模拟场景中意外死亡对技能保留,压力和情绪的影响:基于模拟的随机对照试验
Kristina Khanduja1, M Dylan Bould2,3, Meghan Andrews4
1Department of Anesthesiology, Mount Sinai Hospital/University of Toronto, Toronto, CAN.
Cureus
|July 3, 2023
概括
在医疗培训中模拟患者死亡并没有影响危机资源管理 (CRM) 技能的技能保留. 然而,它确实增加了学习者的短期焦虑,压力和负面情绪.
科学领域:
- 医学教育 医学教育
- 基于模拟的培训
- 医学培训对心理的影响
背景情况:
- 模拟患者死亡在医学教育中的使用是一个有争议的话题.
- 了解模拟患者死亡对学习者的影响对于有效的培训至关重要.
研究的目的:
- 调查模拟患者死亡对医疗住院人员技能保留,压力水平和情绪的影响.
- 为了将模拟心脏骤停场景的结果与患者死亡或生存进行比较.
主要方法:
- 居民被随机分配,以管理模拟的心脏骤停,意外死亡或生存.
- 参与者的非技术和技术危机资源管理 (CRM) 技能被盲目评价者评估.
- 测量了压力水平 (焦虑,皮质醇,认知评估) 和情绪价值.
主要成果:
- 模拟死亡没有显著影响保留非技术CRM技能.
- 技术CRM技能的保留也没有受到模拟患者死亡的影响.
- 模拟死亡组的参与者报告了更高的焦虑,压力和负面情绪.
结论:
- 模拟患者死亡并不妨碍保留关键危机资源管理技能.
- 涉及患者死亡的医疗模拟可以在学习者身上引起短期的负面心理影响.
- 进一步的研究可能会探索减轻模拟患者死亡的情绪影响的策略.
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