快速循环故意练习在外周静脉导管插入训练中的影响:一个模拟实验研究
Lucimar Casimiro de Souza1, Juliana Faria Campos2, Hudson Carmo de Oliveira3
1Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rua Afonso Cavalcanti, 275/ Cidade Nova, Zipcode: 20211-110, Rio de Janeiro, Brazil.; Hospital Samaritano Botafogo, Rua Assunção, 275, Botafogo, Zipcode: 22251-030 Rio de Janeiro, Brazil.
Nurse education in practice
|August 6, 2023
概括
有执照的实践护士在快速循环故意实践模拟培训后改善了外周静脉导管插入技能. 这两种训练方法都显著提高了表现,干预后两者之间没有统计学上显著的差异.
科学领域:
- 护理教育 护理教育
- 医疗模拟 医疗模拟
- 临床技能培训 临床技能培训
背景情况:
- 周围静脉导管广泛使用,但与高并发症率有关.
- 有效的训练策略至关重要,以尽量减少与静脉注射导管插入相关的风险.
- 优化执照实践护士 (LPN) 的培训对于患者安全至关重要.
研究的目的:
- 为了比较快速循环有意练习 (RCDP) 模拟训练与标准技能训练模拟在LPNs中对外周静脉导管插入 (PIVC) 的有效性.
- 评估不同模拟策略对PIVC插入性能的影响.
主要方法:
- 一个随机的实验性预后干预研究设计.
- 60名LPN被随机分为两个组:RCDP模拟 (n=30) 和技能培训模拟 (n=30).
- 通过前后测试评估PIVC插入的性能,使用t-Student和Mann-Whitney测试进行统计分析,并通过Cohen的dm和Glass的Δ计算效果大小.
主要成果:
- 两组从测试前到测试后的PIVC插入性能都显著改善 (p < 0.001).
- 干预组的改善率从59.4%提高到96%,对照组的改善率从57.8%提高到93.5%.
- 在干预后的RCDP和技能培训组之间没有观察到统计学上显著的绩效差异 (p = 0.225).
结论:
- 快速循环的故意实践模拟有效地提高了LPNs的PIVC插入性能.
- 技能培训模拟也显著提高了PIVC插入技能.
- 虽然这两种方法都提高了性能,但RCDP在标准技能培训模拟上没有显示出对这个特定技能的统计学上显著的优势.
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