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开发和验证临床模拟场景以改善产后出血管理
Adriana M Lima1, Tatiane S Coelho, Jéssica L Carneiro
1Department of Nursing, Federal University of Ceará, Ceará, Brazil (Ms Lima, Dr Coelho, Dr Carneiro, Dr Cardoso, Dr Damasceno); and Ribeirão Preto School of Nursing, University of São Paulo, São Paulo, Brazil (Dr Fonseca).
The Journal of perinatal & neonatal nursing
|August 22, 2025
概括
开发并验证了一种用于产后出血的新临床模拟方案. 这种可靠的工具已经准备好实施,以加强专业培训和降低孕产妇死亡率.
科学领域:
- 医学教育
- 产科和妇科
- 患者安全
背景情况:
- 产后出血 (PPH) 是全球主要的孕产妇死亡原因.
- 可预防的PPH由于系统问题和不充分的培训而持续存在.
- 临床模拟提供了一种安全有效的训练方法.
研究的目的:
- 开发和验证治疗产后出血的临床模拟方案.
- 确保该方案是有效的,可靠的,并准备用于教育实施.
主要方法:
- 使用三阶段方法的方法学研究:系统审查,场景改进和专家/目标受众验证.
- 坚持杰弗里斯的理论框架和INACSL指南.
- 统计分析包括类内相关系数 (ICC),克伦巴赫α和二项式测试.
主要成果:
- 通过专家验证证明的高可靠性和内部一致性 (ICC=0.872,Cronbach的α=0.872).
- 通过目标受众验证证了良好的可靠性 (ICC=0.844,Cronbach的α=0.841).
- 在所有情景项目上达成专家共识,共识高于0.85.
结论:
- 临床模拟场景被验证为适合实施.
- 专家建议已成功融入最终方案.
- 经过验证的情况是有效的,可靠的,并支持改善专业培训以减少孕产妇死亡率.
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