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对护士在面对面或基于网络的患者病情恶化干预后的体验的探索。

An Exploration of Nurses' Experience Following a Face-to-Face or Web-Based Intervention on Patient Deterioration.

作者信息

Kim Jeong-Ah, Jones Linda K, Terry Daniel, Connell Cliff

机构信息

School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Bathurst, NSW 2795, Australia.

School of Nursing and Midwifery, University of Southern Queensland, Ipswich, QLD 4305, Australia.

出版信息

Healthcare (Basel). 2023 Dec 7;11(24):3112. doi: 10.3390/healthcare11243112.

Abstract

A web-based clinical simulation program, known as FIRSTACT (Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends), was designed to increase the efficacy of clinicians' actions in the recognition and immediate response to a patient's deterioration. This study, which was nested in a larger mixed method project, used ten focus groups ( = 65) of graduate, enrolled, registered nurses, associate nurse unit managers, and general managers/educators/coordinators from four different institutions to investigate whether nurses felt their practice was influenced by participating in either a face-to-face or web-based simulation educational programme about patient deterioration. The results indicate that individuals who were less "tech-savvy" appreciated the flexibility of web-based learning, which increased their confidence. Face-to-face students appreciated self-reflection through performance evaluation. While face-to-face simulations were unable to completely duplicate symptoms, they showed nurses' adaptability. Both interventions enhanced clinical practice by improving documentation and replies while also boosting confidence and competence. Web learners initially experienced tech-related anxiety, which gradually subsided, demonstrating healthcare professionals' resilience to new learning approaches. Overall, the study highlighted the advantages and challenges of web-based and face-to-face education in clinical practice, emphasising the importance of adaptability and reflective learning for healthcare professionals. Further exploration of specific topics is required to improve practice, encourage knowledge sharing among colleagues, and improve early detection of patient deterioration.

摘要

一个名为FIRSTACT(结合反馈、回顾和模拟技术以应对临床趋势)的基于网络的临床模拟程序,旨在提高临床医生在识别患者病情恶化并立即做出反应方面的行动效果。本研究嵌套于一个更大的混合方法项目中,使用了来自四个不同机构的十个焦点小组(n = 65),成员包括研究生、在职注册护士、副护士长以及总经理/教育工作者/协调员,以调查护士是否觉得参与关于患者病情恶化的面对面或基于网络的模拟教育项目会影响他们的实践。结果表明,不太精通技术的人欣赏基于网络学习的灵活性,这增强了他们的信心。面对面学习的学生通过绩效评估欣赏自我反思。虽然面对面模拟无法完全复制症状,但它们展示了护士的适应能力。两种干预措施都通过改善记录和回复来增强临床实践,同时还增强了信心和能力。网络学习者最初经历了与技术相关的焦虑,但这种焦虑逐渐消退,这表明医疗保健专业人员对新的学习方法具有适应能力。总体而言,该研究突出了基于网络和面对面教育在临床实践中的优势和挑战,强调了适应能力和反思性学习对医疗保健专业人员的重要性。需要进一步探索具体主题,以改善实践、鼓励同事之间的知识共享,并改善对患者病情恶化的早期发现。

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[Tacit Knowledge: Characteristics in nursing practice].[隐性知识:护理实践中的特征]
Gac Sanit. 2019 Mar-Apr;33(2):191-196. doi: 10.1016/j.gaceta.2017.11.002. Epub 2018 Feb 1.

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