Yang Ya-Lun, Cheng Li-Chuan, Lee Chen-Wei, Lin Shih-Chun, Koo Malcolm
Department of Nursing, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin 62247, Taiwan.
Department of Emergency, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin 62247, Taiwan.
Healthcare (Basel). 2024 Nov 22;12(23):2333. doi: 10.3390/healthcare12232333.
BACKGROUND/OBJECTIVE: Nurse practitioners serve a vital role as first responders in emergencies. This study investigated the effectiveness of experiential learning in enhancing emergency care competency and self-efficacy among nurse practitioners.
A single-group repeated measures design was implemented from June to August 2023 at a regional teaching hospital in southern Taiwan, involving 95 nurse practitioners and NP trainees. Participants completed a baseline (T) three-minute emergency simulation test, followed by one-on-one guidance, an immediate post-test (T), and a follow-up test one month later (T). The "Emergency Care Capability Checklist" (ECCC) was used to assess performance after each test, and the "General Self-Efficacy Scale" at T and T.
The mean age of the participants was 42.1 years (SD = 6.7), with 91 out of 95 participants (95.8%) being female. ECCC scores increased significantly from a baseline mean of 34.6 (standard deviation [SD] = 8.8 at T to 46.4 (SD = 4.3) at T ( < 0.001). Scores remained elevated at T, with a mean of 44.7 (SD = 4.9), which was significantly higher than T ( < 0.001). However, scores at T were slightly lower than at T ( = 0.018). GSES scores also increased significantly from T (mean = 26.2, SD = 0.6) to T (mean = 28.0, SD = 0.6) ( = 0.009).
This study found that experiential learning was able to significantly improve nurse practitioners' emergency care competencies and self-efficacy. Future research should explore the application of experiential learning in diverse clinical settings to further advance emergency preparedness and self-efficacy among nurse practitioners.
背景/目的：执业护士在紧急情况下作为第一响应者发挥着至关重要的作用。本研究调查了体验式学习在提高执业护士的急诊护理能力和自我效能方面的有效性。
于2023年6月至8月在台湾南部的一家区域教学医院采用单组重复测量设计，纳入95名执业护士和执业护士实习生。参与者完成一次基线（T₁）三分钟的应急模拟测试，随后接受一对一指导、即时后测（T₂），并在一个月后进行随访测试（T₃）。每次测试后使用“急诊护理能力检查表”（ECCC）评估表现，并在T₁和T₂时使用“一般自我效能量表”。
参与者的平均年龄为42.1岁（标准差 = 6.7），95名参与者中有91名（95.8%）为女性。ECCC分数从基线平均34.6显著提高（T₁时标准差[SD] = 8.8）至T₂时的46.4（SD = 4.3）（P < 0.001）。T₃时分数保持升高，平均为44.7（SD = 4.9），显著高于T₁（P < 0.001）。然而，T₃时的分数略低于T₂（P = 0.018）。GSES分数也从T₁（平均 = 26.2，SD = 0.6）显著提高至T₂（平均 = 28.0，SD = 0.6）（P = 0.009）。
本研究发现体验式学习能够显著提高执业护士的急诊护理能力和自我效能。未来的研究应探索体验式学习在不同临床环境中的应用，以进一步提高执业护士的应急准备能力和自我效能。
