Design and application of web-based clinical nursing thinking and simulated training system for skills

Objective To design web-based simulated training system for skills and clinical nursing thinking for the independent training of vocational nursing students, and analyze the training effect. Methods Nursing students from five sections in Suzhou Vocationul Health College were chosen randomly as the research object from October to November 2015, and a web-based training program which involved three categories and eight skills was designed and was employed to train the students, then a questionnaire was distributed to them and the results were analyzed. Results Nursing students′ recognition degree to the 14 kinds of ability that should be paid attention in the adults nursing was 24.4%-74.7%, and their recognition degree to the 14 kinds of ability in this training system was 17.3%-69.3%. More than 90% of the nursing students thought that the design of this training system was creative, the design of training questions was rational, and the contents were scientific and advanced with high quality. However, 37.3% of nursing students thought that the number of training programs was general/too small. About 90% of nursing students thought that this training system was helpfull in improving their ability and their study. The average scores of 223 nursing students in inquiry, physical examination, and nursing for patients with heart failure, coronary heart disease and diabetics were (84.4±17.9), (84.7±15.9), (84.7±13.5), (85.3±12.9) and (86.1±12.4). Conclusions The web-based simulated training system for skill and clinical nursing thinking has a good assist-teaching functiom, and it provides an access for nursing students to practice in their spare time. It was an innovative teaching practice with advancement and scientificity and it can help to improve students′ skills and ability in clinical thinking. Key words: Clinical ability; Web; Clinical nursing thinking; Simulative training