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反射练习改善了基本生命支持培训结果:一项随机对照研究
Marie S Thommes1,2, Michelle Schmidt1,2, Sophie I Lambert1,2
1AIXTRA - Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen University, Aachen, Germany.
PloS one
|June 29, 2023
概括
将反射练习添加到基本生命支持 (BLS) 培训中,改善了医学学生的技能保留和速度. 这种具有成本效益的方法提高了BLS的表现,尽管信心水平保持不变.
科学领域:
- 医学教育 医学教育
- 进行心肺复苏术.
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 基本生命支持 (BLS) 技能对于患者的结果至关重要,但即使在培训后,也往往不够理想.
- 在医疗教育中,提高实践技能获取和保持水平的有效方法非常受欢迎.
- 反思性实践是一种有前途的教学方法,可以提高学习成果.
研究的目的:
- 评估一个简短的反思性实践干预对BLS技能表现和自我信心的影响.
- 为了确定反思性实践是否提高了医学学生中BLS技能的获得和保留.
主要方法:
- 287名一年级医学学生接受了标准的BLS培训或标准培训以及15分钟的反思性实践课程.
- 目标BLS表现 (压缩效率,响应时间) 和自我报告的信心在训练后立即 (T0) 和一周后 (T1) 进行评估.
- 使用双向混合ANOVA来分析干预对表现和信心的影响.
主要成果:
- 与对照组相比,反射练习组在T1时表现出显著更有效的胸部压力.
- 干预参与者在T0和T1.1时开始胸部压缩的速度明显更快.
- 两组之间没有发现自我报告的对执行BLS的信心有显著差异.
结论:
- 简短,经济有效的反思实践练习与标准BLS培训相结合,可以改善技能获取和保持.
- 反思性实践有可能提高医学教育中的实践技能培训.
- 需要进一步的研究来探索反射性实践在医学培训中的更广泛适用性.
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