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从模拟室到临床实践:新生儿护理研究生从现场复苏模拟的跨专业团队学习到临床实践的转移。

From simulation room to clinical practice: Postgraduate neonatal nursing students' transfer of learning from in-situ resuscitation simulation with interprofessional team to clinical practice.

机构信息

Department of Master and Postgraduate Education, Lovisenberg Diaconal University College, Oslo, Norway.

Department of Master and Postgraduate Education, Lovisenberg Diaconal University College, Oslo, Norway; Department of Neonatal Intensive Care, Oslo University Hospital, Oslo, Norway.

出版信息

Nurse Educ Pract. 2021 Mar;52:102994. doi: 10.1016/j.nepr.2021.102994. Epub 2021 Mar 6.

Abstract

The purpose of this study was to investigate how postgraduate neonatal nursing students transfer learning from in-situ resuscitation simulation with interprofessional teams to clinical practice. It is essential that healthcare professionals involved in stabilization and resuscitation of newborns master technical (e.g.bag-mask ventilation) and non-technical skills (e.g. teamwork and communication). Simulation plays an important role in education as it allows healthcare professionals safe practicing of skills and teamwork under direct supervision. Debriefing is a central component. Eighteen postgraduate neonatal nursing students participated in in-situ simulation with interprofessional team. Subsequently, five students were interviewed individually. A qualitative content analysis was performed. Three descriptive categories were identified, representing the manifest content:'Non-technical skills','Task management in an acute situation', and 'Learning through reflection'. The interviewees highlighted a deeper understanding of the collaboration and mutual dependency in the team after in-situ simulation. One latent content was identified: "Trust and competence in a relational collaboration". It is challenging to choose the best suited learning activities for learning different subject matters, like skills and competencies needed in clinical neonatal resuscitation.Despite this being a small study, the findings can be transferred to similar educational contexts.

摘要

本研究旨在探讨研究生新生儿护理学生如何将现场复苏模拟与跨专业团队的学习转移到临床实践中。参与新生儿稳定和复苏的医疗保健专业人员掌握技术技能(例如,气囊面罩通气)和非技术技能(例如,团队合作和沟通)至关重要。模拟在教育中起着重要作用,因为它允许医疗保健专业人员在直接监督下安全地练习技能和团队合作。讨论是一个核心组成部分。18 名研究生新生儿护理学生参加了现场模拟与跨专业团队。随后,对五名学生进行了单独采访。进行了定性内容分析。确定了三个描述性类别,代表了明显的内容:“非技术技能”,“急性情况下的任务管理”和“通过反思学习”。受访者强调了在现场模拟后对团队合作和相互依存关系的更深入理解。一个潜在的内容被确定:“关系协作中的信任和能力”。选择最适合学习不同主题的学习活动(例如,临床新生儿复苏所需的技能和能力)具有挑战性。尽管这是一项小型研究,但研究结果可以转移到类似的教育环境中。

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