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心脏骤停的可逆原因:本科护生护理能力的获得和临床模拟的满意度。

Reversible causes of cardiac arrest: Nursing competency acquisition and clinical simulation satisfaction in undergraduate nursing students.

机构信息

Fundación San Juan de Dios, Centro de Ciencias de la Salud San Rafael, Universidad de Nebrija, Paseo de La Habana, 70, 28036 Madrid, Spain.

出版信息

Int Emerg Nurs. 2021 Jan;54:100938. doi: 10.1016/j.ienj.2020.100938. Epub 2020 Nov 13.

Abstract

BACKGROUND

It is essential to determine and treat the reversible causes of cardiac arrest, so emergency nurses must acquire the competencies needed for its adequate management.

METHOD

106 undergraduate nursing students participated in a cross-sectional study, using a mixed-method. Simulated scenarios recreated critically ill patients with diagnoses of potentially reversible causes of cardiac arrest in an emergency room. An internally validated questionnaire was used to analyse students' satisfaction and perceptions about clinical simulation sessions. Nursing competencies were assessed using a verification list. Data were analysed using the IBM SPSS Statistics version 24.0 (quantitative data) and ATLAS-ti version 8.0 (qualitative data) software.

RESULTS

Nursing students expressed a high level of satisfaction (most of the scores obtained were higher than 90%) and positive perceptions about clinical simulation sessions. Most of the students (85.6%) acquired the necessary nursing competencies for adequate management of the reversible causes of cardiac arrest.

CONCLUSION

Clinical simulation methodology is a useful tool for the learning process and acquisition of nursing competencies related to emergency situations management. This methodology prepares nursing students for their clinical placements and future careers in emergency care. Therefore, it is recommended to extend clinical simulation training to emergency qualified nursing staff and advanced practitioners.

摘要

背景

确定和治疗心搏骤停的可逆原因至关重要,因此急诊护士必须具备适当管理心搏骤停所需的能力。

方法

106 名本科护理学生参与了一项横断面研究,采用混合方法。在急诊室中模拟了有潜在可逆心搏骤停原因的重症患者的模拟场景。使用内部验证问卷分析学生对临床模拟课程的满意度和看法。使用验证清单评估护理能力。使用 IBM SPSS Statistics 版本 24.0(定量数据)和 ATLAS-ti 版本 8.0(定性数据)软件分析数据。

结果

护理学生对临床模拟课程表示高度满意(获得的大部分分数都高于 90%)和积极的看法。大多数学生(85.6%)获得了适当管理心搏骤停可逆原因所需的护理能力。

结论

临床模拟方法是学习过程和获取与紧急情况管理相关的护理能力的有用工具。该方法为护理学生的临床实习和未来的急诊护理职业做好准备。因此,建议将临床模拟培训扩展到急诊合格的护理人员和高级从业者。

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