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改善向实践的过渡:将高级心脏生命支持整合到护理学学士学位课程中。

Improving Transition to Practice: Integration of Advanced Cardiac Life Support Into a Baccalaureate Nursing Program.

作者信息

Powers Summer, Claus Nancy, Jones Allison R, Lovelace Michael R, Weaver Kendra, Watts Penni

出版信息

J Nurs Educ. 2019 Mar 1;58(3):182-184. doi: 10.3928/01484834-20190221-11.

Abstract

BACKGROUND

Nursing students often lack the skills and confidence to intervene in the care of a deteriorating patient as they transition into clinical practice. Exposure to these situations is limited during their academic career. Our team sought to address this by embedding American Heart Association (AHA) advanced cardiac life support (ACLS) content into the curriculum and offering certification to senior-level students.

METHOD

The senior skills course was redesigned to include education on current AHA ACLS guidelines and skills. ACLS algorithms were introduced and reinforced by mock code labs utilizing rapid cycle deliberate practice and interprofessional simulation. After completion of the semester, students were given the option to be ACLS certified.

RESULTS

Students and stakeholders reported positively on the ability to certify in ACLS at our institution prior to graduation and reported increased confidence in their ability to manage patients with cardiopulmonary arrest.

CONCLUSION

Providing simulated experiences for these clinical situations can reportedly increase confidence and improve preparedness in senior-level BSN students. [J Nurs Educ. 2019;58(3):182-184.].

摘要

背景

护理专业学生在向临床实践过渡时,往往缺乏对病情恶化患者进行干预的技能和信心。在他们的学术生涯中,接触这些情况的机会有限。我们的团队试图通过将美国心脏协会(AHA)高级心脏生命支持(ACLS)内容纳入课程,并为高年级学生提供认证来解决这一问题。

方法

对高级技能课程进行重新设计,纳入当前AHA ACLS指南和技能的教育内容。通过利用快速循环刻意练习和跨专业模拟的模拟代码实验室,引入并强化ACLS算法。学期结束后,学生可以选择获得ACLS认证。

结果

学生和利益相关者对在本校毕业前获得ACLS认证的能力给予了积极评价,并表示对管理心脏骤停患者的能力更有信心。

结论

据报道,为这些临床情况提供模拟体验可以增强高年级护理学学士学生的信心并提高其准备程度。[《护理教育杂志》。2019年;58(3):182 - 184。]

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