Clark Teresa J, Yoder-Wise Patricia S
J Contin Educ Nurs. 2015 Jul;46(7):311-7. doi: 10.3928/00220124-20150619-02.
A well-established charge nurse orientation program was enhanced with the addition of a simulation, addressing three primary populations (the trifocus) with whom charge nurses interact: patients, patients' parents, and other staff members. In this pilot quality improvement project, 20 staff nurses enrolled in the orientation program and were assigned a mentor. Only one participant used the mentorship opportunity; therefore, it is not discussed here. Twelve nurses completed all charge nurse classes and a simulation scenario of caring for a deteriorating infant. The nurses were given an opportunity to reflect on leadership practices after the simulation. Thematic analysis from qualitative, reflective data supported the enhanced understanding of managing complex patients, a code situation, and teams; guiding a team's novice nurse; leading as a charge nurse; and using clinical and critical thinking skills. All nurses reported that the simulation as experiential learning helped them to meet their leadership goals.
一个完善的护士长入职培训项目通过增加模拟环节得到了加强，该模拟针对护士长与之互动的三个主要群体（三重焦点）：患者、患者父母和其他工作人员。在这个试点质量改进项目中，20名注册参加入职培训项目的护士被分配了一名导师。只有一名参与者利用了导师指导的机会；因此，这里不再讨论。12名护士完成了所有护士长课程以及照顾一名病情恶化婴儿的模拟场景。模拟结束后，护士们有机会反思领导实践。对定性反思数据的主题分析支持了对管理复杂患者、危急情况和团队；指导团队中的新手护士；担任护士长进行领导；以及运用临床和批判性思维技能的深入理解。所有护士都报告说，作为体验式学习的模拟帮助他们实现了领导目标。
