نوع مقاله : مقاله پژوهشی

نویسندگان

1 عضو هیات علمی، مرکز مطالعات و توسعه آموزش، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

2 عضو هیات علمی. مرکز تحقیقات آموزش بالینی ، دانشگاه علوم پزشکی شیراز ، شیراز ، ایران.

3 عضو هیات علمی. گروه رادیولوژی ، دانشکده پزشکی ، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

4 دانشجوی پزشکی، کمیته تحقیقات دانشجویی ، دانشگاه علوم پزشکی شیراز ، شیراز ، ایران.

5 عضو هیات علمی. مرکز تحقیقات نوزادان ، دانشگاه علوم پزشکی شیراز ، شیراز ، ایران.

10.22118/edc.2021.290693.1831

چکیده

برای بهبود دانش و عملکرد تیم احیا، تصمیم گرفتیم که اثر بخشی آموزش به روش شبیه سازی در گروههای کوچک را بر عملکرد تیم احیا نوزادان در بیمارستان نمازی شیراز ارزیابی کنیم. در این مطالعه مداخله ای، یک گروه واحد پیش آزمون و پس آزمون، 45 نفر از پرسنل پرستاری و دستیار کودکان با استفاده از یک روش تصادفی ساده حضور داشتند. کارگاه آموزشی در سه مرحله آموزش مهارت های فردی، ادغام شده و تکنیکی برگزار شد و درنهایت با شبیه سازی شرایط اتاق زایمان، سناریوهای مختلف برای همه افراد ارائه و از انجام عملیات احیا به صورت جداگانه فیلم برداری شد. افراد عملکرد خود را بر اساس سیاهه وارسی برنامه احیا نوزادان 2016 ارزیابی کردند و توسط مربی راهنمایی شدند. پس از6 ماه، با استفاده از یک سیاهه وارسی دست ساز، تأثیر آموزش بر مهارت های فردی، شناختی، فنی و تجربه افراد با استفاده از نرم افزار SPSS23 با آزمون t زوجی مورد تجزیه و تحلیل قرار گرفت. میانگین نمرات مهارت های شناختی، رفتاری، تکنیکی و تجربه فراگیران پس از آموزش با روش های شبیه سازی و گزارش دهی در گروه های کوچک به طور قابل توجهی افزایش یافت، سطح معنی داری به ترتیب عبارت است از ( 03/0=P)، ( 001/0=P)، (001/0=P)، (001/0=P). برگزاری جلسات گزارش ضبط احیا و آموزش گروهی پرستاران و متخصصان در گروه های کوچک در بهبود مهارت های مورد نیاز تیم احیا مؤثر است و تجربه افراد نشان می دهد که این روش در بهبود اعتماد به نفس افراد و بهبود عملکرد آنها نیز مؤثر است.

کلیدواژه‌ها

عنوان مقاله [English]

Evaluation of the effectiveness of training by simulation and reporting in small groups on the performance of the neonatal resuscitation team

نویسندگان [English]

  • Leila Bazrafkan 1
  • Javad Kojuri 2
  • fatemeh yarmahmodi 3
  • zahra zahadatpour 4
  • Sayed Mostajab Razavinejad 5
  • Reza Bahrami 5
  • Mehrdad Rezaei 5

1 Faculty member, Center for Educational Studies and Development, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Faculty member. Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

3 Faculty member. Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

4 Student research committee, Shiraz University of Medical Sciences, Shiraz, Iran. Shiraz.

5 Faculty member. Neonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

چکیده [English]

To improve the knowledge and performance of the resuscitation team, we decided to evaluate the effectiveness of simulation training in small groups on the performance of the neonatal resuscitation team at Namazi Hospital in Shiraz. In this interventional study, a single group of pre-test and post-test, 45 nursing staff and pediatric assistants were present using a simple random method. The workshop was held in three stages of training individual skills, integrated and technical, and finally by simulating the conditions of the delivery room, different scenarios were presented to all people and resuscitation operations were filmed separately. Individuals evaluated their performance based on the 2016 Neonatal Resuscitation Program checklist and were guided by a trainer. After 6 months, using a handmade checklist, the effect of training on individual skills, cognitive, technical and experience of individuals was analyzed using SPSS23 software with paired t-test. The mean scores of cognitive, behavioral, technical and experiential skills of learners after training with simulation and reporting methods in small groups increased significantly, the level of significance is respectively(P=0.03), (P=0.001), (P=0.001), (P=0.001). Holding resuscitation report sessions and group training of nurses and specialists in small groups is effective in improving the skills required by the resuscitation team, and people's experience shows that this method is also effective in improving people's self-confidence and improving their performance.

کلیدواژه‌ها [English]

  • Training
  • Simulation
  • Resuscitation
  • neonate
  • Reporting
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