Et modificeret simuleringsbaseret uddannelsesprogram, oprindeligt udviklet til karkirurgiske l\u00e6ger, blev tilpasset til endovaskul\u00e6re operationssygeplejersker med henblik p\u00e5 at styrke b\u00e5de tekniske og ikke\u2011tekniske kompetencer i operationsstuen. Programmet bygger p\u00e5 rollebytte, hvor operationssygeplejersker tr\u00e6ner endovaskul\u00e6re procedurer i rollen som kirurg, for dermed at \u00f8ge forst\u00e5elsen af procedurens forl\u00f8b, samarbejdet i teamet og arbejdsgangene i operationsstuen.<\/span><\/p>\nMetode
\n<\/span><\/strong>I studiet blev der anvendt et mixed\u2011methods design med b\u00e5de kvantitative og kvalitative data. Elleve erfarne endovaskul\u00e6re operationssygeplejersker, hver med erfaring fra omkring 100 endovaskul\u00e6re indgreb over de foreg\u00e5ende 2\u20133 \u00e5r, deltog i rollebyttesimulationer af perifere endovaskul\u00e6re procedurer under supervision. De tekniske f\u00e6rdigheder blev vurderet ved hj\u00e6lp af Global Rating Scale (GRS) og en struktureret eksaminator\u2011tjekliste, mens semistrukturerede interviews belyste ikke\u2011tekniske f\u00e6rdigheder som teamarbejde, workflow, feedbackkultur og jobtilfredshed.<\/span><\/p>\nResultater
\n<\/span><\/strong>Uddannelsesprogrammet medf\u00f8rte en markant forbedring af de tekniske f\u00e6rdigheder. GRS\u2011scoren steg fra median [IQR] 19,0 [14,0; 24,0] til 43,0 [32,0; 44,0], og tjeklistescoren fra 49,0 [45,0; 58,0] til 73,0 [65,0; 78,0], begge med p = 0,004. De kvalitative analyser identificerede temaerne:<\/span><\/p>\n\n- L\u00e6ringspotentiale<\/span><\/li>\n
- Jobtilfredshed<\/span><\/li>\n
- kultur<\/span><\/li>\n
- Feedback<\/span><\/li>\n
- Overv\u00e6ldelse<\/span><\/li>\n
- COVID\u201119 (p\u00e5virkning)<\/span><\/li>\n<\/ul>\n
Der blev peget p\u00e5 en forbedret forst\u00e5else af<\/span> de karkirurgiske<\/span> procedurer, bedre forudseenhed i forhold til kirurgens behov, mere velfungerende arbejdsgange, samarbejde og en mere kollaborativ atmosf\u00e6re i operationsstuen.<\/span><\/p>\nKonklusion og implikationer for praksis
\n<\/span><\/strong>Studiet konkluderer, at rollebytte\u2011baseret simuleringsundervisning til endovaskul\u00e6re operationssygeplejersker b\u00e5de forbedrer tekniske f\u00e6rdigheder og styrker teamarbejde og samarbejde i operationsstuen. Tr\u00e6ningen rummer et betydeligt potentiale for at \u00f8ge kirurgisk performance, underst\u00f8tte jobtilfredshed og udvikle en mere l\u00e6ringsorienteret kultur blandt personalet i endovaskul\u00e6re operationsmilj\u00f8er, og kan dermed v\u00e6re et relevant redskab i kompetenceudvikling, rekruttering og fastholdelse.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"Jonathan Lawaetz, Maj Siercke, Rebecca Skov, Lars Konge, Isabelle Van Herzeele, Jonas Peter Eiberg. A simulation-based role-reversal training program improves 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