing Education Perspectives, 31(2),
7. Jeffries, PR. (2012). Simulation in nursing education: From conceptualizahori to evaluation. 2^"^ edition. The National League for Nursing: New York, NY
8. Kirkman, T R. (2011)- The effectiveness of human patient simulation on baccalaureate nursing students transfer of learning (Doctoral dissertation). Retrieved from: http://www.ua.edu
9. National League for Nursing, (nd).
Simulation Innovation Resource Center.ln http://sire .nln.org/.Retrieved July 5, 2012 from http://sirc.nln.org
10. Susan L., Jennifer M., Cheryl P., Roberi:M. (2008). Effectiveness of simulation on health profession students' knowledge, skills, confidence and satisfaction.
Doi.10.1111/j.^744-^609.2Q08
11. Todd, M., Manz, J., Hawkins, K., Parsons, M., & Hereinger, M. (2008). The development of a quantitative evaluation tool for simulations in nursing education.
International Journal of Nursing Education Scholarship, 50). 1-17.
12. Wanonis A. R. (2014). Methods and Evaluations for Simulation Debriefing in Nursing Education. Joumal of Nursing Education. 53(8) 459-465
Khoa hpc Oieu dudng - Tap 01 - s | r
