利用VAK和Kolb学习理论对卡塔尔私人家庭护士心肺复苏基本知识和实践的影响

IF 2.4 Q3 CRITICAL CARE MEDICINE
Mohamed Elsayed Saad Aboudonya , Hoda Diab Fahmy Ibrahim , Safaa R. Osman
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引用次数: 0

摘要

基础心肺复苏术对家庭护士至关重要,但知识和实践差距仍然存在。以理论为基础的培训可以提高技能的有效性。目的本研究旨在评估VAK和Kolb学习理论对卡塔尔私人家庭护士心肺复苏基本知识和实践的影响。方法准实验前/后研究。将134名护士随机分为VAK组和Kolb组,每组67人。学习式量表、心肺复苏术知识问卷、基本生活和自动体外除颤器检查表分别在基线、训练后立即、6个月和9个月完成。干预措施由多模式培训计划组成,包括1小时的多媒体讲座,结合基于案例的场景,以及3小时的欧洲复苏委员会四阶段研讨会,以涵盖两组的所有学习方式。结果参与者以女性为主(88.1%),年龄在35 ~ 44岁之间(44.8%),本科学历(59.7%)。培训后,满意的CPR知识从35%上升到90%,BLS知识从1.5%上升到100%,AED操作从23%上升到100% (p均为0.001)。留存率在6个月时急剧下降(分别为25.6%、25.6%和60.5%),9个月时仅部分恢复(53.3%、27.4%和71.4%)。视觉、听觉和具体经验学习者表现出最急剧的下降,而动觉和反思观察者学习者保持了最高的表现。结论不同学习风格的学生记忆模式存在显著差异。视觉、听觉和有具体经验的护士在培训后立即达到了近乎完美的分数,但在六个月内失去了大部分的进步。到9个月时,动觉组(VAK)和反思观察者组(Kolb)的学生在心肺复苏术和AED方面的表现仍然领先,而视觉组、主动实验者组和抽象概念组的下降幅度最大。因此,持续的能力取决于刷新时间和首次获得技能的认知-感觉模式。建议在最初的能力检查中使用VAK和Kolb分析来调整复习频率(对视觉、听觉和具体学习者每季度进行一次低剂量的学习;对动觉和反思学习者每半年进行一次),进行年度全技能审核,并指派一名专门的复苏官来协调和监督这些活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Influence of an educational program utilizing VAK and Kolb’s learning theories on basic cardiopulmonary resuscitation knowledge and practices among private home nurses in Qatar

Influence of an educational program utilizing VAK and Kolb’s learning theories on basic cardiopulmonary resuscitation knowledge and practices among private home nurses in Qatar

Background

Basic CPR is vital for home nurses, yet knowledge and practice gaps remain. Theory-based training can enhance skill effectiveness.

Aim

This study aimed to evaluate the influence of VAK and Kolb’s learning theories on basic cardiopulmonary resuscitation knowledge and practices among private home nurses in Qatar.

Methods

Quasi–experimental pre–/post study. One–hundred–thirty–four nurses were randomized to VAK and Kolb group (each n = 67). A learning–style inventory, CPR knowledge questionnaire, basic life and automated external defibrillator checklists were completed at baseline, immediately post–training, and at 6 and 9  months. The intervention composed of multimodal training program combined a 1–h multimedia lecture incorporating case-based scenarios with a 3–h European Resuscitation Council four–stage workshop customized to cover all learning styles in both groups.

Results

Participants were predominantly female (88.1 %), aged 35–44  years (44.8 %) and bachelor–prepared (59.7 %). Immediately after training, satisfactory CPR knowledge rose from 35 % to 90 %, BLS competence from 1.5 % to 100 % and AED operation from 23 % to 100 % (all p < 0.001). Retention fell sharply at 6  months (25.6 %, 25.6 % and 60.5 %, respectively) and only partly recovered by 9  months (53.3 %, 27.4 % and 71.4 %). Visual, auditory and concrete–experience learners showed the steepest decline, whereas kinesthetic and reflective–observer learners maintained the highest performance.

Conclusion

Retention patterns differed sharply across learning styles. Visual, auditory, and concrete–experience nurses reached near–perfect scores right after training but lost much of those gains within six months. By nine months, kinesthetic (VAK) and reflective–observer (Kolb) learners still led CPR and AED performance, while visual, active–experimenter, and abstract–conceptualizer groups showed the steepest drop–offs. Sustained competence therefore hinges on both refresher timing and the cognitive–sensory mode through which skills were first acquired.

Recommendations

Use VAK and Kolb profiling during initial competency checks to tailor refresher frequency (quarterly low-dose sessions for visual, auditory, and concrete learners; semi-annual for kinesthetic and reflective learners), conduct an annual full-skills audit, and assign a dedicated Resuscitation Officer to coordinate and monitor these activities.
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来源期刊
Resuscitation plus
Resuscitation plus Critical Care and Intensive Care Medicine, Emergency Medicine
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