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通过基础生命支持模拟培训丰富约旦政府医院的护理知识与实践:一项随机对照试验。

Enriching nursing knowledge and practice in Jordanian government hospitals through basic life support simulation training: A randomized controlled trial.

作者信息

Abu-Wardeh Yousef, Ahmad Wan Muhamad Amir W, Che Hamzah Mohd Shaharudin Shah, Najjar Yahya W, Hassan Intan Idiana

机构信息

School of Health Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Nursing Department, Prince Faisal Hospital, Ministry of Health, AMMAN, Jordan.

出版信息

Belitung Nurs J. 2024 Jun 28;10(3):261-271. doi: 10.33546/bnj.3328. eCollection 2024.

Abstract

BACKGROUND

Healthcare providers must possess the necessary knowledge and skills to perform effective cardiopulmonary resuscitation (CPR). In the event of cardiopulmonary arrest, basic life support (BLS) is the initial step in the life-saving process before the advanced CPR team arrives. BLS simulation training using manikins has become an essential teaching methodology in nursing education, enhancing newly employed nurses' knowledge and skills and empowering them to provide adequate resuscitation.

OBJECTIVE

This study aimed to evaluate the potential effect of BLS simulation training on knowledge and practice scores among newly employed nurses in Jordanian government hospitals.

METHODS

A total of 102 newly employed nurses were randomly assigned to two groups: the control group ( = 51) received standard training, and the experimental group ( = 51) received one full day of BLS simulation training. The training program used the American Heart Association (AHA)-BLS-2020 guidelines and integrated theoretical models such as Miller's Pyramid and Kolb's Cycle. Both groups were homogeneous in inclusion characteristics and pretest results. Knowledge and practice scores were assessed using 23 multiple-choice questions (MCQs). Data were analyzed using one-way repeated measures ANOVA.

RESULTS

The results indicated significant differences in knowledge scores, F = 58.514, <0.001, and practice scores, F = 20.134, <0.001, between the control and experimental groups at all measurement times: pretest, posttest 1, and posttest 2. Moreover, Cohen's d reflected the effectiveness of BLS simulation training as an educational module, showing a large effect (Cohen's d = 1.568) on participants' knowledge levels and a medium effect (Cohen's d = 0.749) on participants' practice levels.

CONCLUSION

The study concludes that BLS simulation training using the AHA-BLS-2020 guidelines and integrating theoretical models such as Miller's Pyramid and Kolb's Cycle significantly improves knowledge and practice scores among newly employed nurses, proving highly effective in enhancing their competencies in performing CPR. Implementing BLS simulation training in nursing education programs can significantly elevate the proficiency of newly employed nurses, ultimately improving patient outcomes during cardiopulmonary arrest situations. This training approach should be integrated into standard nursing curricula to ensure nurses are well-prepared for real-life emergencies.

TRIAL REGISTRY NUMBER

NCT06001879.

摘要

背景

医疗保健提供者必须具备进行有效心肺复苏(CPR)所需的知识和技能。在发生心肺骤停时,基础生命支持(BLS)是高级心肺复苏团队到达之前挽救生命过程的第一步。使用人体模型进行BLS模拟培训已成为护理教育中的一种重要教学方法,可增强新入职护士的知识和技能,并使他们有能力提供充分的复苏。

目的

本研究旨在评估BLS模拟培训对约旦政府医院新入职护士知识和实践得分的潜在影响。

方法

总共102名新入职护士被随机分为两组:对照组(n = 51)接受标准培训,实验组(n = 51)接受一整天的BLS模拟培训。培训计划采用美国心脏协会(AHA)-BLS-2020指南,并整合了诸如米勒金字塔和科尔布循环等理论模型。两组在纳入特征和预测试结果方面具有同质性。使用23道多项选择题(MCQ)评估知识和实践得分。数据采用单因素重复测量方差分析进行分析。

结果

结果表明,在所有测量时间(预测试、后测试1和后测试2),对照组和实验组之间的知识得分(F = 58.514,P <0.001)和实践得分(F = 20.134,P <0.001)存在显著差异。此外,科恩d值反映了BLS模拟培训作为一种教育模块的有效性,对参与者的知识水平显示出较大影响(科恩d = 1.568),对参与者的实践水平显示出中等影响(科恩d = 0.749)。

结论

该研究得出结论,使用AHA-BLS-2020指南并整合诸如米勒金字塔和科尔布循环等理论模型的BLS模拟培训可显著提高新入职护士的知识和实践得分,证明在提高他们进行心肺复苏的能力方面非常有效。在护理教育计划中实施BLS模拟培训可显著提高新入职护士的熟练程度,最终改善心肺骤停情况下的患者结局。这种培训方法应纳入标准护理课程,以确保护士为现实生活中的紧急情况做好充分准备。

试验注册号

NCT06001879。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bc/11211748/6031efa0ded5/BNJ-10-3-261-g001.jpg

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