Background: 

Code and emergent situations require skilled nursing response wherever they occur. Nurse preparation for code response is an ongoing need in nursing education. The Neonatal Intensive Care Unit (NICU) at Parkland Health and Hospital System in Dallas, Texas, has a team of 3 nurse educators. These educators determined the need for increased nurse confidence, skill, and response in code and emergent situations within the NICU. The education team also recognized the need to increase nurse involvement in professional development activities and preparation for the national certification examination.

Purpose: 

The purpose of this article is to describe how a NICU education team, in a level III NICU, trained nurses using simulated scenarios to improve nursing knowledge for national certification, skill, and confidence in code situations and to provide ongoing professional development opportunities within a controlled learning environment.

Methods: 

The intervention designed to meet these specific goals for the NICU was the creation of a simulation team (called the “Drill Team”) to facilitate simulated activities created by the NICU education team. This simulation strategy was found to have multiple advantages for content delivery, as multiple learning styles can be incorporated into the simulated activities.

Findings: 

Nurses demonstrated improved performance, knowledge acquisition, and knowledge retention after the Drill Team project. Nursing confidence in code performance also increased using this intervention.

Implications for Practice: 

This educational intervention can be replicated and utilized in nursing education for all specialties.

Implications for Research: 

Further research could be conducted to determine the effectiveness of simulated activities and national certification pass rates.

中文翻译：

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通过模拟帮助新生儿护士提高绩效、专业发展和获得国家认证

背景： 

无论发生在何处，代码和紧急情况都需要熟练的护理响应。护士为代码响应做好准备是护理教育中的持续需求。德克萨斯州达拉斯 Parkland Health and Hospital System 的新生儿重症监护室 (NICU) 拥有一支由 3 名护士教育工作者组成的团队。这些教育工作者确定需要提高护士在新生儿重症监护室 (NICU) 内的信心、技能以及对代码和紧急情况的反应能力。教育团队还认识到需要增加护士参与专业发展活动和国家认证考试的准备。

目的： 

本文的目的是描述 NICU 教育团队如何在 III 级 NICU 中使用模拟场景培训护士，以提高国家认证的护理知识、技能和对规范情况的信心，并在受控的范围内提供持续的专业发展机会学习环境。

方法： 

为满足新生儿重症监护病房的这些具体目标而设计的干预措施是创建一个模拟团队（称为“演习团队”），以促进新生儿重症监护病房教育团队创建的模拟活动。人们发现这种模拟策略在内容交付方面具有多种优势，因为可以将多种学习方式纳入模拟活动中。

发现： 

演习团队项目结束后，护士的表现、知识获取和知识保留得到了改善。使用这种干预措施也提高了护理人员对代码性能的信心。

对实践的启示： 

这种教育干预可以在所有专业的护理教育中复制和利用。

对研究的影响： 

可以进行进一步的研究以确定模拟活动的有效性和国家认证通过率。