Red Cross College of Nursing, Chung-Ang University (CAU), CAU Health Care System, Republic of Korea.
Nurse Educ Today. 2013 Feb;33(2):123-8. doi: 10.1016/j.nedt.2011.11.008. Epub 2011 Dec 5.
Nurses are often the first responders in clinical emergencies that require effective training to ensure high-quality resuscitation and patient safety. The aim of the study was to evaluate the efficacy of simulation-based resuscitation training by assessing two different training modalities (computer-based simulation versus mannequin-based simulation) with practicing nurses.
The study used a comparative study design with random assignment to two simulation-based training modalities. A total of 38 nurses participated in the study: 18 nurses with computer-based simulation, and 20 nurses with mannequin-based simulation. Participants rated their self-efficacy and satisfaction after participating in a simulated scenario involving managing a cardiac arrest patient.
On a 10-point scale, the participants' overall self-efficacy rating was 6.50 (SD=1.66), and satisfaction rating was 7.53 (SD=1.20) for both groups. There were no significant differences between the groups. The computer-based simulation group had significant higher satisfaction ratings in 'Setting priorities for nursing intervention' and 'Implementing nursing skills as protocol' compared to the mannequin-based simulation group. Most nurses felt the simulation experience was useful for future performance in their workplace, but rated realism of simulation as unsatisfactory.
The introduction of simulation-based resuscitation training as an active-learning format was positively embraced by nurses. Computer-based simulation might be beneficial for acquiring nursing skills and decision making skills in resuscitation. Further study is needed to verify the effects of simulation-based resuscitation training with more rigorous outcomes.
护士通常是临床急救中最先做出反应的人员,需要接受有效的培训以确保高质量的复苏和患者安全。本研究旨在通过评估两种不同的培训模式(基于计算机的模拟与基于人体模型的模拟)对实践护士进行复苏培训的效果。
本研究采用了比较研究设计,将 38 名护士随机分配到两种基于模拟的培训模式中。参与者在模拟场景中管理心脏骤停患者后,对自我效能和满意度进行评分。
在 10 分制中,两组参与者的总体自我效能评分均为 6.50(SD=1.66),满意度评分为 7.53(SD=1.20)。两组之间没有显著差异。与基于人体模型的模拟组相比,基于计算机的模拟组在“确定护理干预的优先级”和“按照协议实施护理技能”方面的满意度评分显著更高。大多数护士认为模拟体验对未来在工作场所的表现有用,但对模拟的逼真度评价不高。
将复苏模拟培训作为一种主动学习的方式引入,受到护士的积极欢迎。基于计算机的模拟可能有利于在复苏中获取护理技能和决策技能。需要进一步研究,以更严格的结果验证基于模拟的复苏培训的效果。