分层教学结合模拟情景训练对手术室护士的实用价值
Practical value of hierarchical teaching combined with simulation scenario training for operating-room nurses.
作者信息
Zhang Min, Fan Li, Zhou Yanling
机构信息
Operating-Room of The Second Affiliated Hospital of Soochow University Suzhou 215004, Jiangsu, China.
出版信息
Am J Transl Res. 2021 Mar 15;13(3):1833-1839. eCollection 2021.
OBJECTIVE
This study explored the application value of combined training by hierarchical teaching with situational simulations for operating-room (OR) nurses.
METHODS
A total of 41 nurses that received pre-job training for the operating room from January 2018 to December 2019 were selected as the research subjects and randomly divided into a control group and a study group. The control group was given the hierarchical nurse-teaching method, while the study group was given combined training with the hierarchical teaching and scenario simulations. In this study, the operating room capability, clinical work ability, results of theoretical assessment and specialized operation, and nurses' satisfaction with the teaching patterns were compared between the two groups.
RESULTS
After training, the scores of the operating-room operations in the study group, such as laying of aseptic towels, surgical hand washing, wearing of surgical gowns and gloves, and the setting up of the operating table, were higher than that in the control group (<0.05). The scores of clinical work abilities in the study group, such as emergency handling ability, standardized operation ability, mastery of professional knowledge, observation and evaluation ability of disease, and clinical thinking ability, were higher than those in the control group (<0.05). The theoretical examination scores and specialized operation scores of nurses in the study group were higher than those in the control group (<0.05). The satisfaction with the degree of teaching methods in the study group was higher than that in the control group (<0.05).
CONCLUSION
The application of the combined training methods of hierarchical teaching with situational simulations for OR nurses can effectively improve their operational and clinical work ability, deepen their mastery of theoretical knowledge, and enable junior nurses to master the professional skills required in the operating room in a faster way, which is worthy of clinical teaching application.
目的
本研究探讨分层教学与情景模拟相结合的培训方式在手术室护士中的应用价值。
方法
选取2018年1月至2019年12月期间接受手术室岗前培训的41名护士作为研究对象，随机分为对照组和研究组。对照组采用分层带教方法，研究组采用分层教学与情景模拟相结合的培训方式。本研究比较了两组护士的手术室操作能力、临床工作能力、理论考核及专科操作成绩，以及护士对教学模式的满意度。
结果
培训后，研究组在无菌巾铺设、外科洗手、穿手术衣和戴手套以及手术台设置等手术室操作方面的得分高于对照组（<0.05）。研究组在应急处理能力、规范操作能力、专业知识掌握程度、疾病观察与评估能力以及临床思维能力等临床工作能力方面的得分高于对照组（<0.05）。研究组护士的理论考核成绩和专科操作成绩高于对照组（<0.05）。研究组对教学方法的满意度高于对照组（<0.05）。
结论
分层教学与情景模拟相结合的培训方法应用于手术室护士，可有效提高其操作能力和临床工作能力，加深其对理论知识的掌握，使低年资护士更快掌握手术室所需专业技能，值得临床教学应用。
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