Simulation-Based Training for New-Onset Symptomatic Rapid Atrial Fibrillation Among Prehospital Health Care Providers

Q3 Nursing

Air Medical Journal Pub Date : 2026-07-01 Epub Date: 2026-05-07 DOI:10.1016/j.amj.2026.04.005

Emily R. Cyr DNP, CRNA, Michele L. Kuszajewski DNP, RN, CHSE, Jessica D. Szydlowski DNP, CRNA, CHSE, Virginia C. Simmons DNP, CRNA, CHSE-A, ANEF, FAANA, FAAN

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引用次数: 0

Abstract

Objective

Atrial fibrillation is the most common cardiac arrhythmia in clinical practice making proficient diagnosis and treatment vital to patient outcomes. The increased incidence of new-onset symptomatic rapid atrial fibrillation (NOSRAF) necessitates consistent provider training. This practice improvement project created a simulation-based training (SBT) program to prepare prehospital health care providers for responding to NOSRAF.

Methods

A pre/post design was used to evaluate SBT for prehospital health care providers during biannual training. A protocol-based checklist, knowledge questionnaire, and the Simulation Effectiveness Tool—Modified (SET-M) were used to collect data on protocol fidelity, knowledge, and simulation effectiveness, respectively.

Results

SBT improved NOSRAF protocol compliance; however, the SET-M survey data revealed no change in provider confidence. Further studies focused on SBT for the prehospital health care provider are warranted.

Conclusion

SBT can improve prehospital health care provider preparedness in caring for patients with NOSRAF. Further studies are needed to better represent the influence of simulation-based learning in the prehospital health care provider population and to identify knowledge deterioration time frames.

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院前医护人员对新发症状性快速房颤的模拟培训

目的：房颤是临床上最常见的心律失常，熟练的诊断和治疗对患者预后至关重要。新发症状性快速心房颤动（NOSRAF）发生率的增加需要持续的提供者培训。这个实践改进项目创建了一个基于模拟的培训（SBT）计划，为院前医疗保健提供者应对NOSRAF做好准备。方法：采用前后设计评估院前卫生保健提供者在一年两次培训期间的SBT。采用基于协议的检查表、知识问卷和改进的仿真有效性工具（SET-M）分别收集协议保真度、知识和仿真有效性的数据。结果：SBT提高了NOSRAF协议的依从性；然而，SET-M调查数据显示，供应商的信心没有变化。进一步的研究集中在院前卫生保健提供者的SBT是必要的。结论：SBT可提高NOSRAF患者院前医护人员护理准备水平。需要进一步的研究来更好地代表基于模拟的学习对院前医疗保健提供者人群的影响，并确定知识恶化的时间框架。

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

Air Medical Journal Nursing-Emergency Nursing

CiteScore

1.20

自引率

0.00%

发文量

112

审稿时长

69 days

期刊介绍： Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.