麻醉苏醒期护理原位模拟应急培训课程的构建与应用

Construction and application of In Situ Simulation emergency training courses for anesthesia recovery nursing

目的:构建麻醉苏醒期护理原位模拟应急培训课程,并评价其运行质量和应用效果。方法:以国际护理临床模拟教学协会(INACSL)制定的模拟教学最佳实践标准为指导框架,构建原位模拟应急培训课程,并于2020年9—12月在湖北省某三级甲等综合医院麻醉科护士中运用该培训课程。通过修订版情景模拟效果评价表(SET-M)评估课程的运行质量,并比较培训前后麻醉科护士综合应急能力得分差异。结果:构建了8套完整的麻醉苏醒期护理原位模拟应急培训课程,培训后麻醉科护士的SET-M各条目得分均在2分以上,且随着培训次数的增加,SET-M各维度的得分有明显提高(P<0.05),麻醉科护士培训后的综合应急能力各维度得分均高于培训前(P<0.05)。结论:依据模拟教学最佳实践标准科学构建和实施的麻醉苏醒期护理原位模拟应急培训课程有较高的质量,该课程能够提高麻醉科护士的综合应急能力,可为护士在职培训提供参考和借鉴。

Objective:To construct an In Situ Simulation(ISS)emergency training courses for anesthesia recovery nursing,and evaluate the quality and effects of its application.Methods:Based on the“standards of best practice”for simulation teaching developed by the International Nursing Association for Clinical Simulation and Learning(INACSL),the ISS emergency training courses were constructed and were applied in the training of anesthesiology nurses in a tertiary hospital in Hubei Province from September to December 2020.The Simulation Effectiveness Tool Modified(SET-M)was used to assess the quality of courses,and the nurses'comprehensive emergency ability was compared before and after the training.Results:A total of eight ISS emergency training courses for anesthesia recovery nursing were constructed.After the training,the nurses got the scores above 2 points in each item of SET-M,and with the increase of training times,the scores of SET-M were improved significantly(P<0.05).The comprehensive emergency ability of nurses was also improved after the training(P<0.05).Conclusion:The ISS emergency training courses for anesthesia recovery nursing,which were based on the"standards of best practice"for simulation teaching by INACSL,are with a relative high quality,and the application of the courses is beneficial to improve the comprehensive emergency ability of anesthesiology nurses.The course can provide reference for the training of anesthesiology nurses.