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一项全国性横断面调查,旨在探究英国预注册护理课程中进行无菌技术操作的准备情况。

National cross-sectional survey to explore preparation to undertake aseptic technique in pre-registration nursing curricula in the United Kingdom.

作者信息

Hawker Clare, Courtenay Molly, Wigglesworth Neil, Gould Dinah

机构信息

School of Healthcare Sciences, Cardiff University, UK.

School of Healthcare Sciences, Cardiff University, UK.

出版信息

Nurse Educ Today. 2020 Mar 25;90:104415. doi: 10.1016/j.nedt.2020.104415.

DOI:10.1016/j.nedt.2020.104415
PMID:32408246
Abstract

BACKGROUND

Aseptic technique is a core nursing skill. Sound preparation is required during pre-registration nursing education to enable student nurses to acquire the knowledge and skills necessary to prevent and control healthcare-associated infection and promote patient safety. Few studies have explored nursing students' education and training in aseptic technique.

OBJECTIVES

To investigate what, when and how pre-registration nursing students are taught aseptic technique and how they are assessed in undergraduate, pre-registration nursing programmes in the United Kingdom.

DESIGN

National cross-sectional survey exploring preparation to undertake aseptic technique in pre-registration nursing curricula in the United Kingdom.

SETTING

Universities providing undergraduate, pre-registration adult nursing programmes in the United Kingdom.

PARTICIPANTS

Nurse educators.

METHODS

Structured telephone interviews were conducted with nurse educators. Descriptive and inferential statistical data analyses were undertaken.

RESULTS

Response rate was 70% (n = 49/70). A variety of different learning and teaching methods were reported to be in use. Teaching in relation to aseptic technique took place in conjunction with teaching in relation to different clinical procedures rather than placing emphasis on the principles of asepsis per se and how to transfer them to different procedures and situations. Wide variation in teaching time; use of multiple guidelines; inaccuracy in the principles identified by educators as taught to students; and limited opportunity for regular, criteria based competency assessment were apparent across programmes.

CONCLUSIONS

Pre-registration preparation in relation to aseptic technique requires improvement. There is a need to develop a working definition of aseptic technique. The generalisability of these findings in other healthcare students needs to be explored.

摘要

背景

无菌技术是一项核心护理技能。在注册前护理教育期间需要做好充分准备,以使护生掌握预防和控制医疗相关感染及促进患者安全所需的知识和技能。很少有研究探讨护生在无菌技术方面的教育和培训情况。

目的

调查英国本科注册前护理课程中,注册前护生学习无菌技术的内容、时间、方式以及他们是如何接受评估的。

设计

全国性横断面调查,探索英国注册前护理课程中进行无菌技术操作的准备情况。

地点

提供本科注册前成人护理课程的英国大学。

参与者

护士教育工作者。

方法

对护士教育工作者进行结构化电话访谈,并进行描述性和推断性统计数据分析。

结果

回复率为70%(n = 49/70)。据报告使用了多种不同的学习和教学方法。无菌技术教学是与不同临床操作的教学同时进行的,而不是强调无菌本身的原则以及如何将这些原则应用于不同的操作和情况。各课程在教学时间、使用多种指南、教育工作者认为教给学生的原则存在不准确之处以及基于标准的定期能力评估机会有限等方面存在很大差异。

结论

注册前在无菌技术方面的准备需要改进。需要制定无菌技术的实用定义。这些研究结果在其他医护专业学生中的普遍性有待探索。

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