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

摘要：

目的 探讨促进卓越与反思学习在急诊科护士团队协作情境模拟培训中的应用效果，为培养临床护理人才提供参考。 方法 采用便利抽样法，于2024年10—12月对杭州市某三级甲等医院急诊科的56名护士进行情境模拟培训，使用促进卓越与反思学习法进行引导性反馈，包括预反馈、反应、描述、分析、总结5个步骤。比较培训前后护士的临床推理与反思能力、临床实践能力及团队合作能力。 结果 培训后，护士的临床推理与反思能力较培训前有所改善（P<0.001）；理论考试及团队操作考核成绩较培训前提升（P<0.001）；领导力、团队合作、总体评价3个维度及急救团队合作能力总分均较培训前有所提升（P<0.05）。 结论 将促进卓越和反思学习应用于急诊科护士团队协作情境模拟培训中，有助于提升护士的临床推理与反思能力、临床实践能力及急救团队合作能力。

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