Department of Operation Room, The First Hospital of China Medical University, No.155, Nanjing Bei Street, Shenyang 110001, PR China.
Department of Orthopedic Surgery, The First Hospital of China Medical University, No.155, Nanjing Bei Street, Shenyang 110001, PR China.
Nurse Educ Today. 2019 Feb;73:13-16. doi: 10.1016/j.nedt.2018.11.005. Epub 2018 Nov 16.
Orthopedic operating room (OR) nurses entail specialized skills and training, which are not part of the regular curricula at most nursing college. Instead, many nursing students' exposure to orthopedic care in the orthopedic range is limited to occasional observational assignments. Additionally, teamwork is an important factor affecting the performance of the orthopedic OR nurses. This results in a knowledge gap in clinical nursing education. Problem and scripting based learning (PSBL) method is a crucial tool of pre-operative prepared improvement. It is easy for surgeon to record surgical video from his own field of vision by wearable technology (WT). Nevertheless, few studies related to combine WT and PSBL been done to investigate features underlying efficiency in training of novice orthopedic OR nurses.
This study aimed to evaluate the feasibility of combining WT with PSBL in training of novice orthopedic OR nurses.
20 operating room post-graduate-year-1 nurses from the First Hospital of China Medical University were randomly divided into two groups ("conventional training (CT)" group and "WT combining with PSBL" group). Initially the superior orthopedic operating room nurses who immediately followed each procedure filled out a feedback questionnaire of the novice nurses. After finished procedure, novice nurses had a basic understanding of each training method benefits and then filled out the questionnaires. Statistical analysis of the results was performed.
Novice nurses of WT&PSBL Group got the better score in most of the preparedness and performance feedback statement. Mean scores of overall total preparedness and performance feedback statement of WT&PSBL Group was higher than CT Group (P ≤ 0.05). Based on summarizing the questionnaires, the novice nurse in WT- PSBL Group also made significantly better total score than "Conventional training" Group (P ≤ 0.05).
WT&PSBL method, as a crucial tool for improving pre-operative preparedness and intra-operative performance, can cultivate novice orthopedic operating room nurses' ability to use prior knowledge and cognitive frameworks flexibly to deal with problems during performance. It plays a crucial role in training confident and safe orthopedic operating room nurses.
Randomized controlled trial (RCT).
骨科手术室（OR）护士需要专业技能和培训，而这些技能和培训并非大多数护理学院常规课程的一部分。相反，许多护理专业学生在骨科范围内接触骨科护理的机会仅限于偶尔的观察任务。此外，团队合作是影响骨科 OR 护士表现的一个重要因素。这导致了临床护理教育中的知识差距。基于问题和脚本的学习（PSBL）方法是提高术前准备的重要工具。通过可穿戴技术（WT），外科医生很容易从自己的视野中记录手术视频。然而，很少有研究将 WT 与 PSBL 结合起来，以调查培训新手骨科 OR 护士的效率的相关特征。
本研究旨在评估将 WT 与 PSBL 结合用于培训新手骨科 OR 护士的可行性。
中国医科大学第一医院的 20 名手术室一年级护士被随机分为两组（“常规培训（CT）”组和“WT 结合 PSBL”组）。首先，紧随每个手术步骤的高级骨科手术室护士填写新手护士的反馈问卷。完成手术程序后，新手护士对每种培训方法的益处有了基本的了解，然后填写问卷。对结果进行统计分析。
WT&PSBL 组的新手护士在大多数准备情况和表现反馈陈述中得分更高。WT&PSBL 组的总体准备情况和表现反馈陈述的平均得分高于 CT 组（P≤0.05）。基于对问卷的总结，WT-PSBL 组的新手护士的总得分也明显高于“常规培训”组（P≤0.05）。
WT&PSBL 方法作为提高术前准备和术中表现的重要工具，可以培养新手骨科手术室护士灵活运用先验知识和认知框架来应对表现过程中出现的问题的能力。它在培训自信和安全的骨科手术室护士方面发挥着至关重要的作用。
随机对照试验（RCT）。
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