基于Kirkpatrick模型的成人心肺复苏在职培训课程有效性研究

Saeed Golfiroozi, H. Hojjati, Fatemeh Ranjbar Noei, Maliheh Kaboosi, Fatemeh Shikhnejad, Nikoo Latifi
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摘要

背景:心肺骤停是急诊科最重要的医疗突发事件之一。护士的知识和技能在成功的心肺复苏中起着至关重要的作用。因此,举办在职培训课程是至关重要的。目的:本研究基于Kirkpatrick模型评估成人心肺复苏(CPR)在职培训课程(ISTC)的有效性。方法:对伊朗戈尔根市5-阿扎尔医院50名急诊科护士进行横断面描述性研究。培训效果在Kirkpatrick模型的四个层次(包括反应、学习、表现和发现)上实现。原始资料采用SPSS 21版软件进行描述性统计(频数、均值和标准差)和推理统计(包括配对t检验和独立样本t检验),在α = 0.05的显著水平下进行分析。结果:ISTC在成人心肺复苏术中的总有效率为83.23%。心肺复苏成功率从前6个月的25%上升到后6个月的53%。此外,在Kirkpatrick模型的四个层次上观察了ISTC的有效性。结论:基于研究结果,在职心肺复苏培训对护士的Kirkpatrick模型的四个层次都有有利的影响。这项研究的结果大大提高了人员的效率,因为评估培训课程的质量使其更有效。
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The Effectiveness of In-service Training Course on Adult Cardiopulmonary Resuscitation based on the Kirkpatrick Model
Background: Cardiopulmonary arrest is one of the most critical medical emergencies in the emergency department. Nurses’ knowledge and skills play an essential role in successful cardiopulmonary resuscitation. Therefore, holding in-service training courses is considered vital. Objectives: This study evaluated the effectiveness of an in-service training course (ISTC) on adult cardiopulmonary resuscitation (CPR) based on the Kirkpatrick model. Methods: This cross-sectional descriptive study was conducted on 50 emergency department nurses of 5-Azar Hospital in Gorgan, Iran. Training effectiveness was implemented on the four levels of Kirkpatrick's model (including reaction, learning, performance, and findings). The raw data were analyzed by the SPSS version 21 software with descriptive statistics (frequency, mean and standard deviation) and inferential statistics (including Paired t-test and Independent Samples t-test) in a significant level of α = 0.05. Results: The overall effectiveness of ISTC for adult CPR was reported as 83.23%. The chance of cardiopulmonary resuscitation success increased from 25% in the first six months to 53% in the second six months. In addition, the effectiveness of ISTC was observed in the four levels of the Kirkpatrick model. Conclusions: Based on the findings, in-service CPR training had a favorable effect on all four levels of the Kirkpatrick model for nurses. The findings of this study significantly increased the efficiency of personnel because evaluating the quality of training courses made them more effective.
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