提高印尼护士在护理护理文档上的表现:对文化定制混合角色扮演干预的混合方法研究
Mahfud Mahfud1, Hartono Hartono2, Achmad A Subiyanto2,3
1Postgraduate Study Program of Community Empowerment/Development Extension, Universitas Sebelas Maret, Surakarta, Indonesia.
Narra J
|May 12, 2025
概括
文化适应的角色扮演干预显著改善了印尼护士的护理文档质量和自我效能. 这种混合方法结合了模拟和反思,在低收入和中等收入国家显示出持续的好处.
科学领域:
- 护理教育 护理教育
- 改善医疗保健质量 改善医疗保健质量
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 护理文档对于患者的护理和沟通至关重要.
- 低收入和中等收入国家 (LMICs) 由于资源和文化障碍,面临着文档方面的挑战.
- 现有的干预措施可能无法充分解决LMIC环境.
研究的目的:
- 评估一种文化适应的基于角色扮演的干预措施,以提高印尼护士的护理文档质量.
- 评估干预对护士自我效能和认知负载的影响.
- 探索改善护理文档实践的可持续性.
主要方法:
- 一项使用准实验设计的混合方法研究,涉及雅加达的132名护士.
- 干预包括传统的角色扮演,数字模拟和基于科尔布的体验式学习理论的反射练习.
- 在基线,干预后和12周后期收集的定量数据 (文档质量,自我有效性,认知负载);从半结构化访谈中收集的定性数据.
主要成果:
- 在文档质量 (科恩d = 1.28) 和自我有效性 (d = 0.99) 中显著改善,认知负载减少 (d = -0.84).
- 在12周的随访期观察到持续的改善 (文档质量d = 1.14;自我有效性d = 0.85;认知负载d = -0.72).
- 定性数据显示了信心增加,现实的场景,数字技能整合和文化相关性;层次结构的导向是调节者.
结论:
- 文化适应的混合角色扮演干预措施在改善LMICs护理文档方面是有效的.
- 这项干预表明,通过量身定制的体验式学习,提高医疗保健教育的潜力.
- 研究结果支持将模拟,反思和文化敏感性纳入护理专业发展.
相关概念视频
01:15Methods of Documentation VI: Case Management Model
543
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
543
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
1.2K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.2K
01:21Methods of Documentation III: PIE
1.3K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.3K
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.6K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.6K
01:29Documentation in Long-Term and Home Healthcare Setting
832
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
832
01:28Formats for Nursing Documentation
795
Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
795