与本科护生一起开发和评估脓毒症模拟。
Development and evaluation of a sepsis simulation with undergraduate nursing students.
机构信息
Southern Connecticut State University, College of Health and Human Services, Department of Nursing, 501 Crescent Street, New Haven, CT 06515, United States of America.
Southern Connecticut State University, College of Health and Human Services, Department of Nursing, 501 Crescent Street, New Haven, CT 06515, United States of America.
出版信息
Nurse Educ Today. 2024 Jan;132:106031. doi: 10.1016/j.nedt.2023.106031. Epub 2023 Nov 11.
BACKGROUND
In 2016, the Centers for Disease Control found that more than 1.5 million people develop sepsis each year and about 250,000 Americans die from it. Early identification and treatment of sepsis can decrease mortality and morbidity, yet studies have shown student nurses are not prepared to rescue deteriorating patients.
METHOD
The purpose of this pilot study was to create and test a response to rescue simulation for use with undergraduate nursing students. The simulation depicted a patient deteriorating from sepsis. The Martinez Sepsis Competency Evaluation Tool (MSCET) developed to rate student behaviors during the simulation. Promoting Excellence and Reflective Learning in Simulation (PEARLS) debriefing model was used post simulation.
RESULTS
The overall content validity of the MSCET was 0.88. Each item that scored a I-CVI of 0.78 or less were revised. The total percentage of behaviors met was 68 %. The inter-rater reliability of the MSCET conciseness was 0.47 (X = 67.508, df = 48, p ≤ .05).
CONCLUSION
The results indicate the simulation based experience was effective in preparing students to care for patients with early signs of sepsis. Students were complimentary about the experience, and preliminary data on the MSCET psychometrics were positive. Limitations of the study and recommendations for further revision of the simulation were made.
背景
2016 年，疾病控制中心发现每年有超过 150 万人患有败血症，约有 25 万美国人因此死亡。早期识别和治疗败血症可以降低死亡率和发病率，但研究表明，护生没有准备好抢救病情恶化的患者。
方法
本研究旨在创建并测试一种针对本科护理学生的抢救模拟反应。模拟描绘了一名从败血症中恶化的患者。马丁内斯败血症能力评估工具（MSCET）是为了评估学生在模拟过程中的行为而开发的。促进卓越和反思性学习的模拟（PEARLS）辅导模型在模拟后使用。
结果
MSCET 的总体内容效度为 0.88。每个得分为 0.78 或更低的项目都进行了修订。符合行为标准的总百分比为 68%。MSCET 简明性的组内信度为 0.47（X=67.508，df=48，p≤.05）。
结论
结果表明，基于模拟的体验在为学生准备护理早期败血症迹象的患者方面是有效的。学生对这一体验表示赞赏，并且关于 MSCET 心理测量学的初步数据是积极的。研究的局限性和对模拟进一步修订的建议。
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