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医院护士多模式模拟灾难教育培训项目的开发与评估

Development and evaluation of a multimodality simulation disaster education and training program for hospital nurses.

作者信息

Noh Jiyoung, Oh Eui Geum, Kim So Sun, Jang Yeon Soo, Chung Hyun Soo, Lee Ogcheol

机构信息

Center for Disaster Relief, Training, and Research, Yonsei University Severance Hospital, Seoul, South Korea.

College of Nursing, Yonsei University, Seoul, South Korea.

出版信息

Int J Nurs Pract. 2020 Jun;26(3):e12810. doi: 10.1111/ijn.12810. Epub 2020 Jan 24.

Abstract

AIM

To develop a multimodality simulation program for hospital nurses to enhance their disaster competency and evaluate the effect of the program.

METHODS

The program implementation started in October 2016 and ended in December 2016. It was developed using the ADDIE model (analysis, design, development, implementation, and evaluation). Evaluation consisted of formative assessment and summative assessment. Formative assessment was performed during triage, crisis management, and problem-solving simulation programs through direct feedback and debriefing from the teacher. Summative assessment was performed using the Kirkpatrick curriculum evaluation framework.

RESULTS

Needs assessment using the modified Delphi survey resulted in these competencies for hospital disaster nursing: triage, incident command, surge capacity, life-saving procedures, and special situations. Each competency was matched with the appropriate simulation modalities. A total of 40 emergency nurses participated in the study program. The evaluation of the program resulted in improvement in perception, crisis management, problem solving, and technical skills in disaster nursing.

CONCLUSION

Multimodality simulation training program was developed to enhance the competency of hospital nurses in disaster response. All participants improved their disaster response competencies significantly. The program that was developed in this study could be used as a fundamental tool in future research in disaster curriculum development.

摘要

目的

开发一个针对医院护士的多模式模拟程序,以提高他们的灾害应对能力,并评估该程序的效果。

方法

该程序于2016年10月开始实施,2016年12月结束。它是使用ADDIE模型(分析、设计、开发、实施和评估)开发的。评估包括形成性评估和总结性评估。形成性评估在分诊、危机管理和问题解决模拟程序中通过教师的直接反馈和汇报进行。总结性评估使用柯克帕特里克课程评估框架进行。

结果

使用改良德尔菲调查进行的需求评估得出了医院灾害护理的这些能力:分诊、事件指挥、应急能力、救生程序和特殊情况。每个能力都与适当的模拟模式相匹配。共有40名急诊护士参与了该研究项目。对该项目的评估导致灾害护理中的认知、危机管理、问题解决和技术技能得到改善。

结论

开发了多模式模拟培训程序以提高医院护士在灾害应对中的能力。所有参与者的灾害应对能力都有显著提高。本研究中开发的程序可作为未来灾害课程开发研究的基础工具。

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