University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, USA.
University of Pennsylvania Center for Resuscitation Science, Ground Ravdin, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Int Emerg Nurs. 2020 Mar;49:100829. doi: 10.1016/j.ienj.2019.100829. Epub 2020 Feb 3.
Targeted temperature management (TTM) is recommended for cardiac arrest patients. Successful implementation of a TTM protocol depends on the nurses' knowledge and skills. The study's aim was to compare the level of knowledge, psychomotor skills, confidence and satisfaction before, immediately after and at 6 weeks after training nurses on the delivery of TTM with video lecture versus video lecture and high fidelity simulation.
Demographic variables were compared across treatment groups using t-tests and Chi-square tests. Change over 6 weeks after intervention was tested with mixed effects model.
Fifty-two registered nurses were enrolled. Knowledge test scores, the primary outcome, did not differ between the groups immediately after the training (beta = 3.80, SE = 3.47, p = .27), but there was a strong trend 6 weeks after the training in favor of simulation (beta = 7.93, SE = 3.88, p = .04). Skills were significantly better immediately after the training in the simulation group, but no different 6 weeks later. No difference in confidence was found at either post-test point. Simulation-trained nurses were more satisfied with their training at both post-testing points.
In this study of training approaches to TTM after cardiac arrest, nurses trained with video lecture and high fidelity simulation benefitted from this approach by maintaining their TTM knowledge longer.
目标体温管理（TTM）推荐用于心脏骤停患者。成功实施 TTM 方案取决于护士的知识和技能。本研究旨在比较在视频讲座与视频讲座和高保真模拟培训护士实施 TTM 时，护士的知识、心理运动技能、信心和满意度在培训前、培训后即刻和 6 周后的水平。
使用 t 检验和卡方检验比较治疗组的人口统计学变量。使用混合效应模型测试干预后 6 周的变化。
共纳入 52 名注册护士。主要结局是知识测试分数，两组在培训后即刻的分数没有差异（β=3.80，SE=3.47，p=0.27），但在培训后 6 周有向模拟组倾斜的趋势（β=7.93，SE=3.88，p=0.04）。模拟组的技能在培训后即刻显著提高，但 6 周后没有差异。在任何测试点都没有发现信心的差异。接受模拟培训的护士在两个测试点都对培训更满意。
在这项关于心脏骤停后 TTM 培训方法的研究中，接受视频讲座和高保真模拟培训的护士通过更长时间地保持 TTM 知识，从这种方法中受益。
