Volume 39 Issue 5
May  2023
Turn off MathJax
Article Contents
Li N,Chen HL,Li MJ,et al.Prospective study on application of mind mapping combined with scenario simulation training on the ability training of junior nurses in hospital transfer of patients with critical burns and trauma[J].Chin J Burns Wounds,2023,39(5):465-471.DOI: 10.3760/cma.j.cn501225-20220524-00200.
Citation: Li N,Chen HL,Li MJ,et al.Prospective study on application of mind mapping combined with scenario simulation training on the ability training of junior nurses in hospital transfer of patients with critical burns and trauma[J].Chin J Burns Wounds,2023,39(5):465-471.DOI: 10.3760/cma.j.cn501225-20220524-00200.

Prospective study on application of mind mapping combined with scenario simulation training on the ability training of junior nurses in hospital transfer of patients with critical burns and trauma

doi: 10.3760/cma.j.cn501225-20220524-00200
Funds:

Graduate Education Teaching Reform Research Project of Chongqing of China yjg172013

More Information
  • Corresponding author: Li Haisheng, Email: lee58427@163.com
  • Received Date: 2022-05-24
  •   Objective   To explore the application effects of mind mapping combined with scenario simulation training on the ability training of junior nurses in hospital transfer of patients with critical burns and trauma.   Methods   A prospective randomized controlled study was conducted. From December 2019 to December 2020, 55 female junior nurses from the Institute of Burn Research of the First Affiliated Hospital of Army Medical University (the Third Military Medical University) who met the inclusion criteria were enrolled in this study and divided into routine group (27 nurses, aged (24.0±0.9) years) and combined group (28 nurses, aged (24.2±0.8) years), according to the random number table. The nurses in routine group were trained with hospital transfer of patients with critical burns and trauma by theory combined with operational skill, and the nurses in combined group were trained with hospital transfer of patients with critical burns and trauma by mind mapping combined with scenario simulation training. Before and after the training, the self-made theoretical examination papers and skill assessment items were used for the examination and assessment to nurses, and their scores were calculated and compared. The self-made emergency ability scoring system was used to evaluate the emergency disposal ability of nurses from five dimensions, including team cooperation ability, emergency response ability, operative technique ability, specialized business ability, and nurse-patient communication ability, and their scores were calculated and compared. The non-standard implementation rates of transfer nursing measures, such as incomplete preparation of goods, poor communication effect of patients, inadequate pipeline nursing, unclear handover, and inadequate final treatment, were calculated and compared in the process of transporting highly simulated human (hereinafter referred to as simulated human) by nurses before and after training; and the rate of disease change and successful rate of transport of simulated human were calculated and compared after training. After assessment, self-made satisfaction questionnaire was used to compare nurses' satisfaction with the training mode, content, and effects. Data were statistically analyzed with independent sample t test, Pearson chi-square test, or Yates corrected chi-square test.   Results   Fifty-five enrolled nurses were fully involved in the training, examination, assessment, and questionnaire filling. Before training, there were no statistically significant differences in theoretical examination and skill assessment scores between the 2 groups ( P>0.05); After training, the theoretical examination and skill assessment scores of nurses in combined group were significantly higher than those in routine group (with t values of -3.89 and -4.24, respectively, P<0.05). Before training, there were no statistically significant differences in the scores of each item of emergency disposal ability between the 2 groups ( P>0.05); after training, the scores in terms of team cooperation ability, emergency response ability, operative technique ability, specialized business ability, and nurse-patient communication ability of nurses in combined group were significantly higher than those in routine group (with t values of -6.49, -6.44, -2.21, -2.85, and -2.34, respectively, P<0.05). Before training, there were no statistically significant differences in the non-standard implementation rates of transfer nursing measures of nurses between the 2 groups ( P>0.05); after training, the non-standard rates of incomplete preparation of goods, unclear handover, and inadequate final treatment of nurses in combined group were significantly lower than those in routine group (with t values of 3.87, 5.89, and 5.28, respectively, P<0.05). After training, the rate of disease change of simulated human of nurses in combined group was 7.14% (2/28), which was significantly lower than 33.33% (9/27) in routine group ( χ 2=5.89, P<0.05); the successful rate of transport was 96.43% (27/28), which was significantly higher than 74.07% (20/27) in routine group ( χ 2=3.87, P<0.05). After assessment, the total score of training satisfaction and scores of satisfaction with training mode and training effect of nurses in combined group were significantly higher than those in routine group (with t values of 5.22, 4.67, and 10.71, respectively, P<0.05). There was no statistically significant difference in the satisfaction score on training content between the two groups ( P>0.05).   Conclusions   Evidence-based mind mapping combined with scenario simulation training significantly improves the nursing skills and emergency handling capabilities of junior nurses in transferring patients with critical burns and trauma.

     

  • loading
  • [1]
    刘云松. 陆地远程转运危重病人的经验[J].中国急救医学,2004,24(7):封三. DOI: 10.3969/j.issn.1002-1949.2004.07.046.
    [2]
    马莉, 王志稳, 葛宝兰,等. 急诊科危重病人院内转运过程中不良事件及风险因素分析[J]. 护理研究, 2019, 33(21):3676-3680. DOI: 10.12102/j.issn.1009-6493.2019.21.008.
    [3]
    WarnerP, BaileyJK, BowersL, et al. Aeromedical pediatric burn transportation: a six-year review[J]. J Burn Care Res, 2016,37(2):e181-e187. DOI: 10.1097/BCR.0000000000000198.
    [4]
    FanaraB, ManzonC, BarbotO, et al. Recommendations for the intra-hospital transport of critically ill patients[J]. Crit Care, 2010,14(3):R87. DOI: 10.1186/cc9018.
    [5]
    JonesHM, ZychowiczME, ChampagneM, et al. Intrahospital transport of the critically ill adult: a standardized evaluation plan[J]. Dimens Crit Care Nurs, 2016,35(3):133-146. DOI: 10.1097/DCC.0000000000000176.
    [6]
    陆琴, 倪桂珍, 王宋超. 心内科电子护理病历书写思维导图的设计及应用[J].护理学报,2018,25(24):17-20. DOI: 10.16460/j.issn1008-9969.2018.24.017.
    [7]
    许月萍,于恩光,张小红.思维导图在新护士培训中的应用[J].护理学报,2014(11):4-6.
    [8]
    东尼·博赞. 大脑使用说明书[M]. 张鼎昆, 徐克茹, 译. 北京:外语教学与研究出版社, 2005.
    [9]
    RanaS, HughesLA, RanaS, et al. The effects of ICU crisis reorganization on outcomes in patients not infected with coronavirus disease 2019 during the initial surge of the coronavirus disease 2019 pandemic[J]. Crit Care Explor, 2021,3(1):e0333. DOI: 10.1097/CCE.0000000000000333.
    [10]
    YangSH, JerngJS, ChenLC, et al. Incidence of patient safety events and process-related human failures during intra-hospital transportation of patients: retrospective exploration from the institutional incident reporting system[J]. BMJ Open, 2017,7(11):e017932. DOI: 10.1136/bmjopen-2017-017932.
    [11]
    中国医师协会烧伤科医师分会, 中华医学会烧伤外科学分会. 成批严重烧伤伤员的转运方案(2016版)[J].中华烧伤杂志,2016,32(8):449-451. DOI: 10.3760/cma.j.issn.1009-2587.2016.08.001.
    [12]
    急诊危重症患者院内转运共识专家组. 急诊危重症患者院内转运共识——标准化分级转运方案[J].中国急救医学,2017,37(6):481-485. DOI: 10.3969/j.issn.1002-1949.2017.06.001.
    [13]
    Australasian College for Emergency Medicine, Australian and New Zealand College of Anaesthetists, Joint Faculty of Intensive Care Medicine. Minimum standards for intrahospital transport of critically ill patients[J]. Emerg Med (Fremantle), 2003,15(2):202-204.
    [14]
    StonebrakerK. Intra-hospital transport: university of Michigan SWAT team takes the ICU to the patient[J]. Mich Nurse, 2011,84(3):10-12.
    [15]
    WarrenJ, FrommREJr, OrrRA, et al. Guidelines for the inter- and intrahospital transport of critically ill patients[J]. Crit Care Med, 2004,32(1):256-262. DOI: 10.1097/01.CCM.0000104917.39204.0A.
    [16]
    颜红波, 于红静, 关玉仙, 等. 反思日记联合案例法在神经外科低年资护士培训中的应用[J].护理学杂志,2019,34(3):93-95. DOI: 10.3870/j.issn.1001-4152.2019.03.093.
    [17]
    李慧, 邓晰明, 张飞鹏, 等. 集束化干预措施在急诊外科急危重症患者院内转运中的效果研究[J].中华全科医学,2020,18(8):1414-1416,1424. DOI: 10.16766/j.cnki.issn.1674-4152.001520.
    [18]
    王青, 周琴, 罗旭芳, 等. 情景浸润联合交互式培训模式在低年资护士预防及处理压疮培训中的应用效果[J].中华烧伤杂志,2020,36(4):312-316. DOI: 10.3760/cma.j.cn501120-20190108-00001.
    [19]
    张春华. 合作式情景模拟培训在手术室低年资护士培训中的应用[J].中华医学教育杂志,2019,39(9):677-680. DOI: 10.3760/cma.j.issn.1673-677X.2019.09.008.
    [20]
    仲丽芸, 段熠, 何川. 情景模拟教学在神经外科低年资护士规范化培训中的应用[J].中华现代护理杂志,2019,25(24):3063-3065. DOI: 10.3760/cma.j.issn.1674-2907.2019.24.007.
    [21]
    LottTF. Moving forward: creating a new nursing services orientation program[J]. J Nurses Staff Dev, 2006,22(5):214-221. DOI: 10.1097/00124645-200609000-00002.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(4)

    Article Metrics

    Article views (271) PDF downloads(32) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return