10.3928/08910162-20080701-01

Vollständiger Abstract

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<h4>Background</h4>Ventilator alarm management remains a challenge for novice intensive care unit (ICU) nurses. Therefore, a three-cycle Repeated-exposure Simulation training for Ventilator Alarm Management (RSVAM) was developed and evaluated to improve novice ICU nurses' ventilator alarm competence.<h4>Method</h4>The RSVAM included a case-based lecture, pre-learning with an exemplar video, three repeated simulation cycles using a high-fidelity manikin, and structured debriefings. In July to August 2023, the RSVAM was delivered to 32 novice ICU nurses at a regional tertiary hospital using a one-group pretest/posttest design. Outcomes, such as ventilator alarm knowledge, perceived clinical competency, and learning self-efficacy, were assessed before and after training.<h4>Results</h4>Pretest/posttest comparisons indicated significant improvement in all outcomes: ventilator alarm knowledge (<i>Z</i> = -3.69, <i>p</i> < .001, <i>r</i> = 0.66), perceived clinical competency (<i>Z</i> = -4.53, <i>p</i> < .001, <i>r</i> = 0.80), and learning self-efficacy (<i>Z</i> = -4.51, <i>p</i> < .001, <i>r</i> = 0.79). Participant satisfaction averaged 9.6 ± 0.7 of 10.<h4>Conclusion</h4>The RSVAM's concise, repetitive format produced substantial, clinically meaningful gains in ventilator alarm competence. Future multicenter randomized trials and simulations incorporating broader case diversity are needed.

Abstract: PubMed · Datensatz