定位模拟程序对血液透析护士文化能力的影响:一项准实验性研究
Jui-Chin Hsu1, Min-Shu Wang2, Pao-Yu Wang3
1Department of Nursing, Cheng Hsin General Hospital, Taipei City 112, Taiwan.
Healthcare (Basel, Switzerland)
|October 13, 2023
概括
具有文化能力的血液透析 (HD) 护士对于日益增长的HD患者群体至关重要. 一个定位模拟程序有效地提高了HD护士的文化能力,证明了它对专业技能和态度的直接影响.
科学领域:
- 护理教育 护理教育
- 医疗保健专业发展
- 跨文化医疗保健 跨文化医疗保健
背景情况:
- 越来越多的血液透析 (HD) 患者需要具有文化能力的护理护理.
- 现有的培训方法可能不足以为HD护士准备各种患者需求.
- 文化能力对于有效的患者护理和积极的健康结果至关重要.
研究的目的:
- 评估一个定位模拟程序在提高血液透析 (HD) 护士的文化能力方面的有效性.
- 评估模拟程序对护士态度和专业知识的直接影响.
- 在模拟中探索采集-分析-总结 (GAS) 解答方法的实用性.
主要方法:
- 一项准实验性的试点研究,涉及40名台湾北部的HD护士.
- 参与者完成了两个3小时的教育计划:基本的文化能力概念和与GAS解读的定位模拟.
- 综合估计方程 (GEE) 用于干预效应分析,包括基于基线得分的子组分析.
主要成果:
- 定位模拟程序对HD护士的文化能力产生了显著的直接影响.
- 亚组分析显示了显著的群体时间相互作用,证实了干预的影响.
- 坐落模拟和GAS汇报的综合方法使护士有能力培养积极的态度和专业知识.
结论:
- 定位模拟与GAS解读相结合,是提高HD护士文化能力的有效策略.
- 这种教育方法提高了护士有效管理文化多元化的临床场景的能力.
- 这些发现支持将基于模拟的学习纳入护理教育,以满足文化能力需求.
相关概念视频
01:25Hemodialysis III: Nursing Management
26
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
26
01:25Hemodialysis I: Introduction
36
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
36
01:24Hemodialysis II: Procedure and Complications
27
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
27
01:28Chronic Kidney Disease III: Interprofessional Care
24
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
24
01:27Dialysis
333
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
333
01:25Peritoneal Dialysis III: Nursing Management
31
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
31