关键词: 在职培训, 情境模拟, 框架式反馈教学法, 护理管理研究

Abstract:

Objective To explore the application effect of promoting excellence and reflective learning in the full-process situational simulation training of team collaboration in the emergency departments，and to provide a reference for cultivating clinical nursing talents. Methods Stratified random sampling combined with sequential substitution method was adopted to conduct situational simulation training for 56 nurses in the emergency department from October to December 2024. The method of promoting excellence and reflective learning was used for guiding feedback，including 5 steps：pre-feedback，response，description，analysis，and summary. The clinical reasoning and reflection ability，clinical practice ability and teamwork ability of nurses were compared before and after the training. Results After the training，nurses improved in all dimensions of clinical reasoning and self-assessment ability of reflection（P<0.001）. The theoretical examination and team operation assessment scores of nurses were improved compared with those before the training（P<0.001）. The leadership，teamwork ability，overall evaluation and total score of nurses were all improved compared with those before the training（P<0.05）. Conclusion The use of promoting excellence and reflective learning for training in the scenario simulation of team collaboration in the emergency departments is helpful to improve nurses’ clinical reasoning and reflection ability，clinical practice ability and teamwork ability

Key words: Inservice Training, Scenario Simulation, Framework Feedback Teaching Method, Nursing Administration Research