专家患者模拟对临床判断的影响:一个准实验性研究
Sanjay Shinde1, Firew Tiruneh1, Dinaol Abdissa Fufa1
1Department of Midwifery, Mizan Tepi University, Mizan Teferi, Ethiopia.
Advances in medical education and practice
|July 24, 2023
概括
专家患者模拟显著改善医疗保健学生的临床判断和自信. 这种培训方法提高了决策能力,这对于高质量的患者护理和减少医疗错误至关重要.
科学领域:
- 医学教育 医学教育
- 医疗保健模拟器 医疗保健模拟器
- 临床技能培训 临床技能培训
背景情况:
- 优质教育对于改善全球医疗保健成果至关重要.
- 糟糕的临床判断导致了很大一部分患者安全问题.
- 专家患者模拟是临床判断的培训方法,但其有效性仍有争议.
研究的目的:
- 评估专家患者模拟对健康科学学生临床判断能力的影响.
- 为了评估学生接受模拟培训的自我信心和学习满意度的变化.
主要方法:
- 在92名助产士学生身上,采用了准实验性的测试前/测试后设计.
- 使用克雷顿能力评估仪器 (C-CEI®),自信问卷和科尔布学习风格目录 (LSI) 收集数据.
- 统计分析包括威尔科克森签名的等级测试,配对样本t测试,科恩的d效果大小和斯皮尔曼相关性.
主要成果:
- 专家患者模拟导致临床决策能力和自信的统计学显著改善.
- 对于模拟后的临床判断,观察到一个大的效果大小 (1.3) 和显著的p值 (p < 0.001).
- 自信也显著增加 (p < 0.001),变量之间存在中等正相关性 (r = 0.419,p = 0.004).
结论:
- 人类专家患者模拟是一种有效的临床培训技术.
- 该方法显然提高了学生的临床决策能力和自信.
- 基于模拟的培训是开发基本医疗保健专业技能的宝贵工具.
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