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Clinical Simulation in Nursing最新文献

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Competency-based education: Simulation educators, don't be Afraid!
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.ecns.2024.101668
Marie Gilbert DNP, RN, CHSE-A , Penni Watts PhD, RN, CHSE-A, FNAP, ANEF, FSSH, FAAN , Kristen M. Brown DNP, CRNP, CPNP-AC, CHSE-A, FAAN
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引用次数: 0
These sims are different! Thematic analysis of interdisciplinary faculty experiences designing virtual simulations 这些模拟是不同的!跨学科教师设计虚拟仿真经验的专题分析
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-11-27 DOI: 10.1016/j.ecns.2024.101658
Colleen Ryan PhD, RN , Patricia Johnson PhD, RN, Intensive Care Cert., BA, MN (Hons 1) , Lydia Mainey PhD, RN, MPH , Darryl Clare OAM, Dip Paramedical Sc, Dip TAE, Dip Management, Dip Leadership , Gitte Galea BIT Hons, , Chanchal Kurup RN, MClinEd , Myles Shipton BDigital Media , Lisa Wirihana PhD, RN, RM

Background

Simulation design teams may lack understanding of effective teamwork processes. For interprofessional teams, the skills needed to work together may not be easy to learn or apply. There is a need to explore the experiences of multidisciplinary members of simulation design teams to advance their practice. A study was designed to explore a multidisciplinary team of nurses, paramedics, business and information technology staff and learning designers’ experiences designing a virtual simulation prototype.

Method

Participants contributed their reflections which were analysed thematically. Simulation best practices, design-based methods and constructivism informed the study design and the prototype build.

Results

Two themes, facing the reality of task complexities and Learning and adapting to advance the project describe team member experiences and serve to enhance interprofessional teams’ skills for designing virtual simulations.

Conclusion

The results illuminate key strategies to benefit interprofessional teams such as encouraging shared meaning and language, being solution-focused and being mindful of teams where one discipline is the majority.
背景模拟设计团队可能缺乏对有效团队合作流程的了解。对于跨专业团队来说,合作所需的技能可能不容易学习或应用。有必要探索模拟设计团队中多学科成员的经验,以促进他们的实践。本研究旨在探讨由护士、护理人员、商业和信息技术人员以及学习设计师组成的多学科团队在设计虚拟仿真原型时的经验。结果 "面对任务复杂性的现实 "和 "学习和调整以推进项目 "这两个主题描述了团队成员的经验,有助于提高跨专业团队设计虚拟仿真的技能。
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引用次数: 0
Medication safety simulation training for anesthesia professionals 为麻醉专业人员提供用药安全模拟培训
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-11-26 DOI: 10.1016/j.ecns.2024.101660
Sarah Rollison DNP, CRNA , Anne M. Sauri DNP, CRNA , Ramon L. Medina DNP, CRNA , Darlena G. Jones DNP, CRNA , Wuraola Olawole MS , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN

Background

Medication errors in anaesthesia occur at alarming rates and can increase perioperative morbidity and mortality. Standardized nurse anaesthesiology curricula for medication preparation and administration do not exist; rather, most nurse anaesthesia programs rely on the trainee's former critical care nursing experience.

Methods

This research study utilized low-fidelity simulation-based education to provide education and hands-on skills practice in single dilution, double-dilution, and reconstitution of common aesthetic medications. Participants self-assessed medication safety knowledge and confidence presimulation, post simulation, and three weeks post simulation. A simulation checklist assessed participant performance of medication preparation tasks.

Results

Participants demonstrated confidence and competence in single-dilution and reconstitution activities. However, early-program simulation improved participant performance and confidence in double-dilution and medication calculations. Confidence remained improved over the 3-week postsimulation period.

Conclusions

Low-fidelity simulation is a simple, cost-effective method to improve anaesthesia trainee confidence and knowledge in advanced medication preparation skills.
背景麻醉中的用药错误发生率惊人,会增加围手术期的发病率和死亡率。本研究利用低保真模拟教学,提供常见麻醉药物的单次稀释、二次稀释和重组的教育和动手技能练习。参与者在模拟前、模拟后和模拟后三周对用药安全知识和信心进行了自我评估。结果参加者在单次稀释和复溶活动中表现出了信心和能力。然而,早期的项目模拟提高了参与者在双倍稀释和药物计算方面的表现和信心。结论低保真模拟是提高麻醉学员对高级药物准备技能的信心和知识的一种简单、经济有效的方法。
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引用次数: 0
Re-Examining interprofessional simulation: Using social identity theory to explore the influence of ‘profession’ on interprofessional learning 重新审视跨专业模拟:利用社会认同理论探讨 "专业 "对跨专业学习的影响
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-11-21 DOI: 10.1016/j.ecns.2024.101652
Neil Harrison MMed , Susan Somerville PhD , Prashant Kumar MMed , Kathleen Collins MBChB
   In this article we explore and reflect upon a shared experience of interprofessional simulation-based education (IP-SBE) in the United Kingdom (UK) which caused us to discuss the assertion by the Interprofessional Education Collaborative (IPEC) that “interprofessional learning experiences help prepare future health professionals for enhanced team-based care of patients and improved population health outcomes.” We utilized social identity theory (SIT) to consider the impact of ‘profession' on identity and its role in the behaviors we observed during an IP-SBE conference workshop. In this workshop the personal importance given to one's professional group dominated and hindered the opportunity for interprofessional group working and this reflected our experiences in IP-SBE more widely. Belonging to an 'in-group' is a strong force that, although at times a negative force, could be used to promote the ambitions of IP-SBE. IP-SBE sessions could look to form an 'in-group' based on a characteristic that is not clinical professional background and in doing so be more successful in attaining the aspirations of IPEC and the interprofessional educational community.
在这篇文章中,我们探讨并反思了英国(UK)跨专业模拟教育(IP-SBE)的共同经历,这一经历促使我们讨论了跨专业教育合作组织(IPEC)的论断,即 "跨专业学习经历有助于培养未来的医疗专业人员,为患者提供更好的团队护理,并改善人群健康状况"。我们利用社会认同理论(SIT)来思考 "职业 "对认同的影响,以及它在我们在 IP-SBE 会议研讨会上观察到的行为中所起的作用。在这次研讨会上,个人对其专业团体的重视主导并阻碍了跨专业小组工作的机会,这也反映了我们在 IP-SBE 中更广泛的经验。属于 "内部群体 "是一种强大的力量,虽然有时是一种负面力量,但可以用来促进国际专业基础教育计划的雄心壮志。跨专业基础教育课程可以根据非临床专业背景的特点组建一个 "内群体",这样就能更成功地实现跨专业教育计划和跨专业教育团体的愿望。
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引用次数: 0
Effects of screen-based simulation method on the attitudes and practices of nursing students regarding intimate partner violence: Randomized controlled trial 基于屏幕的模拟方法对护理专业学生有关亲密伴侣暴力的态度和实践的影响:随机对照试验
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-11-21 DOI: 10.1016/j.ecns.2024.101646
Gamze Ağartıoğlu Kundakçı PhD , Aynur Uysal Toraman PhD

Background

Nurses are health workers who often interact with women exposed to violence first, making it essential for them to be competent in managing such cases, starting from their education.

Method

In this randomized controlled, single blind study, a pretest-posttest control group design was used. The intervention group received screen-based simulation training on IPVAW, while the control group received a 50-minute online lecture.

Results

There were significant differences between scale scores over time and between the groups, but not in the group-by-time interaction.

Conclusions

This study highlights screen-based simulations as effective tools for IPVAW education in nursing.
背景护士是卫生工作者,常常首先与遭受暴力侵害的妇女打交道,因此从教育开始,护士就必须具备处理此类病例的能力。方法在这项随机对照单盲研究中,采用了前测-后测对照组设计。干预组接受了基于屏幕的关于 IPVAW 的模拟培训,而对照组则接受了 50 分钟的在线讲座。结果随着时间的推移,各组之间的量表评分存在显著差异,但各组与时间之间的交互作用没有显著差异。
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引用次数: 0
Perioperative inter-professional education training enhance team performance and readiness 围手术期跨专业教育培训可提高团队绩效和准备程度
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-11-21 DOI: 10.1016/j.ecns.2024.101655
Ghazal Hashemi BSc, MSc , Yao Zhang MSc , Yun Wu MSc MD , Wenjing He PhD , Lijun Sun MSc MD , How Lee RN, MN , Barbara Wilson-Keates RN, PhD , Bin Zheng MD PhD

Background

Nursing students often experience anxiety during their transition to real healthcare environments, primarily due to a lack of training with professionals from other specialties. We developed an interprofessional education (IPE) course for nursing students and surgical residents to refine their perioperative skills in a simulation environment. We quantified the impact of this IPE course on students' team performance.

Methods

Fifteen health participants, comprising five surgical residents and 10 nursing students, were organized into 10 interprofessional surgical teams. Each interdisciplinary team performed two open cholecystectomies in simulation, with a brief debriefing phase in between. Team performance and participants' perceptions of IPE training were surveyed. Video analysis identified collaborative behaviors, including anticipatory movements.

Results

Team performance score showed a significant improvement on the second trial, particularly among nursing students. Participants improved their attitudes and readiness regarding the IPE program. Interestingly, nursing students exhibited more anticipatory movements during the second trial, a behavioral improvement not observed in surgical residents.

Conclusion

Perioperative IPE training produce more pronounced improvement observed among nursing students after the debriefing phase.
背景护理专业的学生在过渡到真实医疗环境的过程中经常会感到焦虑,这主要是由于他们缺乏与其他专业的专业人员一起接受培训。我们为护理专业学生和外科住院医师开设了跨专业教育(IPE)课程,在模拟环境中提高他们的围手术期技能。我们量化了该 IPE 课程对学生团队表现的影响。方法将 15 名健康参与者(包括 5 名外科住院医师和 10 名护理专业学生)组成 10 个跨专业手术团队。每个跨学科团队模拟进行了两例开腹胆囊切除术,中间有一个简短的汇报阶段。对团队表现和参与者对 IPE 培训的看法进行了调查。结果在第二次试验中,团队表现得分有了显著提高,尤其是护理专业学生。参加者对 IPE 项目的态度和准备程度都有所改善。有趣的是,护理专业学生在第二次试验中表现出更多的预期动作,这是外科住院医师未观察到的行为改善。
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引用次数: 0
Effects of simulation-based education on nursing students’ perceptions of positive birth and natural birth approaches 模拟教育对护理专业学生积极分娩和自然分娩观念的影响
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-11-21 DOI: 10.1016/j.ecns.2024.101649
Duygu Güleç Şatır , Şenay Ünsal Atan , Oya Kavlak , Gül Ertem , Hale Sezer , Figen Kazankaya , Sümeyye Tetik , Ruken Yağız Altıntaş , Selin Ahsun

Background

Nursing education should be adjusted to align with national health priorities. In this study, we examined how simulation-based education impacted nursing students' knowledge, skills, and approaches to natural childbirth, as well as their self-confidence, perceptions of positive birth, and educational satisfaction.

Methods

A total of 56 undergraduate nursing students were enrolled in this comparative, quasi-experimental, pre- and post-test designed study and were randomly assigned to a hybrid simulation (HS) or a video-model (VM) group.

Results

Students in the HS group had significantly higher natural childbirth skill levels and positive perceptions than those in the VM group (p < .05). Natural birth knowledge levels significantly increased in both groups (p < .05). No significant differences in nursing students’ self-confidence and satisfaction levels were found between the two groups (p > .05).

Conclusion

HS improved nursing students’ natural birth approach skills and positively affected their perceptions. Simulation-based education may enhance maternity care practice. Simulation scenarios should be integrated into the nursing curriculum to provide comprehensive support for positive birth experiences.
ClinicalTrials.gov Identifier: NCT06241443
背景护理教育应根据国家健康优先事项进行调整。在这项研究中,我们考察了模拟教育如何影响护理专业学生的自然分娩知识、技能和方法,以及他们的自信心、对积极分娩的看法和教育满意度。方法共有 56 名护理专业本科生参加了这项前测和后测设计的准实验性对比研究,并被随机分配到混合模拟(HS)组或视频模拟(VM)组。两组学生的自然分娩知识水平均有明显提高(p <.05)。两组护生的自信心和满意度无明显差异(p >.05)。模拟教学可提高产妇护理实践水平。模拟情景应纳入护理课程,为积极的分娩体验提供全面支持:NCT06241443
{"title":"Effects of simulation-based education on nursing students’ perceptions of positive birth and natural birth approaches","authors":"Duygu Güleç Şatır ,&nbsp;Şenay Ünsal Atan ,&nbsp;Oya Kavlak ,&nbsp;Gül Ertem ,&nbsp;Hale Sezer ,&nbsp;Figen Kazankaya ,&nbsp;Sümeyye Tetik ,&nbsp;Ruken Yağız Altıntaş ,&nbsp;Selin Ahsun","doi":"10.1016/j.ecns.2024.101649","DOIUrl":"10.1016/j.ecns.2024.101649","url":null,"abstract":"<div><h3>Background</h3><div>Nursing education should be adjusted to align with national health priorities. In this study, we examined how simulation-based education impacted nursing students' knowledge, skills, and approaches to natural childbirth, as well as their self-confidence, perceptions of positive birth, and educational satisfaction.</div></div><div><h3>Methods</h3><div>A total of 56 undergraduate nursing students were enrolled in this comparative, quasi-experimental, pre- and post-test designed study and were randomly assigned to a hybrid simulation (HS) or a video-model (VM) group.</div></div><div><h3>Results</h3><div>Students in the HS group had significantly higher natural childbirth skill levels and positive perceptions than those in the VM group (<em>p</em> &lt; .05). Natural birth knowledge levels significantly increased in both groups (<em>p</em> &lt; .05). No significant differences in nursing students’ self-confidence and satisfaction levels were found between the two groups (<em>p</em> &gt; .05).</div></div><div><h3>Conclusion</h3><div>HS improved nursing students’ natural birth approach skills and positively affected their perceptions. Simulation-based education may enhance maternity care practice. Simulation scenarios should be integrated into the nursing curriculum to provide comprehensive support for positive birth experiences.</div><div><strong>ClinicalTrials.gov</strong> Identifier: NCT06241443</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"97 ","pages":"Article 101649"},"PeriodicalIF":3.4,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breaking down blood transfusion administration: An in-scenario debriefing simulation 分解输血管理:场景内汇报模拟
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-11-21 DOI: 10.1016/j.ecns.2024.101653
Jennifer Dale-Tam RN, MSN, CNCC(c), CCSNE, CHSE

Background

Blood administration is a high-risk procedure. Simulation-based education has been shown to be an effective method of education for applying the knowledge and skills of high-risk procedures in a safe environment. Traditionally debriefings are done post scenario in simulation-based education, but some of the information that a learner and facilitator need to remember in a complex procedure can be forgotten when using this method.

Sample

A convenience sample of two nurse educators and 904 nurses provided feedback.

Method

This innovation report presents a blood transfusion simulation using the in-scenario debriefing method.

Results

The nurse educators found the in-scenario debriefing method easy to implement. The 904 nurses found this method to be effective in meeting their learning needs regarding blood transfusion administration.

Conclusion

The in-scenario debriefing was found to be an effective method of learning for blood transfusion over its four years of use at an academic based hospital.
背景血液管理是一项高风险程序。模拟教学已被证明是在安全环境中应用高风险程序知识和技能的有效教学方法。本创新报告介绍了使用情景内汇报法进行输血模拟的情况。结果护士教育者认为情景内汇报法易于实施。904名护士认为这种方法能有效满足她们在输血管理方面的学习需求。结论在一家学术型医院的四年使用过程中,发现情景内汇报法是一种有效的输血学习方法。
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引用次数: 0
Integrating telehealth into nursing education through standardized patient simulation 通过标准化病人模拟将远程医疗纳入护理教育
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-11-21 DOI: 10.1016/j.ecns.2024.101647
Sade Simmons MSN, AGNP-C, Marian Tabi PhD, RN, Estelle Bester PhD, RN, Joanne Zanetos DNP, FNP-BC

Background

Studies have shown there is an absence of telehealth education in nursing curricula.

Purpose

This study aimed to enhance the knowledge base of telehealth for undergraduate and graduate nursing students at two regional universities and prepare them for virtual care through didactic and standardized patient simulation.

Methods

A 90-minute educational session was offered. A pre- and post-test was used to determine the students’ knowledge before and after intervention.

Results

Forty students participated in the study. There was an improvement in test scores. A statistically significant difference in mean pre- and post-test scores was determined.

Conclusion

It is imperative to integrate telehealth into the nursing curricula to prepare students for using this modality in all care settings.
背景研究表明,护理课程中缺乏远程医疗教育。目的本研究旨在通过说教和标准化病人模拟,增强两所地区大学护理专业本科生和研究生的远程医疗知识基础,并让他们为虚拟护理做好准备。结果40 名学生参加了研究。考试成绩有所提高。结论 必须将远程医疗纳入护理课程,让学生为在所有护理环境中使用这种方式做好准备。
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引用次数: 0
Using a diversity, equity, and inclusion simulation set to promote cultural competence among nursing students 利用多样性、公平性和包容性模拟装置提高护理专业学生的文化能力
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-11-18 DOI: 10.1016/j.ecns.2024.101643
Christina Von Colln-Appling PhD, MSN, RN, Nancy Barker EdD, MSN, RN, CHSE, Adrienne Wharry DNP, RN

Background

By 2030, the nursing profession will look vastly different (NAM, 2021). Nursing school curricula need to be strengthened so graduates are prepared to promote health equity, reduce health disparities, and improve healthcare (NAM, 2021).

Methods

This research examined the impact of a cultural diversity simulation set on nursing students' self-reported cultural competence. Using a quantitative pre-test post-test design, junior and senior level undergraduate prelicensure nursing students completed the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Student Version (IAPCC-SV) before and after participating in two simulations centered around diversity.

Results

The results were analyzed using paired t test and Wilcoxon test. The analysis showed post-test scores (M = 3.07) increased from pre-test scores (M = 2.91).

Conclusion

Nursing students should be exposed to a diverse patient population to begin to build the essential skills necessary to care for all patients.
背景到 2030 年,护理行业将发生巨大变化(NAM,2021 年)。护理学校的课程需要加强,这样毕业生才能为促进健康公平、减少健康差异和改善医疗保健做好准备(NAM,2021 年)。本研究考察了文化多样性模拟集对护理专业学生自我报告的文化能力的影响。采用定量的前测后测设计,大三和大四的本科执照前护理专业学生在参加两次以多样性为中心的模拟活动前后,分别完成了《医疗保健专业人员文化能力过程评估量表-学生版》(IAPCC-SV)。分析表明,测试后的分数(M = 3.07)比测试前的分数(M = 2.91)有所提高。结论护理专业学生应接触多样化的病人群体,开始培养护理所有病人所需的基本技能。
{"title":"Using a diversity, equity, and inclusion simulation set to promote cultural competence among nursing students","authors":"Christina Von Colln-Appling PhD, MSN, RN,&nbsp;Nancy Barker EdD, MSN, RN, CHSE,&nbsp;Adrienne Wharry DNP, RN","doi":"10.1016/j.ecns.2024.101643","DOIUrl":"10.1016/j.ecns.2024.101643","url":null,"abstract":"<div><h3>Background</h3><div>By 2030, the nursing profession will look vastly different (NAM, 2021). Nursing school curricula need to be strengthened so graduates are prepared to promote health equity, reduce health disparities, and improve healthcare (NAM, 2021).</div></div><div><h3>Methods</h3><div>This research examined the impact of a cultural diversity simulation set on nursing students' self-reported cultural competence. Using a quantitative pre-test post-test design, junior and senior level undergraduate prelicensure nursing students completed the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Student Version (IAPCC-SV) before and after participating in two simulations centered around diversity.</div></div><div><h3>Results</h3><div>The results were analyzed using paired t test and Wilcoxon test. The analysis showed post-test scores (M = 3.07) increased from pre-test scores (M = 2.91).</div></div><div><h3>Conclusion</h3><div>Nursing students should be exposed to a diverse patient population to begin to build the essential skills necessary to care for all patients.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"97 ","pages":"Article 101643"},"PeriodicalIF":3.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Clinical Simulation in Nursing
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