Analysis and Thinking on the Results of Simulation-Based Hemofiltration Knowledge and Skills Competition for ICU...

To analyse the performance of the simulation-based hemofiltration knowledge and skills competition and provide a reference for continuously improving clinical nursing skills to reform the teaching methods.

Based on the guidelines, combined with the clinical practical problems and nursing quality control records of the department, the simulation-based hemofiltration knowledge and skills competition was created. The competition consists of two parts: a theoretical knowledge part and a skills part, each accounting for 50% of the total score. The final score is the sum of the scores from both parts. The theoretical knowledge part includes required questions, quick answer questions, and challenge questions, with a base score of 100 points. The skills part evaluates the performance in the whole operation process of continuous venovenous hemofiltration (CVVH) from pre-flushing to the end of the treatment, with a full score of 100 points. Structured scoring criteria were used to analyse the main points deducted in nurses' theoretical and practical parts.

A total of 15 nurses participated in the competition and were divided into five teams with 3 nurses in each team. Each group's theoretical competition part (including the basic score of 100 points) has a minimum score of 130 points and a maximum score of 210 points. The pre-flushing and installation time of the skills competition part is 25.60 ± 2.51 min, which is significantly improved from 35.00 ± 1.58 min before the competition (p < 0.01). The main points lost in the theoretical competition part, were pathophysiological knowledge of anticoagulation, characteristics of different hemofiltration modes, acid-base imbalance in regional citrate anticoagulation in CRRT, handling of special alarms and complications associated with repeated catheterization. The main points lost in the skills competition part were touching or interfering with the weighing scales during the startup self-test, incomplete preparation of reinfusion materials, and timeout.

The simulation-based hemofiltration knowledge and skills competition improves the hemofiltration skills of ICU nurses and provides the data for analyses of the relevant shortcomings from the competition results and points lost, which may promote the reform of teaching methods, thus providing a reference for the department to continuously improve specialised nursing knowledge and skills in the future and promote the continuous improvement of nursing quality.

No Patient or Public Contribution.