机构地区:[1]青岛大学附属医院心血管内科,山东省青岛市266003 [2]青岛大学附属医院护理部,山东省青岛市266003
出 处:《中国护理管理》2024年第11期1655-1660,共6页Chinese Nursing Management
基 金:青岛市医疗卫生优秀人才培养项目资助。
摘 要:目的:基于ADDIE模型构建医学电子书包App联合虚拟现实技术的新入职护士培训方案,并进行初步效果验证,旨在提升新入职护士培训质量,提高其护理实践能力和临床适应性。方法:以ADDIE模型为理论指导构建新入职护士基础理论知识和技能培训方案,基础理论知识培训部分采用电子书包形式,基础技能培训部分采用自主开发的临床护士基础技能培训虚拟现实教学软件,2022年7月至2023年8月便利选取青岛市某三级甲等医院新入职的126名护士为研究对象,采用随机数字表法分为实验组与对照组。在统一完成院级岗前培训后,实验组采用基于ADDIE模型构建的电子书包联合虚拟现实技术培训方案进行培养,对照组依照常规新入职护士规范化培训计划进行培养,干预时长为12个月,在干预前、干预6个月和干预12个月时分别对两组使用迷你临床演练评估、新护士转型冲击评价量表和培训满意度调查问卷进行评估。结果:干预6个月和干预12个月后,纳入的126名新入职护士均完成全部培训,在新护士转型冲击方面结果显示组间、时间、交互作用的差异均有统计学意义(P<0.05);在迷你临床演练评估、培训满意度方面实验组均优于对照组(P<0.05)。结论:基于ADDIE模型的电子书包联合虚拟现实技术新入职护士培训方案可显著提高新入职护士临床综合能力,减轻新入职护士转型冲击,同时提高新入职护士培训满意度。Objective:To construct a training programme using electronic schoolbag combined with Virtual Reality(VR)technology for newly recruited nurses based on the ADDIE model and explore its primary effects in improving training of new nurses to strengthen their clinical skills and adaptability.Methods:We designed a nurse training programme according the ADDIE model with electronic schoolbag for theory training and a VR-based self-developed software for skills training.From July 2022 to August 2023,126 new nurses recruited in a Qingdao tertiary grade A hospital were selected as participants.They were randomly assigned to either the experimental or the control group using a random number table.After completing the standard primary pre-service training,the experimental group received the new training programme,while the control group underwent the routine training for new nurses.The intervention lasted for 12 months with rotations in two specialized departments and indicators including the Mini-Clinical Evaluation Exercise(Mini-CEX)scores,the transition shock scores of graduated nurses scales and nurses'satisfaction to training programme were collected and compared before intervention,6 months and 12 months after intervention Results:After 12 months of intervention,all of the 126 new nurses successfully completed the training.The results revealed statistically significant differences between the groups at different time,and interaction effects in terms of transition shock experienced by the new nurses(P<0.05).Additionally,the experimental group outperformed the control group in terms of Mini-CEX assessment and training satisfaction(P<0.05).Conclusion:The utilization of ADDIE model-based training for new nurses employing electronic schoolbag combined with VR technology has shown significant potential in enhancing the comprehensive clinical competence of new nurses.Besides,this approach also helps to reduce the transition shock experienced by new nurses and increases their overall satisfaction with the training process.
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