紧急外科手术前呼吸道接入:以教学和模拟为基础的培训干预措施的有效性,以提高居民注册护士麻醉师的表现和自我效能
David Allen1, Hannah Bulick1, Carrie Bowman Dalley2
1Graduate of Georgetown University Doctor of Nurse Anesthesia Practice Program, Washington, DC.
AANA journal
|May 29, 2025
概括
低准确度模拟训练显著提高了住院注册护士麻醉师 (RRNAs) 在无法输管,无法氧化 (CICO) 场景中的自我有效性和表现,特别是在外科cricothyrotomy手术中. 这项培训提高了应急管理的关键技能.
科学领域:
- 医疗模拟 医疗模拟
- 麻醉学教育 麻醉学教育
- 紧急气道管理紧急气道管理
背景情况:
- 高风险,低频事件,如不能输管,不能氧化 (CICO) 需要专业技能.
- 对于CICO事件和RRNAs的紧急部前部访问培训的证据存在差距.
- 手术皮切割术 (SBT-SC) 是管理CICO场景的关键技能.
研究的目的:
- 探索使用3D打印训练器的低保真模拟对RRNAs自我有效性的影响.
- 评估SBT-SC的绩效指标 (时间,检查清单分数) 的改进.
- 评估RRNA中SBT-SC专家性能水平的提高.
主要方法:
- 一项采用准实验性测试前后测试设计的试点研究.
- 十个RRNAs参与了低保真模拟培训,使用3D打印的cricothyrotomy任务培训器.
- 配对t测试用于对干预前后数据进行统计分析.
主要成果:
- 在平均自我有效性得分 (3.13至4.5/5,P<.001) 中观察到统计学上显著的改善.
- 平均表现完成时间显著减少 (103.5至55.9秒,P<.001).
- 平均绩效检查清单得分显著改善 (5.5至9.1/10,P<.001),有6名参与者在60秒内完成SBT-SC并完成关键步骤.
结论:
- 低保真模拟训练是有效提高RRNAs在SBT-SC的自我效能.
- 该培训显著提高了手术皮切开术的执行时间和准确性.
- 这种方法支持RRNAs管理CICO活动的教育和培训需求.
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