情景模拟教学法联合OSCE在ICU超声引导外周静脉穿刺培训实践

Practice of Scene Simulation Teaching Method Combined with OSCE in ICU Ultrasound-Guided Peripheral Venipuncture Training

摘要: 目的：基于重症超声护理团队构建，探索情景模拟教学法联合OSCE在ICU超声引导外周静脉穿刺培训实践中的应用效果。方法：选取选择武汉市某三级甲等医院ICU护士57名，通过建立护理超声小组，制定超声引导外周静脉流程，然后分组进行情景模拟教学培训超声引导外周静脉穿刺的理论和实践，最后通过客观结构化临床考试多站式考核。结果：培训学员对培训模式的多项评价均超过85%，理论成绩合格率为96.49%，操作成绩为87.72%均达到理想效果，培训学员其中7组护理组首次培训到课率均为100%，白班首次培训培训到课率为75%。结论：该培训方法较传统的培训模式更适合ICU护士的培训。

Abstract: Objective: Based on the construction of intensive ultrasound nursing team to explore the application effect of scenario simulation teaching method combined with OSCE in ICU ultrasound-guided peripheral venipuncture training practice. Methods: A total of 57 ICU nurses from a Grade A hospital in Wuhan were selected. By the establishment of nursing ultrasound group, the flow of peripheral vein guided by ultrasound was formulated. Then, the group was trained in the theory and practice of peripheral vein guided by ultrasound by scenario simulation teaching. Results: The evaluation rate of the training mode was more than 85%, the qualified rate of theory score was 96.49%, and the qualified rate of operation score was 87.72%. Among the trainees, the attendance rate of the first training in 7 nursing groups was 100%, and the attendance rate of the first day class training was 75%. Conclusion: The training method is more suitable for the training of ICU nurses than the traditional training mode.