J Nurs Educ. 2018 Jun 1;57(6):379-384. doi: 10.3928/01484834-20180522-11.
This quality improvement project aimed to increase undergraduate nursing students' knowledge, skills, and attitudes (KSAs) relevant to the Quality and Safety Education for Nurses competency of safety, which was identified as a critical performance area. The question that this project examined was, Can incorporating chosen interventions into the course curriculum increase student KSAs of safety?
Two interventions were incorporated into the curriculum to increase student competency: a student-designed simulation project (SDSP), and a Good Catch and Error Reporting (GCER) program. A nonintervention group (n = 16) and an intervention group (n = 33) were evaluated with a dependent sample t test (pre- and posttest design) using the QUISKA2 Assessment Tool.
For the intervention group (n = 33), the project interventions were found to be statistically significant t(32) = 6.14, p < .05. In addition, mean scores increased by 37%, whereas the nonintervention group increased by only 12%.
The SDSP and GCER program were beneficial in improving students' KSAs regarding safety in health care. Students designed scenarios that addressed medication errors, critical team communication, prioritization, and handoff reporting using their own creativity to deliver valuable information to the entire clinical group. Implementing the GCER program helped create a culture of safety within this clinical section and helped to build student confidence in the quality improvement process. [J Nurs Educ. 2018;57(6):379-384.].
本质量改进项目旨在提高护理本科生与护士质量和安全教育能力相关的知识、技能和态度(KSAs),安全被确定为关键绩效领域。本项目研究的问题是:将选定的干预措施纳入课程能否提高学生的安全知识技能?
将两项干预措施纳入课程以提高学生的能力:学生设计的模拟项目(SDSP)和良好捕捉和错误报告(GCER)计划。使用 QUISKA2 评估工具,采用独立样本 t 检验(前后测试设计)对实验组(n=33)和非实验组(n=16)进行评估。
对于实验组(n=33),发现项目干预具有统计学意义 t(32)=6.14,p<0.05。此外,平均分数提高了 37%,而非实验组仅提高了 12%。
SDSP 和 GCER 计划有助于提高学生对医疗保健安全方面的 KSAs。学生使用自己的创造力设计了涉及药物错误、关键团队沟通、优先级和交接班报告的场景,为整个临床小组提供了有价值的信息。实施 GCER 计划有助于在这个临床部分建立安全文化,并帮助学生建立对质量改进过程的信心。[J Nurs Educ. 2018;57(6):379-384]。