儿童重症护理护士执业人员的模拟辅助教育呼吸道管理技能:十年的经验
Allison Thompson1, Sharon Y Irving2,3, Roberta Hales4
1Division of Critical Care Medicine, Nemours Children's Hospital, Delaware, Wilmington, Delaware, United States.
Journal of pediatric intensive care
|December 4, 2024
概括
一个基于模拟的气道管理课程成功培训了儿科护士从业人员. 10年来,这些从业者管理了呼吸道,并在儿科重症监护室实现了65%的第一次试管成功率.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 医学模拟教育教育 医学模拟教育
- 高级实践护理高级实践护理
背景情况:
- 儿科急症护士从业人员 (ACNPs) 需要专门的气道管理技能.
- 结构化的课程对于培养儿科重症监护室 (PICU) 气道程序的熟练程度至关重要.
- 现有的培训方法可能无法充分为ACNP准备复杂的气道场景.
研究的目的:
- 描述为儿科ACNPs开发和实施10年模拟促进的气道管理课程.
- 评估本课程对ACNP参与气道管理和输管成功率的影响.
- 报告在PICU内将ACNP集成到先进的气道管理中的长期经验.
主要方法:
- 在单中心四级非心脏PICU进行了回顾性观察性研究.
- 开发一个4小时的课程,结合教学,模拟和手术室经验.
- 从2009年1月到2018年12月,ACNPs使用NEAR4KIDS数据库跟踪进行的气管管道输液.
主要成果:
- 39个ACNP完成了模拟辅助的课程.
- 在所有PICU输管中,ACNPs在15% (473/3,128) 进行了第一次输管尝试.
- 在首次输管试验中,ACNPs的成功率为65% (309/473).
结论:
- 模拟辅助培训有效地支持ACNP参与儿科呼吸道管理.
- 该课程有助于ACNPs在PICU中的成功首次试管率.
- 这10年的经验证明了ACNP先进的气道管理培训的可行性和有效性.
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