Kang Dongqin, Zhang Liyan, Jin Sanli, Wang Yun, Guo Renxiu
Department of Integrative Medicine& Geriatric Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing, China.
Department of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing, China.
Asia Pac J Oncol Nurs. 2021 Dec 28;9(3):167-173. doi: 10.1016/j.apjon.2021.11.004. eCollection 2022 Mar.
The aim of the study was to evaluate the effectiveness of palliative care simulations with standardized patients in improving the knowledge, skill performance, and critical thinking of newly hired oncology nurses.
By convenience sampling, 59 newly hired oncology nurses in 2019 were enrolled as control group and 50 in 2020 as simulation group at a grade-A tertiary cancer hospital. Simulation group accepted theory (3 sessions) and simulation teaching includes three representative scenarios (6 sessions) in palliative care: pain management, special scenario communication, and turn over. Control group accepted traditional theory and skill teaching (9 sessions). Then both groups underwent four weeks clinical practice. The knowledge score was assessed by knowledge questionnaires, skill performance by standardized clinical evaluations, and critical thinking by the California Critical Thinking Disposition Inventory in both groups before and after intervention. The satisfaction of two groups was assessed by the learning satisfaction scale. Analysis of variance was conducted among the two groups by SPSS20.0. A difference was considered significant when < 0.05.
After intervention, the simulation group was significantly greater in knowledge of pain management ( = -7.560, < 0.001), and knowledge of special scenario communication ( = 5.031, < 0.001), as well as the skill score of turnover ( = 2.808, = 0.005) than the control group. The critical-thinking score was also significantly greater in the simulation group ( = 6.229, < 0.001). The simulation group had higher satisfaction ( = 5.144， < 0.001).
Palliative care simulation with standardized patients can improve newly hired oncology nurses' knowledge, skill performance, and critical thinking and satisfaction of teaching. It would be an effective strategy to train newly hired oncology nurses.
本研究旨在评估标准化病人姑息治疗模拟对提高新入职肿瘤护士的知识、技能表现和批判性思维的有效性。
采用便利抽样法，选取某三级甲等肿瘤医院2019年新入职的59名肿瘤护士作为对照组，2020年新入职的50名肿瘤护士作为模拟组。模拟组接受理论教学（3次课程）和模拟教学，模拟教学包括姑息治疗中的三个代表性场景（6次课程）：疼痛管理、特殊场景沟通和翻身。对照组接受传统理论和技能教学（9次课程）。然后两组均进行为期四周的临床实践。干预前后，通过知识问卷评估两组的知识得分，通过标准化临床评估评估技能表现，通过加利福尼亚批判性思维倾向量表评估批判性思维。通过学习满意度量表评估两组的满意度。使用SPSS20.0对两组进行方差分析。当P<0.05时，差异被认为具有统计学意义。
干预后，模拟组在疼痛管理知识（t=-7.560，P<0.001）、特殊场景沟通知识（t=5.031，P<0.001）以及翻身技能得分（t=2.808，P=0.005）方面均显著高于对照组。模拟组的批判性思维得分也显著更高（t=6.229，P<0.001）。模拟组的满意度更高（t=5.144，P<0.001）。
标准化病人姑息治疗模拟可提高新入职肿瘤护士的知识、技能表现、批判性思维和教学满意度。这将是培训新入职肿瘤护士的有效策略。
