通过模拟培训，提高医护人员对羊水栓塞的防范能力：亲身经历

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-09-27 DOI:10.1016/j.ecns.2024.101617

Kristen Bertrand DNP, CRNA , Julie Pearson PhD, CRNA , Casey Toler MSN, AGCNS-BC, RNC-OB, IBCLC , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN

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引用次数: 0

摘要

背景羊水栓塞（AFE）是一种罕见但致命的产科（OB）危机。模拟培训（SBT）可增强产科多学科护理团队在发生 AFE 时的自信心并促进其遵守规程。样本 1 参与了 SBT，并在三个时间点（基线、模拟后即刻和模拟后四个月）对他们的自信心和方案依从性进行了评估。在该项目的实施阶段，一名住院病人经历了 AFE，导致员工对 AFE 教育和培训的兴趣增加，因此需要进行第二次抽样调查。结果样本 1：在基线和模拟后初始评估之间，所有信心项目均有显著改善（p <.05），并在模拟后四个月内保持不变。在基线和重复模拟之间，协议遵守评分有了显著提高（p = .004），并在四个月后保持不变。样本 2：在模拟前和模拟后的信心评估中，5 个信心项目中有 4 个有显著提高（p = .001）。

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Simulation-based training to improve provider-preparedness for amniotic fluid embolism: A lived experience

Background

Amniotic fluid embolism (AFE) is a rare, yet deadly obstetric (OB) crisis. Simulation-based training (SBT) can promote provider self-confidence and protocol adherence for multidisciplinary OB care teams during AFE.

Methods

Two multidisciplinary samples of participants were included in this quality improvement project. Sample 1 engaged in SBT for which they were assessed for confidence and protocol adherence at three timepoints: baseline, immediate post-simulation and four months post-simulation. During the implementation phase of this project, an inpatient experienced AFE, leading to increased staff interest in AFE education and training and the need for a second sample.

Results

Sample 1: Significant improvement was shown for all confidence items between baseline and initial post-simulation assessments (p < .05) which was sustained at four months post-simulation. Significant improvement in protocol adherence scores were shown between the baseline and repeat simulations (p = .004) which were sustained at four months. Sample 2: Significant improvement was noted for 4 out of 5 confidence items between pre- and post-simulation confidence assessments (p < .001).

Conclusion

This project demonstrated that SBT contributed to increased confidence in management of AFE.

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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.