Children's Hospital of Philadelphia, United States of America.
Children's Hospital of Philadelphia, United States of America.
J Pediatr Nurs. 2019 Nov-Dec;49:72-78. doi: 10.1016/j.pedn.2019.09.017. Epub 2019 Oct 25.
Simulation is an evidenced based strategy which has been shown to impact office-based readiness to respond in a medical emergency. Medical emergencies occur in the primary care setting on a less frequent basis than in the inpatient setting. Clinicians working in primary care may benefit from an opportunity to refresh their skills.
This descriptive pre and post survey design evidenced based project examined staff reported levels of competence and confidence when responding to an emergency in a pediatric primary care office. Simulation educators partnered with ambulatory nursing and medical leaders to create a mock code program for staff in a care network. During a 14-month period, simulations were conducted in 30 primary care sites. Staff completed pre- and post-simulation surveys to assess levels of confidence in decision-making skills and competence when managing medical emergencies.
A statistically significant increase in the mean scores for both confidence and competence was demonstrated when comparing pre- and post-simulation survey results.
Simulation as an educational technique resulted in an increased level of competence and confidence of primary care office staff to respond to an emergency. Additionally, staff developed an overall heightened awareness of emergency processes and recognized of the value of simulation as an educational tool.
模拟是一种基于证据的策略，已被证明会影响医生在医疗紧急情况下的应对能力。医疗紧急情况在初级保健环境中的发生频率低于住院环境。在初级保健环境中工作的临床医生可能会受益于更新技能的机会。
本描述性的前后测调查设计基于项目，考察了工作人员在儿科初级保健办公室应对紧急情况时的报告能力和信心水平。模拟教育工作者与门诊护理和医疗领导合作，为护理网络中的工作人员创建了一个模拟代码项目。在 14 个月的时间里，在 30 个初级保健场所进行了模拟。工作人员在模拟前后完成了调查，以评估在管理医疗紧急情况时决策技能和能力的信心水平。
比较模拟前后的调查结果，显示出信心和能力的平均得分有统计学意义的提高。
模拟作为一种教育技术，提高了初级保健办公室工作人员应对紧急情况的能力和信心。此外，工作人员对紧急程序有了全面的认识，认识到模拟作为一种教育工具的价值。
