Nazari Peyman, Parsai-Manesh Esmail, Kazemi Zahra, Soleimani Bita, Yarmohammadinezhad Erfan
Cellular and Molecular Research Center, Gerash University of Medical Sciences, Gerash, Iran.
Faculty of Nursing, Gerash University of Medical Sciences, Fars, Iran.
Int J Emerg Med. 2024 Sep 6;17(1):116. doi: 10.1186/s12245-024-00704-3.
Simulation-based training courses have been developed and widely accepted.The use of simulators can prevent bitter consequences that may sometimes put human lives in danger. Increasing the skill of nursing students in dealing with trauma patients is of great importance. The aim of this study is to evaluate the effectiveness of the simulation-based trauma training program for the management of trauma patients in nursing students.
It is an observational approach that focuses on improving the learning of trauma care skills. For this study, 6th and 8th semester nursing students were selected by appropriate sampling method. Previously, these students completed the trauma training course without simulation. Training of trauma skills was done using multi-purpose trauma mollage And we subsequently analyzed the effectiveness of the trauma simulation training program using the OSCE test. In the inferential statistics section, after examining the data distribution (Kolmogrove-Smirnov and Shapiro-Wilk tests), the Wilcoxon test was used to measure significance. SPSS 22 software was used.
The results indicated that the lowest mean score obtained based on a scale of zero to one hundred was for the movement limitation of the injured long bone and the highest was in the skill of oral-nasal intubation and ventilation. The results of the paired t-test showed that clinical skills for dealing with trauma-affected individuals in undergraduate nursingafter simulation training was significantly higher .
The implementation of the simulation is accompanied by an increase in the skills of the participants, which leads to the application of the acquired knowledge in real-life scenarios and positive changes. In the learning of the participants, the evaluation of conventional trauma training in Iran, like other countries, shows the need for specialized training through simulation. To ensure the continued effectiveness of simulation-based trauma training courses, it is recommended that administrators and policymakers encourage regular faculty participation in the program. Long term effects of trauma simulators training in nursing student requires further study.
基于模拟的培训课程已得到开发并被广泛接受。使用模拟器可以避免有时可能危及生命的惨痛后果。提高护理专业学生处理创伤患者的技能非常重要。本研究的目的是评估基于模拟的创伤培训项目对护理专业学生管理创伤患者的有效性。
这是一种侧重于改善创伤护理技能学习的观察性方法。在本研究中，通过适当的抽样方法选取了护理学专业第六学期和第八学期的学生。此前，这些学生完成了非模拟的创伤培训课程。使用多功能创伤模拟人进行创伤技能培训，随后我们使用客观结构化临床考试（OSCE）来分析创伤模拟培训项目的有效性。在推断统计部分，在检验数据分布（柯尔莫哥洛夫 - 斯米尔诺夫检验和夏皮罗 - 威尔克检验）后，使用威尔科克森检验来衡量显著性。使用了SPSS 22软件。
结果表明，在0到100分的评分标准下，受伤长骨活动受限的平均得分最低，口鼻插管及通气技能的得分最高。配对t检验的结果表明，本科护理专业学生在模拟培训后处理创伤患者的临床技能显著提高。
模拟培训的实施伴随着参与者技能的提高，这使得所学知识能够应用于实际场景并带来积极变化。在参与者的学习方面，伊朗与其他国家一样，对传统创伤培训的评估表明需要通过模拟进行专业培训。为确保基于模拟的创伤培训课程持续有效，建议管理人员和政策制定者鼓励教师定期参与该项目。创伤模拟器培训对护理专业学生的长期影响需要进一步研究。
