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无创正压通气模拟训练方案对普通病房护士知识和自我效能的影响。

The Effect of a Non-Invasive Positive Pressure Ventilation Simulation Program on General Ward Nurses' Knowledge and Self-Efficacy.

机构信息

Medical Nursing Department, Seoul National University Hospital, Seoul 03080, Korea.

College of Nursing, Seoul National University, Seoul 03080, Korea.

出版信息

Int J Environ Res Public Health. 2021 Mar 11;18(6):2877. doi: 10.3390/ijerph18062877.

DOI:10.3390/ijerph18062877
PMID:33799758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8001743/
Abstract

The purpose of this study is to develop a simulation-based ventilator training program for general ward nurses and identify its effects. Quantitative data were collected from 29 nurses (intervention group: 15, control group: 14), of which seven were interviewed with focus groups to collect qualitative data. The quantitative results revealed significant differences in ventilator-related knowledge ( = 0.029) and self-efficacy ( = 0.026) between the intervention and control groups. Moreover, three themes were derived from meaningful statements in the qualitative data: understanding psychophysical discomfort of the patient while applying the ventilator; helping in ventilator care; and establishing a future ventilator training strategy. The findings confirmed that the non-invasive positive pressure ventilation (NPPV) simulation program is an effective method for improving the knowledge of ventilator nursing and self-efficacy and will be helpful in developing educational methods and strategies related to ventilator nursing for general ward nurses.

摘要

本研究旨在为普通病房护士开发基于模拟的呼吸机培训计划,并确定其效果。从 29 名护士(干预组:15 名,对照组:14 名)中收集了定量数据,其中 7 名护士接受了焦点小组访谈以收集定性数据。定量结果显示,干预组和对照组在呼吸机相关知识( = 0.029)和自我效能感( = 0.026)方面存在显著差异。此外,从定性数据中的有意义陈述中得出了三个主题:在应用呼吸机时了解患者的身心不适;协助呼吸机护理;制定未来的呼吸机培训策略。研究结果证实,无创正压通气(NPPV)模拟计划是提高呼吸机护理知识和自我效能感的有效方法,这将有助于为普通病房护士制定与呼吸机护理相关的教育方法和策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5160/8001743/2f9ec5bcfa4a/ijerph-18-02877-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5160/8001743/2f9ec5bcfa4a/ijerph-18-02877-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5160/8001743/2f9ec5bcfa4a/ijerph-18-02877-g001.jpg

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Respir Care. 2019 May;64(5):528-535. doi: 10.4187/respcare.06310. Epub 2018 Dec 24.
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Mechanical Ventilation-Related Safety Incidents in General Care Wards and ICU Settings.普通病房和 ICU 环境中与机械通气相关的安全事件。
Respir Care. 2018 Oct;63(10):1246-1252. doi: 10.4187/respcare.06109. Epub 2018 May 29.
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Experiences of noninvasive ventilation in adults with hypercapnic respiratory failure: a review of evidence.
无创通气在高碳酸血症性呼吸衰竭成人患者中的应用经验:证据综述
Eur Respir Rev. 2016 Dec;25(142):451-471. doi: 10.1183/16000617.0002-2016.
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Nurse Educ Pract. 2004 Sep;4(3):200-7. doi: 10.1016/S1471-5953(03)00066-0.
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