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基于场景的模拟培训对护理学生在冠状动脉手术后的患者护理知识和表现的影响
Elahe Maddahi1, Hossein Akbari2, Mahdieh Sabery3
1Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
BMC nursing
|May 13, 2025
概括
基于场景的学习显著改善了护理学生在冠状动脉旁路移植 (CABG) 后患者护理中的表现. 虽然知识分数没有差异,但管理CABG并发症的实践技能在这种创新的培训方法下显著改善.
科学领域:
- 医学教育 医学教育
- 护理 护理 护理
- 手术并发症 手术并发症
背景情况:
- 冠状动脉旁路移植 (CABG) 手术是冠状动脉疾病的关键干预措施,通常与潜在的并发症有关.
- 这些并发症的有效管理在很大程度上依赖于熟练的护理护理.
- 传统的护理教育可能无法充分为毕业生准备心脏护理的复杂性,突出需要加强培训方法.
研究的目的:
- 评估基于场景的学习 (SBL) 对护理学生在CABG手术后照顾患者的知识和表现的影响.
- 将SBL的有效性与大学环境中的传统教学方法进行比较.
主要方法:
- 一项测试前后测试设计研究,涉及卡山医学科学大学50名护理学生.
- 学生被随机分配到传统培训或SBL组.
- 数据采集使用经验证的人口统计,知识和绩效评估问卷和检查清单.
主要成果:
- 基于场景的学习导致护理学生在CABG后的患者护理中的绩效得分显著增加.
- 在SBL和传统培训组之间没有观察到知识分数变化的显著差异.
- 安科瓦的结果表明,培训类型显著影响了绩效得分的变化 (P=0.036),而不是知识得分的变化 (P=0.301).
结论:
- 基于场景的模拟培训在提高冠状动脉外科手术后患者护理的实际护理技能方面表现出有效性.
- 建议将SBL纳入护理学生和执业护士的临床教育,以改善患者的治疗结果.
- 这种方法解决了传统培训中的差距,用于复杂的临床环境,如心脏病房.
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