探索在急救部门基于模拟的培训的障碍和推动因素:国际定性研究 (BEST-ED研究)
Marcus Jee1, Ella Murphy2, Etimbuk Umana3
1Department of Emergency Medicine, Galway University Hospitals, Galway, Ireland marcusjee.med@gmail.com.
BMJ open
|September 5, 2023
概括
在繁忙的急救部门,基于模拟的培训 (SBT) 面临着障碍和推动者. 解决当地文化,领导力和个人需求是成功,长期模拟计划的关键.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 基于模拟的培训 (SBT) 越来越多地被认为是紧急医学的好处.
- 在苛刻的急救部门 (EDs) 建立和维持成功的SBT计划带来了独特的挑战.
研究的目的:
- 确定在繁忙的急救部门实施和维护基于模拟的培训的关键障碍和推动因素.
- 探索涉及SBT和组织支持的专业人士的观点.
主要方法:
- 使用半结构面试的定性方法,对来自15个国际地点的32名参与者进行半结构面试.
- 参与者包括参与SBT的临床和管理人员.
- 采访数据使用能力,机会和动机-行为 (COM-B) 模型和理论领域框架进行分析.
主要成果:
- 发现的共同主题包括知识/技能 (90%),支持/领导力 (96%),心理障碍 (87.5%),当地文化 (96.6%),专用空间 (65.2%),时间限制 (46.8%),社会影响 (87.5%),教育 (90.6%),专业发展 (68.75%),考试 (59.3%) 和个人目标 (93.75%).
- 管理层优先考虑资源和流量,而临床医生专注于专业和个人发展.
- 关键的障碍和推动因素集中在当地文化,领导力,个人需求,资源和计划优化上.
结论:
- 成功的基于模拟的培训和EDS的现场模拟需要量身定制的方法.
- 解决已识别的障碍和利用与文化,领导力,个人需求和资源相关的推动因素对于计划的长寿至关重要.
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