University of Liverpool, School of Health Sciences, Thomson Yate Building, the Quadrangle, Brownlow Hill, Liverpool, L69 3GB, UK.
University of Salford, Mary Seacole Building, Fredrick Road, Salford, M6 5ST, UK.
Int J Orthop Trauma Nurs. 2021 Apr;41:100800. doi: 10.1016/j.ijotn.2020.100800. Epub 2020 Aug 4.
Trauma is the fourth leading cause of death in the western world, and traumatic injuries are recognised as clinically challenging to care for. Orthopaedic trauma care is not standard content in pre-qualifying nursing curriculums, compounded by a dearth in specialised post-qualifying education internationally. As a result, registered nurses may not have the clinical skill set to appropriately manage patients with traumatic conditions.
To understand pre-qualifying student nurses' perceptions of their own competence in orthopaedic trauma care and understand if utilisation high fidelity simulation improves confidence, knowledge and application of theory.
A small-scale qualitative pilot study utilising purposive sampling, designed to inform the development of a larger longitudinal study. A 5-point likert scale questionnaire with options for qualitative comments was administered after 8 weeks of a specialised module culminating in a high-fidelity simulation and in-depth debrief session. Thematic analysis was conducted.
All students found that the module improved their confidence and knowledge in their skills set. The high-fidelity simulation was found to be an effective learning environment to translate theory to practice.
Specialised orthopaedic trauma training is effective in improving student nurses' knowledge and perceived competence in trauma care. High fidelity simulation is a valuable teaching tool to develop student's skill sets in complex scenarios and support application of theory to practice.
创伤是西方世界的第四大死亡原因，创伤性损伤被认为是临床护理具有挑战性的。骨科创伤护理不是预备护士课程的标准内容，加上国际上缺乏专门的资格后教育，这使得注册护士可能没有适当管理创伤患者的临床技能。
了解预备护士对自己在骨科创伤护理方面的能力的看法，并了解使用高保真模拟是否可以提高信心、知识和理论应用。
一项小规模的定性试点研究，采用目的性抽样，旨在为更大的纵向研究提供信息。在为期 8 周的专门模块结束时，进行了一项高保真模拟和深入的汇报会议，之后使用 5 点李克特量表问卷（带有定性评论选项）进行评估。进行了主题分析。
所有学生都认为该模块提高了他们在技能方面的信心和知识。高保真模拟被认为是将理论转化为实践的有效学习环境。
专门的骨科创伤培训可有效提高护生在创伤护理方面的知识和感知能力。高保真模拟是一种有价值的教学工具，可以培养学生在复杂情况下的技能，并支持理论在实践中的应用。
