Campbell Denise, Clark Patricia C
Denise Campbell, DNP, RN, ACNS-BC, CEN, CHSE, is an assistant professor, School of Nursing, University of Michigan-Flint, and a clinical nurse specialist, Emergency Center, Beaumont Hospital, Royal Oak, Michigan. Patricia C. Clark, PhD, RN, FAAN, is a professor emeritus, Georgia State University, Atlanta.
Dimens Crit Care Nurs. 2020 Jan/Feb;39(1):33-38. doi: 10.1097/DCC.0000000000000394.
Cardiac arrest is the most urgent type of emergency, and favorable outcomes are best achieved by early resuscitation. Advanced Cardiac Life Support (ACLS) certification enables nurses to provide care to patients who are at a high risk of life-threatening emergencies.
The objective of this quality improvement project was to explore the retention of knowledge and skills of 20 graduate nurses who participated in a nurse residency program using an ACLS simulation-based learning experience (SBLE) at 2 and 8 weeks post completion of an ACLS provider course.
A pretest-posttest design was used with 2 emergency department graduate nurse cohorts who participated in an SBLE focused on ACLS components at 2 and 8 weeks after attending the ACLS provider course. Simulation-based learning experiences were videotaped, and outcome measures (ie, time to shock) were measured in seconds. The nurses completed the ACLS written test before and after the SBLE.
Most ACLS outcomes improved after SBLE except time to shock. Pretest-posttest ACLS average scores decreased from 93.5% to 77.8% (first cohort) and from 94.5% to 86.7% (second cohort).
Simulation-based learning experience may be an important adjunct instructing method for teaching new graduates ACLS skills.
心脏骤停是最紧急的一类急症，早期复苏最有可能带来良好的预后。高级心血管生命支持（ACLS）认证使护士能够为面临危及生命急症高风险的患者提供护理。
本质量改进项目的目的是探讨20名毕业护士在完成ACLS提供者课程后2周和8周时，通过基于ACLS模拟学习体验（SBLE）参与护士住院医师项目后知识和技能的保持情况。
采用前测-后测设计，对2组急诊科毕业护士进行研究，她们在参加ACLS提供者课程后2周和8周时参与了聚焦ACLS各组成部分的SBLE。基于模拟的学习体验进行了录像，并以秒为单位测量了结果指标（即电击时间）。护士们在SBLE前后完成了ACLS笔试。
除电击时间外，SBLE后大多数ACLS结果均有所改善。前测-后测ACLS平均分数从93.5%降至77.8%（第一组），从94.5%降至86.7%（第二组）。
基于模拟的学习体验可能是向新毕业护士教授ACLS技能的一种重要辅助教学方法。
