Taplin John, McConigley Ruth
School of Nursing and Midwifery, Faculty of Health Sciences, Curtin University Bentley Campus, GPO Box U1987, Perth W.A. 6845, Australia.
Nurse Educ Today. 2015 Apr;35(4):556-61. doi: 10.1016/j.nedt.2014.12.017. Epub 2014 Dec 27.
When cardiac arrest occurs, timely competent advanced life support (ALS) interventions by nursing staff can influence patient outcomes. Ongoing ALS education influences maintenance of competency and avoids skill decay.
To explore the methods of ALS education delivery for nurses in the workplace; describe the issues relating to maintaining ALS competency; explore ALS competency decay for nurses and develop recommendations for the provision of continuing ALS education.
A qualitative exploratory design was used to study ALS education provision in the workplace.
Data were collected from ALS nurse experts in Western Australia by face-to-face and phone interviews.
Semi-structured interviews were conducted and organised around a set of predetermined questions.
Two major themes were identified; the first theme Demand and Supply describes the increasing demand for ALS education for nurses and the challenges with providing timely cost effective traditional face-to-face ALS education. The second theme, Choosing The Best Education Options describes new ways to provide ALS education using emerging technologies.
The study suggested that using e-learning methods would assist with educating the maximum amount of nurses in a timely manner and e-learning and teleconferencing offer opportunities to reach nurses in distant locations. Delivering ALS education more frequently than annually would increase skills maintenance and lessen skill decay. Further research is required to explore which blended e-learning model is best suited to ALS education.
心脏骤停发生时,护理人员及时有效的高级生命支持(ALS)干预可影响患者预后。持续的ALS教育有助于维持护理人员的能力水平,避免技能衰退。
探索工作场所中护士ALS教育的实施方法;描述与维持ALS能力相关的问题;探究护士的ALS能力衰退情况,并为提供持续的ALS教育制定建议。
采用质性探索性设计研究工作场所中的ALS教育提供情况。
通过面对面访谈和电话访谈从西澳大利亚州的ALS护士专家处收集数据。
围绕一组预先确定的问题进行半结构化访谈。
确定了两个主要主题;第一个主题“需求与供给”描述了对护士ALS教育的需求不断增加,以及提供及时且具成本效益的传统面对面ALS教育所面临的挑战。第二个主题“选择最佳教育选项”描述了利用新兴技术提供ALS教育的新方法。
该研究表明,采用电子学习方法将有助于及时对最多数量的护士进行教育,并且电子学习和电话会议为接触偏远地区的护士提供了机会。每年提供不止一次的ALS教育将提高技能维持水平并减少技能衰退。需要进一步研究以探索哪种混合式电子学习模式最适合ALS教育。