应对 COVID-19 大流行的基于能力的虚拟临床实习:质量改进项目。

IF 1.7 3区 医学 Q2 NURSING Journal of Wound Ostomy and Continence Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-27 DOI:10.1097/WON.0000000000001071
Debra Netsch, Bonnie Sue Rolstad, JoAnn Ermer-Seltun, Sue Bruch
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引用次数: 0

摘要

目的:质量改进(QI)项目的目的是在 COVID-19 大流行期间为伤口、造口、连续性(WOC)护士学习者提供一个学习者和教师戒律的高质量虚拟临床实践(VCP),并传播研究结果:项目参与者为学士后或以上学历、至少有 1 年临床经验的注册护士,他们已完成并通过了伤口、造口、连续性护理教育项目(WOCNEP)的授课部分。完成 WOCNEP 虚拟课程的学员和教师戒护者是本 QI 报告的研究对象。虚拟平台的设置允许学习者与教师戒护者之间进行实时可见性和互动,包括共享文档和程序视频。最初有 62 名学员在完成 VCP 后被问及开放式问题;最常出现的主题被转换成 5 点李克特量表问题,作为另外 234 名学员完成的评估工具。总共有 296 名完成虚拟实践课程的学员对这一新颖的 100% 模拟虚拟实践课程进行了评价:该 QI 项目对美国一家世界儿童早期教育中心的 100% 模拟实习进行了评估。基于能力的 VCP 采用了能力结果和绩效评估 (COPA) 模型。学员通过预备性虚拟实验室学习能力,然后在参加由教师指导员和一小组同行学员参加的现场能力评估实验室之前,必须准备好文件和视频或图片,并按步骤进行指导:对 VCP 的评价基于 296 名学员匿名填写的课程评价。还询问了教员实习生对 VCP 的评价,并对认证考试通过率进行了统计。研究结果表明,从学生和教师戒护者的角度来看,基于能力的 VCP 实习取得了积极成果,认证通过率也有所提高;具体而言,伤口护理通过率提高了 16%,造口护理通过率提高了 18%,失禁护理通过率提高了 13%:我们报告的经验有力地表明,VCP 为满足实习要求提供了一个极具吸引力的选择,同时减少了面对面分批实习的障碍。
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Competency-Based Virtual Clinical Practicum in Response to COVID-19 Pandemic: A Quality Improvement Project.

Purpose: The purpose of the quality improvement (QI) project was to provide a learner and faculty preceptor high quality virtual clinical practicum (VCP) for Wound, Ostomy, Continence (WOC) Nurse learners during the COVID-19 pandemic and disseminate findings.

Participants and setting: Project participants were registered nurses post-bachelor's degree or higher with a minimum of 1-year clinical experience who had completed and passed the didactic portion of a Wound Ostomy Continence Nursing Education Program (WOCNEP). Learners completing the WOCNEP's VCP and the faculty preceptors were the subjects for this QI report. The setting was a virtual platform allowing live time visibility and interactions between learners and faculty preceptors including the ability to share documents and procedural videos. An initial group of 62 learners were asked open-ended questions after completion of the VCP; the most frequently recurring themes were converted into 5-point Likert scale questions as the evaluation tool completed by an additional 234 learners. In total, 296 learners completing the VCP evaluated this novel 100% simulation virtual practicum.

Approach: This QI project evaluated a 100% simulation-based practicum at a WOCENP based in the United States. A competency based VCP used the Competency Outcomes and Performance Assessment (COPA) model. Learners were taught competencies via a preparatory virtual lab and then had to prepare documents and videos or pictures with step-by-step instructions prior to attending a Live Competency Assessment Lab with faculty preceptors and a small group of peer learners.

Outcomes: Appraisal of the VCP was based on course evaluations anonymously completed by each of the 296 learners. Faculty preceptors were queried regarding their VCP evaluation and certification exam pass rates were tallied. Findings indicate positive outcomes of the VCP competency-based practicum from student and faculty preceptor perspectives along with higher certification pass rates; specifically, wound care pass rates increased by 16%, ostomy care increased by 18% and continence care pass rates increased by 13%.

Implications for practice: Our reported experiences strongly suggest a VCP offers an attractive option for fulfilling practicum requirements while reducing barriers of the in-person split option practicum.

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来源期刊
CiteScore
3.10
自引率
34.60%
发文量
186
审稿时长
6-12 weeks
期刊介绍: ​​The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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