基于ADDIE模型的情境模拟教学在低年资护士危重患者转运培训中的应用效果

Application effect of situational simulation teaching based on the ADDIE model in training for junior nurses on the transport of critically ill patients

目的探索基于ADDIE模型的情境模拟教学在低年资护士危重患者转运培训中的应用效果。方法2023年7月至8月,采用便利抽样法选择上海交通大学医学院附属瑞金医院低年资护士54名为研究对象,根据教学方式不同分为对照组和研究组。对照组采用传统教学,研究组采用基于ADDIE模型的情境模拟教学。比较2组护士对教学模式培训效果评价、危重患者转运相关知识理论与操作成绩、自我行为评价及转运护理措施执行不规范率。结果与对照组比较,研究组低年资护士对教学模式培训效果评价总分与各维度得分、危重患者转运相关知识理论与操作成绩、自我行为评价总分与各维度得分更高,转运护理措施执行不规范率更低,差异均有统计学意义(P<0.05)。结论基于ADDIE模型的情境模拟教学可有效提高低年资护士危重患者转运理论知识和急救技能、自我行为评价及转运护理措施执行规范率。

Objective To explore the application effect of situational simulation teaching based on the ADDIE model in training for junior nurses on the transport of critically ill patients.Methods Between July and August 2023,a convenient sampling method was employed to select 54 junior nurses from Affiliated Ruijin Hospital,School of Medicine,Shanghai Jiao Tong University as research subjects.The nurses were divided into control group and experimental group based on different teaching methods.The control group received traditional specialized teaching methods,while the experimental group was taught using situational simulation teaching based on the ADDIE model.A comparison was made between the two groups in terms of evaluation of the training effectiveness of the teaching models,theoretical and practical scores in critically ill patient transportrelated knowledge,self-assessment,and the rate of non-compliance with transport nursing measures.Results Compared to the control group,junior nurses in the experimental group rated higher training effectiveness of the teaching model in terms of the overall score and individual dimensions,achieved higher scores in both theoretical and practical aspects of critically ill patient transport-related knowledge,and had higher self-assessment scores in both the overall evaluation and individual dimensions,while the rate of noncompliance with transport nursing measures was lower.The differences were statistically significant(P<0.05).Conclusion The situational simulation teaching based on the ADDIE model can effectively enhance the theoretical knowledge and emergency skills of junior nurses in transport of critically ill patients,and improve self-assessment and compliance rate in the execution of transport nursing measures.