Stand der Umsetzung des simulationsbasierten Lehrens in Deutschland
Eine Querschnittsstudie
Abstract
Zusammenfassung.Hintergrund: Die Bedeutung der Simulationslehre für den Bildungsbereich Pflege wächst. Der Erfolg ist abhängig von der Qualifikation der Lehrenden und der Nutzung von Standards. Bislang fehlen Daten zum Stand der Umsetzung der Simulationslehre in der Pflegebildung in Deutschland. Fragestellung: Welches Qualifikationsniveau zeigen Simulationslehrende in der Pflege(aus)bildung in Deutschland und welche Konzepte und Standards kommen zum Einsatz? Methoden: Eine Querschnittserhebung unter Simulationslehrenden in drei Bildungsbereichen wurde durchgeführt. Der Fragebogen umfasste soziodemografische Merkmale, absolvierte Qualifizierungsmaßnahmen sowie angewandte Konzepte und Standards. Die Daten wurden deskriptiv mittels Bestimmung arithmetischer Mittelwerte zuzüglich Standardabweichung (SD) oder absoluter und relativer Häufigkeiten ausgewertet. Ergebnisse: Insgesamt haben 156 Simulationslehrende (Durchschnittsalter 41,5 (SD 9,8) Jahre, 74,2% weiblich) teilgenommen. 95,4% der Teilnehmer_innen gaben an, (sehr) hoch für die Simulationslehre motiviert zu sein. Eine spezifische simulationspädagogische Ausbildung haben 16,8% der Teilnehmer_innen absolviert. Die Anwendung evidenzbasierter Konzepte erfolgt nicht flächendeckend. Schlussfolgerungen: Vor dem Hintergrund internationaler Standards zeigt sich Qualifizierungsbedarf bei den Simulationslehrenden in Deutschland. Eine verstärkte spezifische, standardisierte Fort- und Weiterbildung sowie die Etablierung evidenzbasierter Konzepte sind wichtige Bausteine für eine hohe Qualität in der Simulationslehre.
Abstract.Background: The importance of simulation-based learning in nursing education is growing. Its success depends on the qualification of facilitators and the use of standards. Up to now, there has been a lack of data on the state of implementation of simulation-based learning in nursing education in Germany. Research question: Which qualification level do simulation facilitators show in nursing education in Germany and which concepts and standards are used? Methods: A cross-sectional survey was conducted among simulation facilitators in three different educational areas. The questionnaire included socio-demographic and professional characteristics as well as qualification measures completed, and concepts and standards applied. Data were analysed descriptively by determining arithmetic means plus standard deviation (SD) or absolute and relative frequencies. Results: A total of 156 simulation facilitators (mean age 41.5 (SD 9.8) years, 74.2% female) participated. 95.4% of participants reported being (very) highly motivated for simulation-based learning. Specific simulation pedagogy training was completed by 16.8% of participants. The application of evidence-based concepts is not occurring across the board. Conclusions: Against the background of international standards, qualification needs for simulation facilitators in Germany become apparent. Increased specific, standardized continuing education and training as well as the establishment of evidence-based concepts are important for high quality in simulation facilitation.
Literatur
2018). Clinical Simulation in Pre-Licensure Nursing Students: Improving Learning Outcomes in Psychologically Safe Learning Environments . http://hdl.handle.net/10713/8004
(2021). Healthcare Simulation Standards of Best Practice The Debriefing Process. Clinical Simulation In Nursing , 58 , 27–32. https://doi.org/10.1016/j.ecns.2021.08.011
(destatis (2022). Gesundheitspersonal . Retrieved 13.02.2023 from https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/Gesundheitspersonal/_inhalt.html2018).
(Evaluation und Qualitätssicherung im Bildungsbereich . In R. Tippelt B. Schmidt-Hertha (Eds.), Handbuch Bildungsforschung (Vol. 4, S.. 757–779). Springer Reference Sozialwissenschaften.2012). Using debriefing for meaningful learning to foster development of clinical reasoning in simulation. Journal of Nursing Education , 51 (6), 326–333. https://doi.org/10.3928/01484834-20120409-02
(Fachkommission (2020). Rahmenpläne der Fachkommission nach § 53 PflBG. o.O. 2020. https://www.bibb.de/dienst/veroeffentlichungen/de/publication/download/165602015). Debriefing Practices in Nursing Education Programs: Results from a National Study. Nursing Education Perspectives , 36 (6), 361–366. https://doi.org/10.5480/14-1520
(2023). Facilitator competency rubric in nursing simulations: transcultural adaptation and validation of the German version. BMC Nursing , 22 (1), 139. https://doi.org/10.1186/s12912-023-01317-6
(2020). Developing facilitator competence in scenario-based medical simulation: Presentation and evaluation of a train the trainer course in Bergen, Norway. Nurse Education in Practice , 47 , 102840. https://doi.org/10.1016/j.nepr.2020.102840
(2020). Into the black-box of learning in simulation debriefing: A qualitative research study. Nurse Education Today , 88 , 104373. https://doi.org/10.1016/j.nedt.2020.104373
(2021). Cochrane Rapid Reviews Methods Group offers evidence-informed guidance to conduct rapid reviews. Journal of Clinical Epidemiology , 130 , 13–22. https://doi.org/10.1016/j.jclinepi.2020.10.007
(2014). The NCSBN National Simulation Study: A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education. Journal of Nursing Regulation , 5 (2), S3-S40. https://doi.org/10.1016/s2155-8256(15)30062-4
(2021). Das ’Skills Lab’ als Handlungsfeld Lehrender in der beruflichen Bildung der Gesundheitsberufe am Standort Hochschule . Eine Potenzialanalyse des Skills – Lab-Konzeptes im Hinblick auf Prinzipien einer kompetenzorientierten Lehr-/ Lerngestaltung. https://doi.org/10.48693/142
(2013). The relationship between facilitators’ questions and the level of reflection in postsimulation debriefing. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare , 8 (3), 135–142. https://doi.org/10.1097/SIH.0b013e31827cbb5c
(INACSL (2016). INACSL Standards of Best Practice: Simulation Facilitation. Clinical Simulation In Nursing , 12 , S16-S20. https://doi.org/10.1016/j.ecns.2016.09.007INACSL (2022). INASCL Simulation Education Program (ISEP) . Retrieved 13.03.2023 from https://www.inacsl.org/isep2021). Development of a Multisite Nursing Simulation Work Group Focusing on the International Nursing Association for Clinical Simulation and Learning Standards. Journal of Nursing Education , 60 (3), 165–168. https://doi.org/10.3928/01484834-20210222-08
(2018). Design-based research in designing the model for educating simulation facilitators. Nurse Education in Practice , 29 , 206–211. https://doi.org/10.1016/j.nepr.2018.02.002
(2016). “Thinking on your feet” – a qualitative study of debriefing practice. Advances in Simulation , 1 (1), 12. https://doi.org/10.1186/s41077-016-0011-4
(2018). A review of the curriculum development process of simulation-based educational intervention studies in Korea. Nurse Education Today , 64 , 42–48. https://doi.org/10.1016/j.nedt.2018.01.029
(2020). Guidance for Comprehensive Health Care Simulation Program Evaluation. Clinical Simulation In Nursing , 48 , 20–28. https://doi.org/10.1016/j.ecns.2020.08.003
(2018). Development and Psychometric Evaluation of the Facilitator Competency Rubric. Nursing Education Perspectives , 39 (6), e3–e9. https://doi.org/10.1097/01.Nep.0000000000000409
(2017). Cognitive apprenticeship in health sciences education: a qualitative review. Advances in Health Sciences Education , 22 (3), 723–739. https://doi.org/10.1007/s10459-016-9707-4
(2019). The Changing Landscape of Simulation-Based Education. American Journal of Nursing , 119 (8), 42–48. https://doi.org/10.1097/01.Naj.0000577436.23986.81
(2021). Healthcare Simulation Standards of Best Practice Facilitation. Clinical Simulation In Nursing , 58 , 22–26. https://doi.org/10.1016/j.ecns.2021.08.010
(2018). Facilitation and clinical simulation: Modalities of guidance by nurse trainers in simulation exercise. Activites , 15 (2), 1–34. https://doi.org/10.4000/activites.3366
(2006).
(Kolbs Theorie des Erfahrungslernens . In D. Staemmler (Hrsg.), Lernstile und interaktive Lernprogramme: Kognitive Komponenten des Lernerfolges in virtuellen Lernumgebungen (pp. 45–72). DUV. https://doi.org/10.1007/978-3-8350-9212-9_32022). Simulationsszenarien für Aus- und Weiterbildung in der Pflege . Springer Berlin. https://doi.org/10.1007/978-3-662-64363-1
(2015). Towards identifying nurse educator competencies required for simulation-based learning: A systemised rapid review and synthesis. Nurse Education Today , 35 (11), 1108–1113. https://doi.org/10.1016/j.nedt.2015.06.003
(2011). The 3D Model of Debriefing: Defusing, Discovering, and Deepening. Seminars in Perinatology , 35 (2), 52–58. https://doi.org/10.1053/j.semperi.2011.01.003
(