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基于模拟的教育对新护士心肺急救知识、临床表现能力及问题解决过程的影响

[Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical performance ability and problem solving process in new nurses].

作者信息

Kim Yun Hee, Jang Keum Seong

机构信息

Department of Nursing, Dong Shin University, Naju, Korea.

出版信息

J Korean Acad Nurs. 2011 Apr;41(2):245-55. doi: 10.4040/jkan.2011.41.2.245.

Abstract

PURPOSE

This study was conducted to examine the effects of simulation-based education regarding care in a cardio-pulmonary emergency care as related to knowledge, clinical performance ability, and problem solving process in new nurses.

METHODS

An equivalent control group pre-post test experimental design was used. Fifty new nurses were recruited, 26 nurses for the experimental group and 24 nurses for the control group. The simulation-based cardio-pulmonary emergency care education included lecture, skill training, team-based practice, and debriefing, and it was implemented with the experimental group for a week in May, 2009. Data were analyzed using frequency, ratio, chi-square, Fisher's exact probability and t-test with the SPSS program.

RESULTS

The experimental group who had the simulation-based education showed significantly higher know-ledge (t=5.76, p<.001) and clinical performance ability (t=5.86, p<.001) for cardio-pulmonary emergency care compared with the control group who had traditional education but problem solving process was not included (t=1.11, p=.138).

CONCLUSION

The results indicate that a simulation-based education is an effective teaching method to improve knowledge and clinical performance ability in new nurses learning cardio-pulmonary emergency care. Further study is needed to identify the effect of a simulation-based team discussion on cognitive outcome of clinical nurses such as problem solving skills.

摘要

目的

本研究旨在探讨基于模拟的心肺急救护理教育对新护士知识、临床操作能力及问题解决过程的影响。

方法

采用等对照组前后测实验设计。招募了50名新护士,其中26名护士作为实验组,24名护士作为对照组。基于模拟的心肺急救护理教育包括讲座、技能培训、团队实践和汇报总结,并于2009年5月对实验组进行了为期一周的培训。使用SPSS软件对数据进行频率、比率、卡方检验、Fisher精确概率法和t检验分析。

结果

与接受传统教育(未包括问题解决过程)的对照组相比,接受基于模拟教育的实验组在心肺急救护理方面的知识(t = 5.76,p <.001)和临床操作能力(t = 5.86,p <.001)显著更高,但在问题解决过程方面差异不显著(t = 1.11,p =.138)。

结论

结果表明,基于模拟的教育是提高新护士学习心肺急救护理知识和临床操作能力的有效教学方法。需要进一步研究以确定基于模拟的团队讨论对临床护士认知结果(如问题解决技能)的影响。

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