动态病例情景模拟在急诊不同层次护士CPR培训中的应用.pdfVIP

中华护理教育2011年 l0月第 8卷第 lO期 ChinJNursEduc，October2011，Vol8，No．10 ·449 · 动态病例情景模拟在急诊不同层次护士CPR培训中的应用 金静芬 王进 [摘要] 目的 探索动态病例情景模拟培训对急诊不同层次护 CPR培训的效果。方法 将156g护士随机分成试验组和对 照组，分别采用动态病例情景模拟和传统培训方法进行CPR培训，比较两组的理论成绩和病例情景模拟成绩，并统计护士培训 后 的 自评情况。结果 试验组理论成绩与对照组 比较差异无统计学意义(P0．05)，但病例情景模拟成绩明显高于对照组，差异 有统计学意义(P0．05)，试验组不同层次护士的病例情景模拟考试成绩也好于对应对照组。自评结果显示，培训后在提高临床 应急能力、提高评判性思维能力等方面试验组好于对照组，差异有统计学意义，而在提高风险防范意识方面两组差异无统计学 意义。结论 动态病例情景模拟培训是提高不 同层次护士CPR水平的有效方法。 [关键字] 教育，护理；在职培训；急救 Application ofdynamic scenario simulation in CPR training for differentlevels ofemergency nurses／JIN Jing-fen， WANG Jin／／ChineseJournalofNursingEducation，一2011，8(1O)：449． [Abstract] Objective ToexploretheeffectofdynamicscenariosimulationinCPR trainingfordifferentlevelsofemergency nurses．Methods Totally156nurseswererandomlydividedintoexperimentalgroup(n=78)andcontrolgroup(n=78)．The experimentalgroup received dynamic scenario simulation in CPR training，and the controlgroup received traditional training． Thetheoretical resultand scenario simulation resultwere assessed between thetwo groups．In addition，a questionnaire survey was conducted to assess the nurses’ self—rated capabilities．Results Therewas no sxgmficant difference in the theoretical resultbetween thetwogroups(P0．05)，whilethescenario simulationresultin theexperimentalgroupwashigherthanthat in the controlgroup(PO．05)．Theclinicalresponsecapacity and critical thinkingability in the experimentalgroupwere betterthan those in thecontrolgroup(P0．05)，while therewasno significantdifference in raisingawarenessofrisk preventionbetweenthewtogroups(PO．05)．Conclusion Dynamicscenariosimulationisaneffectivewaytoimprovingtheeffect ofCPR trainingfordifferentlevelsofemergencynurses． [Keywords] Education，Nursing；InserviceTraining；FirstAid [Author’saddress] NursingDepaterment，TheSecondAffiliatedHospital，CollegeofMedicine，ZhejiangUniversity，Hangzhou， 310009，China 病例情景模拟是指通过设置一种 定的临床