课程创新:设计,实施和评估一个跨学科的团队合作专注的神经关键护理在现场模拟培训计划的设计,实施和评估
Bethany C Young1, Mikel S Ehntholt1, Monisha A Kumar1
1From the Department of Nursing (B.C.Y.), Hospital of the University of Pennsylvania, Philadelphia; Department of Critical Care Medicine (M.S.E.), Virtua Health, Camden, NJ; and Department of Neurology (M.S.E., M.A.K.), University of Pennsylvania, Philadelphia.
Neurology. Education
|October 3, 2024
概括
在现场模拟有效地训练神经临床护理团队团队合作和准备. 这种可行和可接受的计划提高了临床医生对应对紧急情况的信心.
科学领域:
- 神经临界护理是指神经临界护理.
- 医疗模拟 医疗模拟
- 团队合作培训 团队合作培训
背景情况:
- 神经临床护理 (NCC) 需要强大的跨学科团队凝聚力,依靠团队合作和沟通等非技术技能.
- 传统的培训计划往往缺乏在重症监护室 (ICU) 中对这些必要的跨学科技能的结构化发展.
研究的目的:
- 设计和实施一个现场模拟程序来练习NCC的团队合作.
- 评估反复进行现场模拟的可行性和可接受性.
- 评估基线团队合作和临床医生对紧急情况的准备.
主要方法:
- 一个为期一年的试点项目利用NLN Jeffries模拟理论指导的每月NCC现场模拟.
- 使用良好的判断力进行汇报,促进了模拟后反思.
- 量化评估了可行性,可接受性,团队工作 (梅奥高性能团队工作量表) 和准备能力.
主要成果:
- 12次模拟涉及95个独特的学习者,实现了72%的核心团队参与.
- 91%的学习者发现模拟是体验性的,协作性的,以学习者为中心的.
- 准备度得分在模拟后显著增加 (p < 0.001),而团队合作得分因学科而异.
结论:
- 在现场模拟是增强ICU团队合作文化的可行和可接受方法.
- 基于团队的模拟显然改善了对临床紧急情况的自我报告准备.
- 临床环境模拟是改善患者护理和解决教育差距的强大工具.
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