用一个严的游戏来教儿童重症监护护理中心线护理
Mouhammad Yabrodi1, Kamal Abulebda, Kellie J Pearson
1Mouhammad Yabrodi, Kamal Abulebda, and Riad Lutfi are associate professors and physicians at the Indiana University School of Medicine and Riley Hospital for Children, IU Health, Indianapolis, IN, where Mara E. Nitu is a professor and chief medical officer and Colin M. Rogerson is an assistant professor and physician. Kellie J. Pearson is a critical care respiratory therapist at IU Health, Indianapolis, IN, and Tracy Spitzer is a clinical nurse specialist at Riley Hospital for Children, IU Health, Indianapolis, IN. Nathanael Thomas Tavares is chief executive officer at Flyover Zone, Indianapolis, IN. Contact author: Mouhammad Yabrodi, myabrodi@iu.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.
严的游戏有效地提高了儿科重症监护护士在中央线插入和护理方面的技能,提高了患者的安全. 虽然知识分数没有显著变化,但感染预防技术的实际表现有明显的改善.
科学领域:
- 医学教育 医学教育
- 护理实践 护理实践
- 模拟技术的模拟技术
背景情况:
- 中枢静脉导管 (CVC) 在儿科护理中至关重要,但存在感染风险.
- 儿科重症监护护士是预防CVC相关感染的关键.
- 提高护士在CVC插入和维护方面的技能对于患者的结果至关重要.
研究的目的:
- 开发和评估一个严的,模拟的,游戏为基础的干预早期职业生涯的RN.
- 提高护士在CVC插入,护理和感染预防方面的技能和知识.
- 评估严重游戏在儿科重症护理护理教育中的有效性.
主要方法:
- 在儿童医院进行的一项单臂,干预前后试点研究.
- 参与者通过严的游戏 (有目的的视频游戏) 接受了教育和技能培训.
- 在干预之前和之后,使用模拟和多选项测试来评估技能和知识.
主要成果:
- 干预后平均全球绩效得分 (4.06至5.97) 显著改善.
- 在洗手,现场覆盖,清洁和中央线路位置验证方面有统计学意义上的改进.
- 干预前后的多项选择知识测试成绩没有显著差异.
结论:
- 严的游戏显示了在复杂的程序中改善护理教育的潜力,如CVC护理.
- 严的游戏有效地吸引学习者并增强实际的护理技能.
- 需要进一步的研究来确定严重游戏对患者护理的长期影响.
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