OBJECTIVE: This project aims to develop and evaluate an education program for high-risk, low-volume equipment and skills in the pediatric emergency department setting.
METHODS: This is a pre- and post-quality improvement study conducted in a Northeastern United States pediatric Level I trauma center. Emergency department nurses were invited to view videos detailing high-risk, low-volume equipment use. For the convenience of access, Quick Response (QR) codes linked to the videos were placed on each piece of equipment reviewed. General self-efficacy and levels of self-efficacy in using the equipment were assessed before the intervention and again after 4 weeks from January to February 2023.
RESULTS: A total of 43 pediatric emergency nurses participated in the education. The mean aggregate general self-efficacy score was 32.93. Mean scores in all areas (Level 1 rapid infuser, fluid warmer, blood administration, and securing an endotracheal tube) improved after the intervention.
CONCLUSIONS: Easily accessible, brief refresher videos linked to QR codes in the pediatric emergency department can help empower nurses who need to use high-risk, low-volume equipment.
目标:该项目旨在开发和评估针对高风险人群的教育计划,儿科急诊科的低容量设备和技能。
方法:这是一项在美国东北部儿科I级创伤中心进行的质量改进前后研究。急诊科护士被邀请观看详细描述高风险的视频,小批量设备使用。为了方便访问,将链接到视频的快速响应(QR)代码放置在所审查的每个设备上。在干预之前和2023年1月至2月的4周后再次评估了使用设备的一般自我效能感和自我效能感水平。
结果:共有43名儿科急诊护士参加了教育。一般自我效能感的平均总分为32.93。所有领域的平均分数(一级快速注入器,流体加温器,血液管理,并固定气管内导管)在干预后有所改善。
结论:易于访问,链接到儿科急诊科QR码的简短复习视频可以帮助授权需要使用高风险的护士,低容量设备。