在护理学生中药物管理的故意实践:一个多站点研究
Ginger Schroers1, Kathryn Vanderzwan, Susan Kilroy
1About the Authors Ginger Schroers, PhD, RN, CNE, is an assistant professor, Marcella Niehoff School of Nursing, Loyola University Chicago, Chicago, Illinois. Kathryn Vanderzwan, DNP, APRN, ACNP-BC, CHSE, is director, Clinical Learning Resource Center and Schwartz Simulation Laboratory, and clinical associate professor, University of Illinois Chicago College of Nursing, Chicago, Illinois. Susan Kilroy, PhD, RN, CHSE, is Kreider Endowed Professor in Healthcare Simulation and Innovation and associate professor, M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania. Laura Klenke-Borgmann, PhD, RN, CHSE, is director of simulation education and clinical associate professor, University of Kansas School of Nursing, Kansas City, Kansas. Jill Pfieffer, MSN, RN, is an instructor, Marcella Niehoff School of Nursing, Loyola University Chicago. Dina Tell, PhD, is clinical associate professor, Marcella Niehoff School of Nursing, Loyola University Chicago. Jenny O'Rourke, PhD, APRN, CHSE, is associate dean of academic affairs and associate professor, Parkinson School of Health Science and Public Health, Loyola University Chicago. The authors received Dorothy Otto Research Grant funding in 2023 from the National League for Nursing and support from the Illinois Nurses Foundation for this research. For more information, contact Dr. Schroers at gschroers@luc.edu.
蓄意练习显著减少了护理学生的药物管理错误,提高了技能和记忆力. 这种方法对于提高医疗保健中的患者安全至关重要.
科学领域:
- 护理教育 护理教育
- 患者安全 患者安全
- 临床技能培训 临床技能培训
背景情况:
- 刻意练习是一种公认的方法,可以在各种领域提高技能.
- 专注于药物管理的故意实践的应用没有得到充分的证据.
- 了解它的有效性是改善护理实践和患者结果的关键.
研究的目的:
- 为了评估药物管理中的故意实践的有效性.
- 评估这种培训方法对减少药物管理错误的影响.
- 为了确定是否有意的实践提高了在执照前护理学生之间的技能保留.
主要方法:
- 在四个临床场所采用了一种准实验性的,重复措施的研究设计.
- 60名执照前的护理学生参加了6次研究访问,参与模拟的药物管理场景与故意练习.
- 药物错误被观察并使用通用估计方程模型随着时间的推移进行分析.
主要成果:
- 药物错误率从基线的86%大幅下降到最终评估时的7%.
- 评估时间被确定为影响减少错误的重要因素 (p < .001).
- 60名学生完成了这项研究,显示出明显的改善趋势.
结论:
- 蓄意实践是提高护理学生药物管理技能的有效策略.
- 这项研究提供了证据,表明有意识的练习有助于保留这些关键技能.
- 这些发现支持将故意实践纳入护理课程,以提高药物安全性.
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