新冠肺炎大流行期间预防性护理的临床模拟与调控

IF 4.2 4区 医学 Q1 NURSING
Nicole Kaminski-Ozturk PhD, Brendan Martin PhD
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引用次数: 4

摘要

在2019冠状病毒病大流行期间,美国的许多护理委员会(BONs)发布了紧急命令,允许注册护士执业前护理项目在模拟使用方面具有更大的灵活性。目的了解各州卫生局如何调整其模拟法规以支持执照前护理计划,以及执照前护理计划如何利用本修订指南在COVID-19大流行的早期阶段安全地提供临床教育。方法回顾大流行前和大流行期间与模拟相关的BON法规,并按变化程度进行分类。然后,在2020年夏季对所有活跃的美国注册护士预审项目进行了关于之前和预期(2020年秋季)模拟使用情况的调查。然后合并来自每个阶段的数据,以确定管辖权变化如何通知程序级别的模拟替代级别。使用Wilcoxon符号秩检验来确定确定趋势的显著性。结果在大流行早期,近一半(n = 24)的州发布了紧急命令,允许在执照前护理课程中扩大模拟教育(SBE)的使用。共有526个注册护士预审项目参与了调查,回复率为32.8%。大多数项目增加了SBE的使用,其中最明显的变化发生在紧急命令修改或放弃现有临床替代阈值的司法管辖区。结论前瞻性的BON紧急命令和政策为注册护士预备课程提供了必要的灵活性,在疫情早期,当许多临床站点实施重大现场限制时,可以保持注册护士预备课程学生教育的连续性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prelicensure Nursing Clinical Simulation and Regulation During the COVID-19 Pandemic

Background

During the COVID-19 pandemic, many boards of nursing (BONs) in the United States issued emergency orders to allow prelicensure RN nursing programs greater flexibility regarding simulation use.

Purpose

To understand how state BONs adjusted their simulation regulations to support prelicensure nursing programs and how prelicensure nursing programs in turn drew upon this revised guidance to safely deliver clinical education during the early stages of the COVID-19 pandemic.

Methods

Simulation-related BON regulations were reviewed before and during the pandemic and classified by the degree of change. All active U.S. prelicensure RN programs were then surveyed in the summer of 2020 about prior and anticipated (fall 2020) simulation usage. Data from each phase were then merged to determine how jurisdictional changes informed simulation substitution levels at the program level. Wilcoxon signed-rank tests were used to determine the significance of identified trends.

Results

Early in the pandemic, nearly half (n = 24) of states issued emergency orders to allow for the expanded use of simulation-based education (SBE) in prelicensure nursing programs. A total of 526 prelicensure RN programs participated in the survey, yielding a 32.8% response rate. Most programs increased their use of SBE, with the most pronounced changes occurring in jurisdictions in which emergency orders modified or waived existing clinical substitution thresholds.

Conclusion

Proactive BON emergency orders and policies provided the necessary flexibility for prelicensure RN programs to maintain the continuity of prelicensure RN students’ education early in the pandemic when many clinical sites imposed significant onsite restrictions.

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来源期刊
CiteScore
4.60
自引率
12.50%
发文量
50
审稿时长
54 days
期刊介绍: Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.
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