Abstract：
Leaders at a community hospital in the southeastern United States sought to add a craniotomy program to meet the needs of the local patient population. Perioperative and critical-care nurses required specific knowledge and skills to care for patients undergoing craniotomy procedures. The facility\'s education team applied adult learning theories and an innovation diffusion framework when developing an evidence-based craniotomy education program. A clinical nurse specialist conducted a gap analysis and readiness assessment to determine the nurses\' knowledge, skills, and competence to care for patients; attitudes and behaviors toward implementation of the new program; and preferred learning methods. The three-tiered phase-of-care education program included didactic learning sessions, shadowing experiences, hands-on experience with equipment, and simulation sessions. The program focused on effective collaboration and care transitions. Nurses were satisfied with the program, and they continue to participate in ongoing quarterly simulation sessions with case study scenarios to enhance their skills.
摘要：
美国东南部一家社区医院的领导人试图增加开颅手术计划，以满足当地患者的需求。围手术期和重症监护护士需要特定的知识和技能来照顾接受开颅手术的患者。该机构的教育团队在开发基于证据的开颅手术教育计划时应用了成人学习理论和创新扩散框架。临床护士专家进行了差距分析和准备评估，以确定护士的知识，技能,和能力照顾病人;态度和行为对实施新计划;和首选的学习方法。三级护理阶段教育计划包括教学学习课程，阴影的经验，设备实践经验，和模拟会议。该计划侧重于有效的协作和护理过渡。护士们对这个项目很满意,他们继续参加正在进行的季度模拟会议，案例研究方案，以提高他们的技能。
