Department of Curriculum and Instructional Technology, Faculty of Education, University of Malaya, Kuala Lumpur, Malaysia.
Centre of Education Leadership and Policy, Faculty of Education, Universiti Kebangsaan Malaysia, Bangi, Malaysia.
Front Public Health. 2022 Apr 4;10:856533. doi: 10.3389/fpubh.2022.856533. eCollection 2022.
Although Advanced Nursing Education (ANE) in Malaysia is still in its early stages, the demand for skilled nurses, particularly those who can perform weaning processes from mechanical ventilation (WPMV), is increasing. These nurses, especially in the Cardiothoracic Intensive Care Unit (CICU) need to be equipped with critical thinking skills in order to make decisions on WPMV. However, the Malaysian ANE is still struggling to achieve this. Therefore, this paper is aimed at reconceptualizing the Malaysian ANE with a specific focus on the development of a Mechanical Ventilation Weaning Pedagogy framework. Building upon previous studies, relevant theories, and WPMV best practices outside Malaysia, this study proposed the development of a pedagogy based on four fundamentals: the Fundamental Pattern of Knowing, Curriculum Planning model, an ideal learning content for WPMV skills development, and local experts' opinions. The findings of this study can serve as a reference for stakeholders, nursing education providers, and relevant parties in improving the current ANE.
尽管马来西亚的高级护理教育（ANE）仍处于起步阶段，但对熟练护士的需求，特别是那些能够进行机械通气脱机（WPMV）的护士的需求正在增加。这些护士，特别是在心胸重症监护病房（CICU），需要具备批判性思维技能，以便能够就 WPMV 做出决策。然而，马来西亚的 ANE 仍在努力实现这一目标。因此，本文旨在重新构想马来西亚的 ANE，特别是侧重于制定机械通气脱机教学法框架。在先前的研究、相关理论以及马来西亚以外的 WPMV 最佳实践的基础上，本研究提出了基于四个基础的教学法的发展：认知的基本模式、课程规划模式、WPMV 技能发展的理想学习内容以及当地专家的意见。本研究的结果可以为利益相关者、护理教育提供者和相关方提供参考，以改善当前的 ANE。
