在临床恶化患者的背景下,基于能力的进步电子学习方法对沟通培训的有效性:多臂随机对照试验
Nora McCarthy1, Karen Neville2, Andrew Pope2
1Medical Education Unit, School of Medicine, University College Cork, Cork, Ireland nora.mccarthy@ucc.ie.
BMJ open
|August 3, 2023
概括
基于能力的进步 (PBP) 电子学习显著改善了病情恶化的患者的沟通技能. 与标准或自主导的电子学习方法相比,PBP电子学习的效率更高.
科学领域:
- 医疗教育 医学教育
- 医疗保健通讯 医疗保健通讯
- 基于模拟的培训
背景情况:
- 在管理临床恶化患者时,有效的沟通至关重要.
- 传统的电子学习方法可能不足以为医疗专业人员准备高风险的沟通场景.
- 基于能力的进步 (PBP) 提供了一种结构化的技能获取方法.
研究的目的:
- 评估PBP电子学习在提高管理病情恶化的患者的沟通技能的有效性.
- 将PBP电子学习与标准电子学习和自主导电子学习进行比较.
主要方法:
- 一个单中心,多臂,随机,双盲受控试验,涉及120名最后一年医学学生.
- 三组接受了不同的电子学习干预措施:标准,PBP电子学习和自主导的电子学习.
- 绩效使用标准化低保真模拟进行评估,并由盲目评估者进行评分.
主要成果:
- 所有小组都表现出能力的提高,但PBP小组获得了最高的技能 (81.1%).
- 在PBP和自主指导 (p<0.001) 和标准 (p<0.001) 组之间,在干预后的熟练程度上发现了统计学上显著的差异.
- 在PBP组中,更大比例的学生在干预后取得了熟练程度 (67.6%的增长).
结论:
- 基于能力的进步 (PBP) 电子学习是培养沟通技能的更有效方法,用于管理病情恶化的患者.
- PBP电子学习显著优于标准和自主导的电子学习方法.
- 这种方法提高了在关键患者沟通场景中的技能和熟练程度.
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