培养本科护士识别患者病情恶化技能的模拟策略：准实验研究

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-05-04 DOI:10.1016/j.ecns.2024.101534

Naomi Tutticci RN, PhD , Sandra Johnston RN, PhD , Pauline Gillan RN, PhD , Georgia McEnroe Hons , Ryan Lesse RN , Jane Currie RN, PhD , Joanne Ramsbotham RN, PhD , Karen Theobald RN, PhD , Lori Delaney RN, PhD

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引用次数: 0

摘要

背景毕业护士在识别和应对病人病情恶化方面准备不足。方法采用前瞻性准实验设计，评估两种模拟方法（标准模拟与快速循环意向模拟），招募了 138 名护理专业二年级本科生。结果在模拟过程中，干预组在患者病情恶化的情况下表现出了与情景意识相关的行为。结果在模拟过程中，干预组在病人病情恶化的情况下表现出了与情景意识相关的行为，而对照组则在整个情景中采取了不正确的临床行动，有可能对模拟病人造成伤害。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Simulation Strategies to Develop Undergraduate Nurses' Skills to Identify Patient Deterioration: A Quasi-Experimental Study

Background

Graduate nurses are unprepared to recognize and respond to patient deterioration. Simulation involving micro-debriefing with feedback and opportunities for repeated performance can improve simulated clinical practice.

Methods

A prospective quasi-experimental design evaluating two simulation approaches (Standard simulation versus Rapid Cycle Intentional Simulation) recruited 138 second year undergraduate nursing students.

Results

During simulations the intervention groups demonstrated behaviors associated with situational awareness, in context of a deteriorating patient. Conversely control groups initiated incorrect clinical actions throughout the scenario, potentially harming the simulated patient.

Conclusions

Simulation that involves interruptions and micro-debriefings has been shown to improve student performance in deteriorating patient simulations.

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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.