使用模拟进行护士交接的故意实践:一项多站点研究
Kathryn Vanderzwan1, Ginger Schroers2, Jill Pfieffer2
1Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois Chicago, USA.
Nurse education in practice
|December 16, 2025
概括
蓄意练习显著提高了护理学生的交接沟通准确度. 这种方法通过减少与无效的患者移交相关的医疗错误来提高患者的安全性.
科学领域:
- 护理教育 护理教育
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 不有效的患者交接是医疗错误的主要原因,导致治疗延迟和医疗费用增加.
- 蓄意实践是一种公认的技能发展策略,但它对护理人员交接沟通的影响尚未得到充分证实.
研究的目的:
- 评估故意实践的有效性,以提高执照前护理学生之间的交换沟通的准确性.
主要方法:
- 采用了一种含有重复措施的准实验性设计.
- 来自四所美国学校的护理学预执照学生 (n=51) 参加了三次基于模拟的学习访问.
- 使用I-SBAR工具评估了交付准确度,并将故意的练习纳入每次访问.
主要成果:
- 平均移交分数显示,从基线到最终评估的统计学上显著改善 (p < 0.001).
- 评分从基线的6.24增加到最终评估的7.82,尽管在研究中期出现了下降.
结论:
- 刻意练习是一种有效的策略,可以提高护理学生的交换沟通准确度.
- 建议进行进一步的研究,以探索技能衰退以及持续熟练的持续有意识练习的必要性.
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