标题：The use of high fidelity simulation in nursing education: A literature review Hemşirelik eğitiminde yüksek gerçekli simülasyon kullanimi: Literatür incelemesi
摘要：Nursing is an applied profession which requires the combination of theoretical content and practical skills in a meaningful way. Nursing education must help students internalize information, skills, attitudes, professional values and ethical standards concerning the discipline and make them a part of their behavior. Nursing education necessitates an education system which covers all cognitive, affective and psychomotor areas of learning at a level of adequacy that could get students to assume the specified roles. As well as technical skills, such skills as providing a holistic and empathic health care and communication and team cooperation must be included by this system. The main objective of nursing education is to train nurses who can combine theory and practice, think critically in the learning process and have acquired effective problem solving skills. In the educational settings of our day, different teaching technologies are employed at each stage of instruction. Many instructional methods and strategies are tried out for the improvement of information and skills in nursing education. A great majority of educational methods and strategies consists of computer aided education, simulation and distance education approaches. One of the methods employed in order for students to improve their competence in health care management and to gain perfection. It is not always possible for students to gain appropriate clinical experience because they spend less time in the clinic due to such reasons as the limited areas of clinical practice in the complex structure of health care system, shorter stays of patients in hospitals and problems concerning the education system. However, despite all these negative factors, nurses are expected to possess the ability to perform nursing skills perfectly when encountered challenging situations. Considering such restrictions, simulation based learning plays a pivotal role for nursing students studying in the constantly changing health care system to get properly prepared.Simulation practices are considered as a significant step towards offering safe care to patients in health care services by providing a learning environment in which environmental risks are minimized. In recent years, patient stimulators that have high fidelity have attracted gradually increasing interest as en educational tool in nursing education. This review was planned with the aim of examining the results of studies carried out on the use of high fidelity simulation in nursing education. Study population consisted of 53 published studies which were reached as a result of the review of the data bases, “Pubmed” and “Science Direct” using the keywords “simulation”, “nursing”, “education”, “students” and “high fidelity” in April-May 2017. In the review, articles which were published in English and had their full texts were chosen for examinations. 23 studies meeting the criteria of the present research comprised the study sample. More than half the studies (15) included in the review cover the comparison of high fidelity simulation with another learning method. High fidelity simulation is also seen to be compared with standardized patients, traditional learning methods and moderate and low fidelity simulation. In the examination of the results of these studies most methods showed no superiority to others, but it was found that knowledge, skills and performance scores increased in the education offered using high fidelity simulation. In conclusion, in the education carried out with high fidelity simulation, increases can be observed in students’ clinical thinking and decision making, confidence, motivation and motor skills. Therefore, the use of simulation in the education of nursing students is accepted as the golden standard.
