摘要
目的提高神经外科低年资护士应急抢救培训效果。方法将58名神经外科N0、N1级护士随机分为两组各29人。对照组进行常规培训,观察组在常规培训的基础上将疾病案例培训内容采取参与抢救后书写反思日记联合案例讨论法培训。持续培训4个月后评价效果。结果观察组和对照组参加基础生命支持考核分别为26人、28人,观察组成绩显著优于对照组(P <0. 01);参与迷你临床演练评分观察组和对照组分别为21人、19人,身体评估、临床判断能力、咨询建议沟通能力、组织能力和效率、总体临床能力5个方面得分显著高于对照组(均P <0. 01)。结论反思日记联合案例法用于神经外科低年资护士培训较常规方法更能有效提高其应急抢救综合能力。
Objective To improve the effect of emergency rescue training for junior nurses working in department of neurosurgery. Methods Totally,58 N0 to N1 nurses working in department of neurosurgery were randomly divided into two groups of 29 each. Routine training were applied to the control group,while the disease-oriented case study,including writing reflective diaries after every emergency rescue and participating in case discussions,were applied to the observation group on the basis of routine training. Both groups were evaluated after 4months of continuous training. Results A total of 26 participants of the observation group and 28 participants of the control group were evaluated with the basic life support skill tests,with the the observation group achieving better results than the control group (P < 0. 01). A total of 21 participants of the observation group and 19 participants of the control group participated in the mini-clinical evaluation exercise (mini-CEX),with the observation group scoring higher than the control group regarding physical assessment of patients,clinical judgment,consultation and communication,organizing ability and wor-kingefficiency,and overall clnical competency (P < 0. 01 for all). Conclusion Use of reflective diary writing combined with case case study as a training mode is more effective in improving emergency rescue ability compared to the routine training for junior nurses working in department of neurosurgery.
引文
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