School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Illawarra Health and Medical Research Institute (IHMRI), University of Wollongong, Wollongong, New South Wales, Australia.
J Adv Nurs. 2021 Aug;77(8):3483-3493. doi: 10.1111/jan.14938. Epub 2021 Jun 22.
To evaluate the effects of a simulation-based education programme on critical care nurses' knowledge, confidence, competence and clinical performance in providing delirium care.
Single-blinded randomized controlled trial.
Registered nurses who work in intensive care units were recruited from a university-affiliated acute major metropolitan teaching hospital. The intervention group received: (i) five online-learning delirium care videos, (ii) one face-to-face delirium care education session and (iii) a simulation-based education programme with a role-play scenario-based initiative and an objective structured clinical examination. The control group received only online videos which were the same as those provided to the intervention group. Delirium care knowledge, confidence, competence, and clinical performance as outcomes were collected at: baseline, immediately after intervention, and within 6 weeks post-intervention to test whether there were any changes and if they were sustained over time. Data were collected between 2 October and 29 December 2020. The repeated-measures analysis of variance was used to examine for changes in delirium care knowledge, confidence, and competence within groups.
Seventy-two critical care nurses participated with 36 each allocated to the intervention group and control group. No statistically significant difference was observed between the two groups in outcome variables at 6 weeks post-intervention. In the intervention group, significant within-group changes were observed in terms of delirium care knowledge, confidence, and competence over time. By contrast, no significant changes were observed in outcome measures over time in the control group.
The simulation-based education programme is an effective and feasible strategy to improve delirium care by enhancing the knowledge, confidence, competence and clinical performance of critical care nurses.
Our findings provide evidence regarding the development and implementation of a simulation-based education programme in hospitals for health professional education in Taiwan.
评估基于模拟的教育计划对重症监护护士在提供谵妄护理方面的知识、信心、能力和临床绩效的影响。
单盲随机对照试验。
从一所大学附属的急性大都市教学医院招募在重症监护病房工作的注册护士。干预组接受：（i）五个在线学习谵妄护理视频，（ii）一个面对面的谵妄护理教育课程，以及（iii）一个基于模拟的教育计划，包括角色扮演情景式倡议和客观结构化临床考试。对照组仅接受与干预组相同的在线视频。在以下时间点收集谵妄护理知识、信心、能力和临床绩效作为结果：基线、干预后立即和干预后 6 周，以测试是否有任何变化，以及这些变化是否随着时间的推移而持续。数据收集于 2020 年 10 月 2 日至 12 月 29 日之间。使用重复测量方差分析来检查组内谵妄护理知识、信心和能力的变化。
72 名重症监护护士参与了研究，其中 36 名被分配到干预组和对照组。在干预后 6 周，两组在结局变量上没有观察到统计学上的显著差异。在干预组中，随着时间的推移，在谵妄护理知识、信心和能力方面观察到了显著的组内变化。相比之下，对照组在观察期间在结局测量方面没有观察到显著变化。
基于模拟的教育计划是一种有效且可行的策略，可以通过提高重症监护护士的知识、信心、能力和临床绩效来改善谵妄护理。
我们的研究结果为台湾医院在卫生专业教育中开发和实施基于模拟的教育计划提供了证据。
