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快速循环刻意练习新生儿复苏模拟程序的开发与效果:一项准实验研究。

Development and Effectiveness of a Rapid Cycle Deliberate Practice Neonatal Resuscitation Simulation Program: A Quasi-Experimental Study.

作者信息

Yang Sun-Yi, Oh Yun-Hee

机构信息

College of Nursing, Konyang University, Daejeon Medical Campus, 158, Gwanjeodong-ro, Seo-gu, Daejeon 35365, Republic of Korea.

Department of Nursing, Cheju Halla University, 38, Halladaehak-ro, Jeju-si 63092, Republic of Korea.

出版信息

Healthcare (Basel). 2024 Jan 2;12(1):104. doi: 10.3390/healthcare12010104.

DOI:10.3390/healthcare12010104
PMID:38201010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10779408/
Abstract

The Rapid Cycle Deliberate Practice (RCDP) simulation during neonatal resuscitation program (NRP) training provides in-event feedback for each simulation step, repeats the simulation from the beginning, and undergoes a continuous improvement process. It also offers after-event debriefing that involves follow-up discussion and reflection after completing simulations. These two methods differ in the timing and frequency of feedback application, and there may be differences in the effectiveness of neonatal resuscitation training. A quasi-experimental simulation study with a pre- and post-test design was used; the experimental group received RCDP simulation NRP training, based on the self-determination theory, while the control group received an after-event debriefing, following the NRP scenario. The experimental group displayed significantly improved clinical decision-making skills compared with the control group. When responding to emergencies involving high-risk newborns, we found that RCDP simulation during NRP training and better preparation for neonatal resuscitation among nursing students improved outcomes for newborns.

摘要

新生儿复苏项目(NRP)培训期间的快速循环刻意练习(RCDP)模拟为每个模拟步骤提供事件中反馈,从一开始重复模拟,并经历持续改进过程。它还提供事件后汇报,包括在完成模拟后进行后续讨论和反思。这两种方法在反馈应用的时间和频率上有所不同,新生儿复苏培训的效果可能也存在差异。本研究采用了具有前后测试设计的准实验模拟研究;实验组基于自我决定理论接受RCDP模拟NRP培训,而对照组按照NRP场景接受事件后汇报。与对照组相比,实验组的临床决策技能有显著提高。在应对涉及高危新生儿的紧急情况时,我们发现NRP培训期间的RCDP模拟以及护生对新生儿复苏的更好准备改善了新生儿的结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b2a/10779408/c3b661014334/healthcare-12-00104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b2a/10779408/c0a9b5ba54ea/healthcare-12-00104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b2a/10779408/c3b661014334/healthcare-12-00104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b2a/10779408/c0a9b5ba54ea/healthcare-12-00104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b2a/10779408/c3b661014334/healthcare-12-00104-g002.jpg

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本文引用的文献

1
Rapid-cycle deliberate practice versus after-event debriefing clinical simulation in cardiopulmonary resuscitation: a cluster randomized trial.快速循环刻意练习与心肺复苏术后事件汇报临床模拟的对比:一项整群随机试验
Adv Simul (Lond). 2022 Dec 28;7(1):43. doi: 10.1186/s41077-022-00239-8.
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复苏培训的快速循环刻意练习方法:一项系统综述。
Resusc Plus. 2024 May 6;18:100648. doi: 10.1016/j.resplu.2024.100648. eCollection 2024 Jun.
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Comparing traditional, immersive simulation with Rapid Cycle Deliberate Practice in postgraduate year 2 anesthesiology residents.对二年级麻醉学住院医师的传统沉浸式模拟与快速循环刻意练习进行比较。
Adv Simul (Lond). 2021 May 26;6(1):20. doi: 10.1186/s41077-021-00174-0.
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Telesimulation as a modality for neonatal resuscitation training.远程模拟作为新生儿复苏培训的一种模式。
Med Educ Online. 2021 Dec;26(1):1892017. doi: 10.1080/10872981.2021.1892017.
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Transitioning from direct care to virtual clinical experiences during the COVID-19 pandemic.在 COVID-19 大流行期间,从直接护理过渡到虚拟临床体验。
J Prof Nurs. 2020 Nov-Dec;36(6):685-691. doi: 10.1016/j.profnurs.2020.09.012. Epub 2020 Oct 2.
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Rapid Cycle Deliberate Practice (RCDP) as a Method to Improve Airway Management Skills - A Randomized Controlled Simulation Study.快速循环刻意练习(RCDP)作为提高气道管理技能的一种方法——一项随机对照模拟研究
Cureus. 2019 Sep 1;11(9):e5546. doi: 10.7759/cureus.5546.
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BMC Med Educ. 2019 Aug 22;19(1):314. doi: 10.1186/s12909-019-1742-4.
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