Rapid cycle deliberate practice for an ECMO emergency simulation training for nurses: A quasi-experimental study

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-10-30 DOI:10.1016/j.ecns.2024.101630

Bakker Gabriela Barcellos MSc, RN , Campos Juliana Faria PhD, RN , Oliveira Hudson Carmo PhD, RN , Busquet Ferreira Luciana Lopes MSc,RN , Reis Luciana MSc, RN , Santos Pires Paula Rodrigues MSc, RN

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引用次数: 0

Abstract

Background

The air entering the ECMO circuit is considered a mechanical emergency with a high mortality rate. Team training for nurses is necessary to handle these emergencies.

Method

Quasi-experimental pre- and post-intervention study. Data were collected from October 2021 to February 2022 at a hospital in Rio de Janeiro, Brazil. The intervention was the Rapid Cycle Deliberate Practice simulation training. The analysis included comparing performance between pre and post-test, time to action, and satisfaction and self-confidence. Inferential statistics and intervention effect size were calculated.

Results

28 nurses participated in the research. Performance scores increased by 44.1% in the post-test, with an average reduction of 3.54 minutes in time spent on actions (p < .0001). The effect size of the intervention was high, and participants were satisfied and self-confident.

Conclusion

RCDP can be applied as a simulation strategy for training in the management of an arterial air ECMO emergency, with improved participant performance.

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护士 ECMO 急救模拟培训的快速循环刻意练习：准实验研究

背景进入 ECMO 循环的空气被认为是一种机械性紧急情况，死亡率很高。有必要对护士进行团队培训，以处理这些紧急情况。数据收集时间为 2021 年 10 月至 2022 年 2 月，地点在巴西里约热内卢的一家医院。干预措施为快速循环慎重实践模拟训练。分析包括比较测试前后的表现、行动时间、满意度和自信心。结果28名护士参与了研究。测试后的成绩提高了 44.1%，行动时间平均减少了 3.54 分钟（p < .0001）。结论 RCDP 可作为动脉空气 ECMO 紧急情况处理培训的模拟策略，并能提高参与者的表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.