Interprofessional Learning for Nursing Students during a Mass Casualty Incident Simulation

IF 3.4 3区 医学 Q1 NURSING Clinical Simulation in Nursing Pub Date : 2024-09-12 DOI:10.1016/j.ecns.2024.101604
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Abstract

Introduction

Traditional nursing education often lacks interprofessional collaboration across different levels of education. The Interprofessional Education Collaborative (IPEC) provides competencies to foster such collaboration. Updates by the American Association of Colleges of Nursing (AACN) emphasize interprofessional partnerships and population health.

Method

This mixed-methods study involved senior nursing students in a simulated mass casualty incident (MCI) with paramedic students and standardized patients. Pre- and post-surveys measured students' perceptions and preparedness, supplemented by qualitative data from open-ended survey questions. The simulation included Sort, Assess, Life-saving interventions, Treatment triage training and a structured debriefing session.

Results

A total of 35 (62.5%) students completed surveys. Post-simulation, significant improvements were observed in perceived preparedness (p = .00) and team engagement (p = .02). Qualitative analysis identified four themes: Art of nursing, Lived experience of a nurse, Teamwork, and Triage, highlighting enhanced communication and teamwork skills.

Conclusions

The simulated MCI effectively improved students' preparedness and interprofessional collaboration skills, though leadership and critical thinking, showed nonsignificant statistical changes. Future simulations should address design limitations to better reflect real-world dynamics and enhance interprofessional interactions.

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护理专业学生在大规模伤亡事件模拟中的跨专业学习
引言传统的护理教育往往缺乏跨专业、跨教育层次的合作。跨专业教育合作组织(IPEC)提供了促进这种合作的能力。美国护理学院协会(AACN)的更新强调了跨专业合作和人口健康。方法这项混合方法研究让高年级护理专业学生与护理专业学生和标准化病人一起参与模拟大规模伤亡事件(MCI)。前后调查衡量了学生的看法和准备情况,并通过开放式调查问题补充了定性数据。模拟训练包括分类、评估、救生干预、治疗分流训练和结构化汇报环节。模拟训练后,学生的准备程度(p = .00)和团队参与度(p = .02)均有明显提高。定性分析确定了四个主题:结论模拟 MCI 有效提高了学生的准备状态和跨专业协作技能,但领导力和批判性思维在统计上的变化并不明显。未来的模拟教学应解决设计上的局限性,以更好地反映真实世界的动态,增强专业间的互动。
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来源期刊
CiteScore
5.50
自引率
15.40%
发文量
107
期刊介绍: Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.
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