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加强心肺复苏培训:一项针对本科医学和护理专业学生在模拟环境中采用自我学习方法的跨专业研究(MAES)——一项定性研究。

Enhancing Cardiopulmonary Resuscitation Training: An Interprofessional Approach With Undergraduate Medicine and Nursing Students Using Self-Learning Methodology in Simulated Environments (MAES)-A Qualitative Study.

作者信息

Fenzi Giulio, Alemán-Jiménez Carolina, López-Ferrándiz Lucia, Leal-Costa Cesar, Díaz-Agea José Luis

机构信息

Nursing Department, Catholic University of Murcia (UCAM), Murcia, Spain.

Nursing Department, University of Murcia (UM), Murcia, Spain.

出版信息

J Nurs Manag. 2024 Dec 19;2024:9470402. doi: 10.1155/jonm/9470402. eCollection 2024.

DOI:10.1155/jonm/9470402
PMID:40224792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11925266/
Abstract

Training the knowledge and skills needed to recognize and respond quickly to cardiac arrest significantly increases patient survival rates. Recent advances in life support training focus on simulations. Interprofessional education, involving collaborative training between nursing and medical students, would enhance mutual understanding of roles and perspectives, resulting in comprehensive and real-world learning experiences. Self-learning methodology in simulated environments actively engages students by combining problem-based learning with clinical simulation. To analyze the perspective of a group of nursing and medical students in interprofessional training with self-learning methodology in simulated environments, clinical simulation in cardiopulmonary resuscitation, as well as to describe the main strengths and weaknesses detected and worked on during cardiopulmonary resuscitation training with the self-learning methodology in simulated environments. This multicenter qualitative study, based on focus group analysis, delves into the views of nursing and medical students who underwent interprofessional clinical simulation training in cardiopulmonary resuscitation. Benefits such as increased interest, motivation, and sense of responsibility are highlighted, along with improvements in teamwork, interprofessional education, and acquisition of both technical and nontechnical skills. Participants valued the structured debriefing sessions, which allowed them to learn from their mistakes. Suggestions for improvement revolved around the time constraints and responsibilities inherent in the methodology. Interprofessional cardiopulmonary resuscitation training using the self-learning methodology in simulated environments offers an innovative and effective approach to improve traditional cardiopulmonary resuscitation training paradigms.

摘要

培训识别心脏骤停并迅速做出反应所需的知识和技能可显著提高患者生存率。生命支持培训的最新进展集中在模拟方面。跨专业教育,包括护理专业和医学专业学生之间的协作培训,将增进对彼此角色和观点的相互理解,从而带来全面且贴近现实的学习体验。模拟环境中的自主学习方法通过将基于问题的学习与临床模拟相结合,积极地让学生参与进来。分析一组护理专业和医学专业学生在模拟环境中采用自主学习方法进行跨专业培训、心肺复苏临床模拟方面的观点,并描述在模拟环境中采用自主学习方法进行心肺复苏培训期间发现并解决的主要优点和不足。这项基于焦点小组分析的多中心定性研究深入探讨了接受过心肺复苏跨专业临床模拟培训的护理专业和医学专业学生的观点。研究强调了诸如兴趣增加、动力增强和责任感提升等益处,以及团队合作、跨专业教育以及技术和非技术技能获取方面的改善。参与者重视结构化的汇报环节,这使他们能够从错误中学习。改进建议围绕该方法固有的时间限制和职责展开。在模拟环境中采用自主学习方法进行跨专业心肺复苏培训为改进传统心肺复苏培训模式提供了一种创新且有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ced9/11925266/e1eaf4bb63bd/JONM2024-9470402.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ced9/11925266/966960375c67/JONM2024-9470402.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ced9/11925266/e1eaf4bb63bd/JONM2024-9470402.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ced9/11925266/966960375c67/JONM2024-9470402.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ced9/11925266/e1eaf4bb63bd/JONM2024-9470402.002.jpg

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本文引用的文献

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In-situ simulation of CPR in the emergency department - A tool for continuous improvement of the initial resuscitation.急诊科心肺复苏的现场模拟——持续改进初始复苏的工具
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The effectiveness of high-fidelity simulation on undergraduate nursing students' clinical reasoning-related skills: A systematic review.
高保真模拟对本科护生临床推理相关技能的有效性:一项系统综述。
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What can be improved in learning to care for people with autism? A qualitative study based on clinical nursing simulation.在学习照顾自闭症患者方面可以做哪些改进?一项基于临床护理模拟的定性研究。
Nurse Educ Pract. 2022 Nov;65:103488. doi: 10.1016/j.nepr.2022.103488. Epub 2022 Oct 29.
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2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces.2022 国际心肺复苏与紧急心血管急救科学共识及治疗推荐:基础生命支持、高级生命支持、儿童生命支持、新生儿生命支持、教育、实施和团队以及急救任务组的总结。
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