Kaplan Barbara G, Holmes Leslie, Mott Michelle, Atallah Hany
Emory University, Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.
Comput Inform Nurs. 2011 Sep;29(9):531-8. doi: 10.1097/NCN.0b013e31821a166e.
Higher patient acuity and shortage of healthcare professionals have led to an expansion in the role and responsibilities for nurses, and ultimately, nursing students. Nursing faculty are challenged to develop strategies based on core competencies to obtain optimal practice within this complex system. Use of patient simulators is an effective strategy as it allows for deliberate practice of skills and standardized exposure to limited scenarios. The rarity of pediatric codes and opportunities for students to interact in teams led faculty to develop an interdisciplinary pediatric mock code simulation. Senior baccalaureate students function as members of a pediatric code team with emergency nurse practitioner students as code team leaders. Student preparation included Web-based information and an interactive class on code skills and team communication during a sentinel event. The scenario incorporated team roles and family-centered care. The debriefing session reinforced the evidence and reviewed quality improvement and safety through error identification and patient consequences. A total of 43 BSN students and 12 emergency nurse practitioner students participated. The simulation was rated very highly for realism, enjoyment, concept clarification in debriefing, increasing knowledge base, ability to function in the clinical setting, and increasing confidence in caring for a critically ill infant.
患者病情的复杂性增加以及医护人员短缺，导致护士乃至护理专业学生的角色和职责不断扩展。护理教师面临着挑战，需要基于核心能力制定策略，以便在这个复杂的系统中实现最佳实践。使用患者模拟器是一种有效的策略，因为它能让学生有针对性地练习技能，并在有限的场景中进行标准化的体验。儿科急救情况很少见，且学生团队协作的机会有限，这促使教师开展了一次跨学科的儿科模拟急救演练。护理学本科高年级学生作为儿科急救团队的成员，由急诊护士专业的学生担任团队领导。学生的准备工作包括基于网络的信息学习，以及在一次重大事件期间开展的关于急救技能和团队沟通的互动课程。模拟场景融入了团队角色和以家庭为中心的护理内容。总结会议强化了相关证据，并通过错误识别和患者结果回顾了质量改进和安全性。共有43名护理学学士学生和12名急诊护士专业学生参与其中。该模拟演练在真实性、趣味性、总结会议中的概念阐释、增加知识储备、在临床环境中的操作能力以及照顾危重新生儿的信心提升等方面都获得了很高的评价。
