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护理学生的药物管理技能和临床判断:逃生室与高保真模拟相比
Colette B Waddill1, C Elise Thompson
1About the Authors Colette B. Waddill, DNP, RN, CNE, CHSE, is clinical assistant professor, School of Nursing, University of North Carolina at Wilmington, Wilmington, North Carolina. C. Elise Thompson, PhD, RN, CHSE, is associate professor, School of Nursing, University of North Carolina at Wilmington. For more information, contact Dr. Waddill at waddillc@uncw.edu .
逃生室模拟和高保真模拟有效地教授药物管理技能. 过程集成实验室实践,强调临床推理,显著提高技能能力和临床判断,而不是仅仅是技能实践.
科学领域:
- 医学教育 医学教育
- 护理教育 护理教育
- 基于模拟的学习
背景情况:
- 药物管理 (MA) 能力对于患者安全至关重要.
- 关于使用逃生室模拟 (ERS) 教导MA技能和临床判断的证据有限.
- 高保真模拟是医疗保健培训的公认方法.
研究的目的:
- 为了比较ERS与高保真模拟在教学MA能力方面的有效性.
- 评估仅限技能与过程集成实验室实践对MA技能和临床判断的影响.
主要方法:
- 一项涉及116名学生的研究比较了MA能力的ERS和高保真模拟.
- 随后的比较包括58名学生在技能实验室实践中,与58名学生在过程集成实验室实践中进行比较.
- 在总结性评估中,ERS和高保真模拟都显示出有效性.
主要成果:
- 逃生室模拟和高保真模拟都被证明对药物管理能力有效.
- 需要临床推理的过程集成实验室实践,导致技能能力和临床判断的统计学上显著改善.
- 与过程集成相比,仅技能实验室实践的改善较小.
结论:
- 逃生室模拟和高保真模拟都是教药管理技能的可行方法.
- 将临床推理整合到实验室实践中 (过程整合) 优于仅限于技能的实践,可以提高药物管理中的技能能力和临床判断力.
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