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基于模拟的培训对重症监护护士感染预防能力的有效性:系统审查
Ja'far M Alkhawaldeh1,2, Dalal Yehia1, Ola A Kutah1
1Faculty of Nursing, Isra University, Amman, Jordan.
基于模拟的培训 (SBT) 有效地提高了护士在重症监护病房的感染预防知识和技能. 然而,持续的行为变化和减少感染率需要持续的强化和多式联络策略.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 护理教育的教育.
- 预防和控制感染.
背景情况:
- 与医疗保健相关的感染 (HAI) 在重症监护室 (ICU) 带来了重大挑战,增加了患者的发病率,死亡率和医疗保健成本.
- 传统的护理教育往往不足以确保在感染预防策略方面的持续能力.
- 基于模拟的培训 (SBT) 正在成为一种潜在的解决方案,但其整体有效性需要进一步探索.
研究的目的:
- 系统地审查基于模拟的培训 (SBT) 在提高重症护理护士感染预防能力方面的有效性.
- 综合随机对照试验 (RCT) 关于SBT对护理技能和感染控制相关知识的影响的证据.
主要方法:
- 2011年至2025年间发表的RCT的系统审查,遵守PRISMA 2020指南.
- 在八个主要的学术数据库中进行的搜索.
- 使用CONSORT检查清单评估研究质量,使用Cochrane RoB 2工具评估偏差风险.
主要成果:
- 包括十个RCT,使用干预措施,如高保真模拟和虚拟现实模块.
- 在SBT中,护士的知识,程序技巧,自我效能和感染预防捆绑的坚持都得到了持续的改善.
- 持续的行为变化和直接减少感染率的证据是混合的,在研究中注意到异质性.
结论:
- SBT有效地提高了重症护理护士的感染预防知识和技能.
- 持续的行为改进需要强化和多模式策略超越初始培训.
- 建议将结构化SBT整合到护理教育中,以加强能力,减少HAI,并改善患者的治疗结果.
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