@Article{信息:doi 10.2196 / / jmir。3853，作者="Liaw, Sok Ying and Wong, Lai Fun and Chan, Sally Wai-Chi and Ho, Jasmine Tze Yin and Mordiffi, Siti Zubaidah and Ang, Sophia Bee Leng and Goh, Poh Sun and Ang, Emily Neo Kim"，标题="设计和评估基于web的交互式多媒体模拟在急症护理中护士能力的发展:随机对照试验"，期刊="J Med Internet Res"，年="2015"，月="Jan"，日="12"，卷="17"，数="1"，页="e5"，关键词="急症护理;真实的学习;临床能力;恶化;多媒体;教学策略;模拟;背景:网络学习正在成为护理教育中越来越重要的教学工具。多媒体的进步为在临床实践中发展护理能力提供了创造真实护理活动的潜力。 Objective: This study aims to describe the design, development, and evaluation of an interactive multimedia Web-based simulation for developing nurses' competencies in acute nursing care. Methods: Authentic nursing activities were developed in a Web-based simulation using a variety of instructional strategies including animation video, multimedia instructional material, virtual patients, and online quizzes. A randomized controlled study was conducted on 67 registered nurses who were recruited from the general ward units of an acute care tertiary hospital. Following a baseline evaluation of all participants' clinical performance in a simulated clinical setting, the experimental group received 3 hours of Web-based simulation and completed a survey to evaluate their perceptions of the program. All participants were re-tested for their clinical performances using a validated tool. Results: The clinical performance posttest scores of the experimental group improved significantly (P<.001) from the pretest scores after the Web-based simulation. In addition, compared to the control group, the experimental group had significantly higher clinical performance posttest scores (P<.001) after controlling the pretest scores. The participants from the experimental group were satisfied with their learning experience and gave positive ratings for the quality of the Web-based simulation. Themes emerging from the comments about the most valuable aspects of the Web-based simulation include relevance to practice, instructional strategies, and fostering problem solving. Conclusions: Engaging in authentic nursing activities using interactive multimedia Web-based simulation can enhance nurses' competencies in acute care. Web-based simulations provide a promising educational tool in institutions where large groups of nurses need to be trained in acute nursing care and accessibility to repetitive training is essential for achieving long-term retention of clinical competency. ", issn="1438-8871", doi="10.2196/jmir.3853", url="//www.mybigtv.com/2015/1/e5/", url="https://doi.org/10.2196/jmir.3853", url="http://www.ncbi.nlm.nih.gov/pubmed/25583029" }