关键词: 护士, 在职培训, 危重症转运, 第一人称视角, 原位模拟教学

Abstract:

Objective To investigate the application effect of first-person perspective camera-combined in-situ simulation teaching in the training of nursing personnel for critical caretransport. Methods Nurses of N0-N2 levels in the Emergency Department in 2024 were recruited as research subjects and randomly divided into Group A （first-person perspective camera + in-situ simulation training），Group B（first-person perspective camera + conventional simulation training），Group C（in-situ simulation training），and Group D（only conventional simulation training），with 12 nurses in each group. The same case was used to conduct simulation training and debriefing for all four groups，with a total of 48 nurses. After training，the participants’ satisfaction，theoretical scores，objective structured clinical examination（OSCE） scores，and incidents of unexpected events during in-hospital transfer of critically ill patients were compared among the four groups. Results Group A had higher overall satisfaction than the other three groups（P<0.05）. The theoretical scores of all four groups improved significantly after training（P<0.05）. In the crisis management station during transfer，there were statistically significant differences in scores among the four groups and pairwise comparisons showed that Group A scored higher than Group D（P<0.05）. Six months after training，Group A had the fewest incidence of adverse events，but the difference was not statistically significant（P>0.05）. Conclusion First-person perspective camera-combined in-situ simulation teaching can enable trainers to better observe and debrief the performance of team members during transfer，thereby improving training effectiveness. Further validation is needed to confirm its practical effect on promoting patient transfort safety.

Key words: Nurses, Inservice Training, Critical Care Transport, First-person Perspective, In-situ Simulation Teaching