疼痛管理高仿真情境模拟综合培训方案的设计与应用

Design and application of high-simulation situational simulation comprehensive training for pain management

目的探讨疼痛管理高仿真情境模拟综合培训的效果。方法依据国际护理临床模拟教学协会最佳实践标准,基于核心能力模型构建疼痛管理高仿真情境模拟综合培训方案,并对浙江省某三级甲等综合医院的57名护士实施培训。分别于培训前后采用疼痛管理知识和态度调查问卷、评判性思维倾向问卷进行评价。结果培训后疼痛管理知识和态度调查问卷平均答对(26.61±2.86)个条目,高于培训前(21.77±3.19)个条目,差异有统计学意义(t=8.741,P<0.001);培训后评判性思维能力得分(262.88±22.79)高于培训前(244.81±34.02),差异有统计学意义(t=4.283,P<0.001)。结论疼痛管理高仿真情境模拟综合培训有助于提升护士的疼痛管理知识和态度、评判性思维能力,但对其远期效果及疼痛管理临床实践行为的改变仍有待进一步验证。

Objective To explore the effect of a comprehensive experimental course of high-simulation situational simulation for pain management among nurses.Methods Following the best practice standards of INACSL,a comprehensive experimental course of high-simulation situational simulation for pain management was developed based on the core competency model.A total of 57 nurses from a tertiary general hospital in Zhejiang Province were selected as participants for this training.The evaluation was carried out using Knowledge and Attitudes Survey Regarding Pain and the California Critical Thinking Disposition Inventory.Results The average number of correct answers on the questionnaire of pain management knowledge and attitude after training(26.61±2.86)was higher than that before training(21.77±3.19),which reached statistical significant(t=8.741,P<0.001).Also,the score of critical thinking ability after training(262.88±22.79)was higher than that before training(244.81±34.02),and the difference was significant statistically(t=4.283,P<0.001).Conclusion The comprehensive training of high-simulation situational simulation for pain management can improve the critical thinking ability and pain management knowledge and attitude of nurses.Meanwhile,the long-term effects and changes in nurses’pain management practices still need to be further verified.