动态病例情景模拟在神经外科新进岗护士应急能力培训中的应用被引量：19

Application of dynamic case scenario simulation in emergency ability training of new nurses in Department of Neurosurgery

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摘要目的探讨动态病例情景模拟在神经外科新进岗护士应急能力培训中的应用效果.方法选取南京医科大学附属淮安第一医院神经外科2015年和2016年招聘的28名新护士作为研究对象,按入科时间,2015年的15名新护士为对照组,2016年的13名新护士为观察组,对照组采用常规先理论后技能的培训方式进行分阶段培训,观察组在此基础上将每个培训阶段增加1个动态病例,实施情景模拟培训.比较两组新护士的应急能力,培训后的护士自我评价及患者满意度等.结果培训后,观察组护士的病情观察能力、应急配合能力及急救动手能力分别为（27.41±1.32）、（29.59±1.06）、（38.55±1.58）分,均高于对照组,差异有统计学意义（t值分别为7.24、12.26、10.07;P〈0.01）.护士自评结果显示,观察组护士在提高理论联系实际的能力、调动主观能动性和参与性等方面均高于对照组,差异有统计学意义（P〈0.05）.观察组护士护理的患者满意度为96.15%,高于对照组的86.00%,差异有统计学意义（χ2=8.524,P〈0.01）.结论对新护士实施动态病例情景模拟培训,短期内能够迅速提高新护士的专科应急能力和患者满意度,是一种具有推广价值的培训管理方法. Objective To explore the application effect of dynamic case scenario simulation in emergency ability training of new nurses in Department of Neurosurgery.Methods A total of 28 nurses newly recruited in 2015 and 2016 to Department of Neurosurgery, Huai＇an First People＇s Hospital, Nanjing Medical University were selected. According to time of joining the department, the 15 nurses recruited in 2015 were selected as control group, and the 13 nurses enrolled in 2016 as observation group. Nurses in the control group were trained by stages, i.e. technique training after theory training. On the basis of above mentioned training stages, nurses in the observation group were trained in simulated scenario, with 1 dynamic case added to each training stage. Emergency management ability, self evaluation of the nurses and patients＇ satisfaction after the training were compared between the two groups.Results After the training, scores of ability in disease observation, emergency cooperation and first-aid operation of new nurses in observation group were （27.41±1.32）, （29.59±1.06） and （38.55±1.58）, all higher than those in the control group （t=7.24, 12.26, 10.07;P〈0.01）. It was shown in results of self-evaluation that, ability to link theory with reality, to arouse subjective initiative and participation of nurses in the observation group were higher than those in the control group （P〈0.05）. Satisfaction of patients towards nurses in the observation group was 96.15%, higher than 86.00% in the control group （χ2=8.524,P〈0.01）.Conclusions Trained with method of dynamic case scenario simulation, emergency response ability of new nurses can be improved rapidly in a short time. Also, patients are more satisfied with the nursing. This training management method is worth promoting.