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开发和评估一个基于模拟的儿童重症监护护士早期流动性课程
Jessica M LaRosa1, Hallie Lenker2, Razvan Azamfirei1,3
1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Nursing in critical care
|January 7, 2025
概括
模拟培训显著提高了儿科重症监护室 (PICU) 护士对重症儿童早期流动性的信心,知识和技能. 这种教育方法是可行的,有效地提高了患者的护理.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 护理教育 护理教育
- 基于模拟的学习
背景情况:
- 在儿科重症监护室 (PICU) 的不运动对儿童构成风险.
- 护士认为缺乏培训是实施早期流动性协议的障碍.
- 模拟被公认为一种提高早期流动性实施的战略.
研究的目的:
- 开发一个早期的流动性模拟课程护士使用成人学习理论.
- 评估课程对护理自我效能,知识和技能在动员重症儿童的影响.
主要方法:
- 一个跨专业团队开发了一个基于开发框架的模拟课程.
- 教育策略包括小组模拟,汇报和教学会议.
- 一个前后准实验设计评估了护士自我效能,知识和临床技能的变化.
主要成果:
- 11名PICU护士参加了模拟课程.
- 在课程结束后,100%的护士感到有信心动员患者,而在课程结束前,这一比例为0% (p=.031).
- 知识分数显著提高 (中位数为14至17,p=.001),临床技能也有所改善 (中位数为15至19项,p=.0037).
结论:
- 为PICU护士制定基于模拟的早期流动性课程是可行的.
- 该课程有效地提高了护士的自我效能,知识和临床技能,在动员重症儿童方面发挥了作用.
- 模拟是培训护士安全有效的早期动员重症儿童的宝贵工具.
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