工作实录分析结合应急预案演练在急诊科护生实习教学中的应用效果

Application effects of work record analysis combined with emergency plan drill on the practice teaching of nursing students in department of emergency

目的探讨工作实录分析结合应急预案演练在急诊科护生实习教学中的应用效果。方法选取首都医科大学附属北京世纪坛医院急诊科2018年2月至2020年8月进行临床实习的80名护生为研究对象,按照入科先后分为对照组与观察组。对照组采用常规教学,观察组采用工作实录分析结合应急预案演练教学。比较两组护生学习前后理论知识水平、紧急处理情况的处理成功率及教学效果评估。采用SPSS 19.0进行t检验和卡方检验。结果学习后,两组理论知识水平(院前急救、急诊常见疾病、急救治疗方案、并发症)高于学习前,且观察组高于对照组(P<0.05);观察组患者紧急处理情况的处理成功率(心电图、心电监护、留取血标本、溶栓治疗配合、心肺复苏)、教学效果满意率(充分认识急诊工作、提高自主学习能力、提高灵活运用知识的能力、课堂气氛活跃)高于对照组(P<0.05)。结论工作实录分析结合应急预案演练可以有效保证急诊科实习护生的教学效果,具有提升理论知识水平、实践操作能力的优势。

Objective To explore the application effects of work record analysis combined with emergency plan drill on the practice teaching of nursing students in department of emergency.Methods A total of 80 nursing students who had clinical practice in the Department of Emergency of Beijing Shijitan Hospital Affiliated to Capital Medical University between February 2018 and August 2020 were selected as research subjects.They were divided into control group and observation group according to the admission order to the department.The control group was given routine teaching,and the observation group adopted work record analysis combined with emergency plan drill teaching.The theoretical knowledge level,the success rate of emergency treatment and teaching effect evaluation were compared between the two groups of nursing students before and after learning.SPSS 19.0 was used for t test and chi-square test.Results After learning,the scores of theoretical knowledge(pre-hospital emergency,common emergency diseases,emergency treatment plan,and complications)of the two groups were higher than those before learning,and the scores in observation group were higher than those in control group(P<0.05).The success rates of emergency treatments(electrocardiogram,electrocardiogram monitoring,blood sample collection,thrombolytic therapy coordination,and cardiopulmonary resuscitation)and satisfaction rates of teaching effects(fully understanding emergency work,improving the ability of independent learning,enhancing the ability of flexible use of knowledge,and active classroom atmosphere)were higher in observation group than control group(P<0.05).Conclusion Work record analysis combined with emergency plan drill can effectively ensure the teaching effects of nursing students in department of emergency,and has the advantages of improving the theoretical knowledge and practical operation ability.