培训提示：
对于学习者而言，静脉内插入可能令人生畏和挑战。考虑采用故意实践和精通学习模型的组成部分，以帮助学习者完善这种心理动力技能。故意的实践涉及为学习者一个独特的目标；立即对其表现的反馈；并有足够的时间重复以提高性能。精通学习涉及使用刻意的练习以及使用设定标准来定义特定的通过标准的测试，这意味着掌握了所学习的任务。⁵

AHA recommends combining repetition with individualized feedback based on assessments; assigning specific exercises to address areas for improvement; and providing learners with enough time to achieve the minimum passing standard.⁶

Paired with an IV arm task trainer or manikin with IV arm, this approach can help raise learner competence to an expert level.

Why:
According to the Resuscitation Education Science section of the 2020 Guidelines,可以考虑合并故意的实践和精通学习模型，以改善技能的获取和绩效。⁷Evidence indicates that the model improves multiple learning outcomes when incorporated as part of BLS or ACLS courses.⁸

培训提示：
确保学习者有助于实现成功除颤的机会。运行一些练习和场景，这些练习和场景需要学习者在胸部上最大限度地提高时间并执行高质量的压缩 - 尽管团队遇到的任何动态和变量都可以。这将为练习个人技能以及团队合作和沟通提供机会。考虑在竞争中进行这些体验，使用CPR反馈技术来衡量和分数学习者的个人和团队绩效。从头到尾汇报经验将有助于确定改进领域。

Why:
According to the Resuscitation Education Science section of the 2020 Guidelines,团队合作培训和游戏学习是增强复苏培训并可能改善学习成果的机会。¹³Studies that evaluated the effect of team and leadership training as part of ACLS training founda positive impact on provider skills during simulated and real cardiac arrests。Improvements were seen in 1 or more aspects of clinical task performance during simulated events – including time to initiation of CPR and defibrillation.¹⁴Studies examining the effect of gamified learning showed an improvement in knowledge acquisition, knowledge retention, and CPR skills.¹⁵

培训提示：
无论您在通风增加方面的立场如何，现在重要的是要加强消息。对于提供者而言，很少有事件像a pediatric patient experiencing a sudden cardiac arrest。In situ training, or training that occurs in the actual clinical environment, provides a more realistic experience. Running an in situ scenario can help learners feel more prepared by giving them the opportunity to practice the required ventilation rate in the same setting in which they’ll have to perform it. Consider using infant and child manikins that provide quality feedback, as well as tools to facilitate high-performance team training, to create a rich and well-rounded training opportunity.

Why:
According to the Resuscitation Education Science section of the 2020 Guidelines, it is reasonable to use in-situ simulation-based resuscitation education in addition to traditional training.¹⁸最近的证据表明，当与其他教育策略结合使用时in-situ training has a positive impact on learning outcomes, performance change in the real clinical environment, and even patient outcomes。¹⁹