扩大柯克帕特里克模型的范围,从培训有效性审查到基于证据的优先级管理,用于cricothyroidotomy模拟
Victor Kai-Lam Cheung1,2, Nam-Hung Chia1,3, Sze-Sze So1
1Multi-Disciplinary Simulation & Skills Centre (MDSSC), Queen Elizabeth Hospital, Hong Kong Special Administrative Region.
Heliyon
|August 10, 2023
概括
这项研究发现,先进的cricothyroidotomy模拟训练改善了技能和组织变化. 它支持优先考虑外科医生和急诊医生对这种培训的持续投资.
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
- 进行外科手术培训.
背景情况:
- 柯克帕特里克模型是评估培训有效性的框架.
- 甲状腺切除术是一种关键的外科手术,需要专门的技能.
- 医疗模拟提供了一个安全的环境,以获得和练习外科技能.
研究的目的:
- 评估一个先进的cricothyroidotomy模拟器和课程对货币和社会价值观的影响.
- 评估组织变革和培训的成本效益.
- 为克里克甲状腺切除培训提供资源配置信息,优先考虑普通外科医生和急诊医生.
主要方法:
- 一项前性观察性研究,涉及70名医生和10名护士.
- 使用修改后的柯克帕特里克模型进行评估 (0,4和5级).
- 用紧急外科气道模拟器 (SESAS-17) 的尺度评估了训练可用性.
主要成果:
- 培训可用性得分 (SESAS-17) 超过了4/5,表明了高度满意度.
- 对组织变革 (级别-0) 和成本效益 (级别-5) 的积极影响是假设确立的.
- 紧急医生和普通外科医生的培训优势被观察到,不论资历或以前的经验.
结论:
- 先进的cricothyroidotomy模拟培训在技能获取和组织变革方面表现出有效性.
- 该研究支持对创新的模拟器和课程的持续投资.
- 建议采取"外科医生和急诊医生优先"的政策,以分配甲状腺切除培训的资源.
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