基于模拟的教育对重症监护护士知识,自我效能和 Delirium Care 中的批判性思维的有效性:一个随机对照试验
Yu-Ling Chang1, Ming-Ju Hsieh2, Yu-Che Chang3
1School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Thoracic and Cardiovascular Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
概括
基于模拟的教育显著改善了重症监护护士的情况.
科学领域:
- 护理教育 护理教育
- 关键护理医学 关键护理医学
- 患者安全 患者安全
背景情况:
- 密集护理护士对于早期发现妄想至关重要.
- 许多护士在痴呆症护理方面缺乏足够的知识和技能.
- 关于基于模拟的教育在这个领域的有效性的证据有限.
研究的目的:
- 评估基于多场景模拟的妄教育干预措施的纵向影响.
- 评估重症监护护士知识的改善,自我效能,以及关于狂妄症护理的批判性思维.
主要方法:
- 一项随机对照试验,涉及60名重症监护护士.
- 干预组接受了基于模拟的教育;对照组接受了标准的课堂教学.
- 妄想知识,自我效能和批判性思维在基线和干预后长达6个月被测量.
主要成果:
- 与对照组相比,干预组在知识,自我效能和批判性思维方面的得分明显更高.
- 这些改善持续了干预后最多6个月.
- 对于知识和自我有效性的效应大小是相当大的 (科恩的d>0.80).
结论:
- 基于多场景模拟的教育是提高护士 Delirium 护理能力的有效策略.
- 干预导致知识,自我效能和批判性思维的持续改善.
- 基于模拟的培训是提高重症监护机构患者安全的宝贵工具.
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