背景:马拉维护士高水平儿科培训的可用性有限。为了解决这个差距,儿科护士专家开发并实施了一项新的儿科重症监护护士指导计划。
目的:评估儿科重症监护护士指导计划的有效性,通过护士知识的改变,技能,信心,和接受能力。
方法:一项为期12个月的儿科重症监护护士指导计划,在基线时进行评估,密集结束(3个月),和课程结束(6个月)。
方法:布兰太尔,马拉维。
方法:由单位经理提名的具有两年或两年以上儿科护理经验的护士(N=20)。
方法:在整个计划实施过程中收集定量数据。评估包括:(1)多项选择知识测试,(2)两个方面的客观结构化临床检查(生命体征和气道,呼吸,流通,残疾,暴露评估;以及血气和电解质分析),(3)组模拟(心肺复苏或呼吸窘迫),(4)李克特量表临床信心调查,(5)李克特量表戒律能力调查。使用重复测量ANOVA与成对比较分析数据。对于李克特规模的调查,使用Friedman检验与使用Wilcoxon符号秩检验的事后配对比较,比较了中位置信度分数.
结果:参与者表现出临床知识的显着改善(p<.001),生命体征和气道,呼吸,流通,残疾,暴露评估(p=.001),血气和电解质分析(p=.001),心肺复苏(p<.001)和呼吸窘迫(p<.001)模拟,临床信心(p=0.002),和接受能力(p=.041)。
结论:这项儿科重症监护护士指导计划有效地提高了参与者在儿科重症监护护理和戒律方面的信心和能力(知识和技能)。结果表明,该计划有可能解决马拉维训练有素的儿科重症监护护士短缺的问题。这为完善和扩大受体奠定了基础,最终在资源有限的环境中改善儿科重症监护护理教育。
BACKGROUND: Availability of high-level pediatric training for nurses in Malawi is limited. To address this gap, a novel pediatric critical care nurse preceptor program was developed and implemented by pediatric nurse specialists.
OBJECTIVE: Evaluate the effectiveness of a pediatric critical care nurse preceptor program, via change in nurses\' knowledge, skills, confidence, and precepting competence.
METHODS: A 12-month pediatric critical care nurse preceptor program with assessments at baseline, end of intensive (3 months), and end of program (6 months).
METHODS: Blantyre, Malawi.
METHODS: Nurses with two or more years of pediatric nursing experience (N = 20) nominated by unit managers.
METHODS: Quantitative data were collected throughout program implementation. Assessments included: (1) multiple choice knowledge test, (2) Objective Structured Clinical Examinations in two areas (vital signs and airway, breathing, circulation, disability, exposure assessments; and blood gas and electrolyte analysis), (3) group simulations (cardiopulmonary resuscitation or respiratory distress), (4) Likert-scale clinical confidence survey, and (5) Likert-scale precepting competence survey. Data were analyzed using repeated measures ANOVA with pairwise comparisons. For Likert-scale surveys, median confidence scores were compared using a Friedman test with post hoc pairwise comparisons using Wilcoxon signed-rank tests.
RESULTS: Participants demonstrated significant improvement in clinical knowledge (p < .001), vital signs and airway, breathing, circulation, disability, exposure assessment (p = .001), blood gas and electrolyte analysis (p = .001), CPR (p < .001) and respiratory distress (p < .001) simulations, clinical confidence (p = .002), and precepting competence (p = .041).
CONCLUSIONS: This pediatric critical care nurse preceptor program was effective in improving participants\' confidence and competence (knowledge and skills) in pediatric critical care nursing and precepting. Results suggest the program\'s potential to address the shortage of highly trained pediatric critical care nurses in Malawi. This lays groundwork for refining and expanding preceptorship, ultimately improving pediatric critical care nursing education in resource-limited settings.