Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, Singapore 117597 Singapore.
Resuscitation. 2011 Sep;82(9):1224-30. doi: 10.1016/j.resuscitation.2011.04.014. Epub 2011 May 5.
To describe the development, implementation and evaluation of an undergraduate nursing simulation program for developing nursing students' competency in assessing, managing and reporting of patients with physiological deterioration.
A full-scale simulation program was developed and implemented in a pre-registered nursing curriculum. A randomized controlled study was performed with 31 third year nursing students. After a baseline evaluation of all participants in a simulated environment, the intervention group underwent four simulation scenarios in a 6h education session. All participants were then re-tested. The baseline and post-test simulation performances were scored using a validated tool. The students completed a survey to evaluate their learning experiences.
The clinical performances mean scores for assessment and management of deteriorating patients improved significantly after the training program compared to baseline scores (t=9.26; p<0.0001) and to post-test mean scores of the control group (F=77.28; p<0.0001). The post-test mean scores of the intervention group in reporting deterioration was significantly higher than the baseline mean scores (t=4.24; p<0.01) and the post-test means scores of the control group (F=8.98; p<0.01). The participants were satisfied with their simulation experiences, rated positively on features of the simulation and valued the program in developing their self-confidence.
The nursing students' competency in assessing, managing and reporting of deteriorating patient can be enhanced through a systematic development and implementation of a simulation-based educational program that utilized mnemonics to help students to remember key tasks.
描述一项本科护理模拟计划的开发、实施和评估，以培养护理学生评估、管理和报告生理恶化患者的能力。
在预先注册的护理课程中开发和实施了全面的模拟计划。对 31 名三年级护理学生进行了随机对照研究。在模拟环境中对所有参与者进行基线评估后，干预组在 6 小时的教育课程中进行了四个模拟场景。然后所有参与者都重新进行了测试。使用经过验证的工具对基线和测试后的模拟表现进行评分。学生们完成了一份调查问卷，以评估他们的学习体验。
与基线分数相比（t=9.26；p<0.0001）和与对照组的测试后平均分数相比（F=77.28；p<0.0001），在培训计划后，评估和管理恶化患者的临床表现平均分数显著提高。干预组在报告恶化方面的测试后平均分数明显高于基线平均分数（t=4.24；p<0.01）和对照组的测试后平均分数（F=8.98；p<0.01）。参与者对他们的模拟体验感到满意，对模拟的特点给予了积极的评价，并认为该计划在培养他们的自信心方面很有价值。
通过系统地开发和实施基于模拟的教育计划，并利用记忆技巧帮助学生记住关键任务，可以提高护理学生评估、管理和报告恶化患者的能力。
