Gordon Christopher James, Buckley Tom
Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, New South Wales, Australia.
J Contin Educ Nurs. 2009 Nov;40(11):491-8; quiz 499-500. doi: 10.3928/00220124-20091023-06.
Recognition of and early intervention for patients with acutely deteriorating conditions is often the responsibility of medical-surgical nurses. This study examined the effect of simulation on medical-surgical graduate nurses' perceived ability and confidence in responding to patient clinical emergencies.
Fifty medical-surgical graduate students participated in high-fidelity immersive simulations. Questionnaires completed before and after simulation asked participants to rate their perceived ability and confidence.
After simulation, participants reported increased confidence in their ability to perform both technical and nontechnical aspects of responding to patient clinical emergencies. Ninety-four percent of participants identified formal debriefing as the most useful aspect of the simulation experience.
Medical-surgical graduate nurses' confidence and perceived technical and nontechnical skills during patient clinical emergencies are enhanced following simulation. The ability of graduates to transfer the increased confidence and perceived advanced resuscitation skills following simulation to the clinical environment needs to be investigated.
识别病情急剧恶化的患者并对其进行早期干预通常是外科护士的职责。本研究探讨了模拟培训对外科毕业护士应对患者临床紧急情况的感知能力和信心的影响。
50名外科研究生参加了高保真沉浸式模拟培训。在模拟培训前后完成的调查问卷要求参与者对他们的感知能力和信心进行评分。
模拟培训后，参与者报告称，他们在应对患者临床紧急情况的技术和非技术方面的能力信心有所增强。94%的参与者认为正式的总结汇报是模拟培训体验中最有用的部分。
模拟培训后，外科毕业护士在应对患者临床紧急情况时的信心以及感知到的技术和非技术技能均有所提高。毕业生能否将模拟培训后增强的信心和感知到的高级复苏技能应用到临床环境中，这一问题有待研究。
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