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快速循环模拟刻意练习对护理学生复苏自我效能的影响:一项准实验研究。

The impact of rapid cycle simulation deliberate practice on nursing student's resuscitation self-efficacy: A quasi-experimental study.

机构信息

Northumbria University, Newcastle-upon-Tyne, United Kingdom.

University of Sunderland, Sunderland, United Kingdom.

出版信息

Nurse Educ Pract. 2023 Nov;73:103841. doi: 10.1016/j.nepr.2023.103841. Epub 2023 Nov 9.

DOI:10.1016/j.nepr.2023.103841
PMID:37972463
Abstract

BACKGROUND

Nursing students often report anxiety about the performance of resuscitation in a placement context. Rapid cycle deliberate practice which involves re-running the scenario after de-brief allowing for the correction of errors and improved practice has been widely used to develop skills in resuscitation. Few studies have examined the use of rapid cycle deliberate practice to improve resuscitation confidence and self-efficacy.

OBJECTIVE

to assess if rapid cycle deliberate practice leads to improvements in resuscitation self-efficacy in pre-registration nursing students.

DESIGN

Quasi-experimental pre and post-test design measuring self-efficacy using the Basic Resuscitation Skills - Self Efficacy Scale.

SETTING

University, United Kingdom.

PARTICIPANTS

Students were invited to participate (n = 120) and 106 consented to take part in the study. Participants were in pre-determined practical groups with 56 in the experimental group and 50 in the control group.

METHODS

A pre and post-test of nursing students' self-efficacy during a resuscitation simulation scenario. The scenario will relate to a patient admitted to the emergency room with chest pain who then goes into cardiac arrest. The control group undertake the simulation exercise and then received a de-brief whereas the experimental group participated in a rerun of the scenario following the de-brief (deliberate practice). Both groups completed the Basic Resuscitation Skills Self-efficacy scale pre and post the session. Data were analysed using a paired sample t-test.

RESULTS

Both groups showed improved self-efficacy as a result of the simulation session. The difference in the post-test mean scores between the control and the experimental group was marginal and not statistically significant.

CONCLUSION

rapid cycle deliberate practice simulation does not lead to improved resuscitation self-efficacy amongst pre-registration nursing students when compared with a single session.

ABSTRACT

Nursing students are often anxious about performing resuscitation in practice. Can rapid cycle deliberate practice improve resuscitation self-efficacy? Pre and post-test study (n=106) showed improved self-efficacy with no statistical difference between standard simulation and deliberate practice.

摘要

背景

护理专业的学生在实践中经常对进行复苏操作感到焦虑。快速循环刻意练习是一种广泛应用于复苏技能培养的方法,它涉及在情景演练后进行重新演练,以便纠正错误并提高实践能力。很少有研究探讨快速循环刻意练习对提高复苏信心和自我效能的作用。

目的

评估快速循环刻意练习是否能提高注册护士前学生的复苏自我效能。

设计

使用基本复苏技能-自我效能量表进行预前后测的准实验设计。

地点

英国大学。

参与者

邀请学生参加(n=120),106 人同意参与研究。参与者被分为预先确定的实践小组,实验组 56 人,对照组 50 人。

方法

对复苏模拟情景中护理学生自我效能的预前后测。该情景将涉及一名因胸痛被收入急诊室的患者,随后发生心脏骤停。对照组进行模拟练习,然后进行讨论,而实验组在讨论后(刻意练习)重新进行该情景。两组学生在课程前后均完成基本复苏技能自我效能量表的填写。采用配对样本 t 检验分析数据。

结果

两组学生在模拟课程后自我效能均有所提高。对照组和实验组在测试后的平均分数差异较小,无统计学意义。

结论

与单次模拟课程相比,快速循环刻意练习模拟并不能提高注册护士前学生的复苏自我效能。

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