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希腊护理教育中的导尿术:技能教学审核。

Bladder catheterization in Greek nursing education: An audit of the skills taught.

机构信息

Nursing Department, Technological Educational Institute of Thessalonikii, Greece.

出版信息

Nurse Educ Today. 2011 Feb;31(2):157-62. doi: 10.1016/j.nedt.2010.05.009. Epub 2010 Jun 30.

DOI:10.1016/j.nedt.2010.05.009
PMID:20580468
Abstract

INTRODUCTION

The auditing of nurse teaching is in its infancy in Greece. One area urgently in need of audit is the teaching of male catheterization.

AIMS

To assess the current educational model regarding male bladder catheterization at a sole tertiary education nursing establishment in a major Greek city and to improve nurse undergraduate training by implementing appropriate recommendations for change to the current educational module and support these changes in the long term.

METHODS

A systematic search of international databases for guidelines or best practice regarding bladder catheterization was conducted. Audit measures included direct observation of the teaching process and compilation of a checklist.

RESULTS

The shortcomings are discussed under the following headings: patient pre-preparation, choice and quality of materials used, appropriate aseptic techniques, catheter withdrawal, connecting and handling the drainage bag, diminishing risk of Catheter Associated Urinary Track Infections (CAUTIs), no problem solving trouble-shooting training, textbook and educational resources, lack of national guidelines, setting of the educational experience.

CONCLUSIONS

The main problem with the teaching process exposed by the audit is entrenched use of an outmoded textbook with little effort to enrich teaching with current evidence base practices.

摘要

简介

在希腊,护士教学的审核仍处于起步阶段。急需审核的一个领域是男性导尿术的教学。

目的

评估希腊主要城市一所单一的高等教育护理机构中男性膀胱导管插入术的当前教育模式,并通过对当前教育模块实施适当的更改建议来改进护士本科培训,并在长期内支持这些更改。

方法

系统地在国际数据库中搜索有关膀胱导管插入术的指南或最佳实践。审核措施包括直接观察教学过程和编制检查表。

结果

根据以下标题讨论了不足之处:患者的预备准备、所使用材料的选择和质量、适当的无菌技术、导管拔出、连接和处理引流袋、降低导管相关性尿路感染 (CAUTIs) 的风险、没有解决问题的故障排除培训、教科书和教育资源、缺乏国家指南、教育经验的设置。

结论

审核中暴露的教学过程的主要问题是根深蒂固地使用过时的教科书,而很少努力用当前的循证实践来丰富教学。

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