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基于模拟的掌握学习课程的使用,以提高麻醉师之间的困难对话技巧:试点研究
Mitchell L Phillips1, Michelle Tsao1, Andrew Davis-Sandfoss1
1The following authors are in the Department of Pediatric Anesthesiology at Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; , and are Assistant Professors; is a Fellow; and is an Associate Professor. is a Professor of Anesthesiology and Vice Chair for Academic Affairs in the Department of Anesthesiology, Perioperative Medicine & Pain Management at Henry Ford Health, Detroit, MI. is a Professor in the Department of Medicine at Northwestern University Feinberg School of Medicine, Chicago, IL.
麻醉学家 麻醉学家
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 沟通技巧 沟通技巧 这些技巧
背景情况:
- 打破坏消息 (BBN) 是医生的关键临床技能,但麻醉师缺乏标准化的培训.
- 麻醉学中的并发症需要有效的患者和家庭沟通,这对缺乏信心的临床医生来说可能是压力.
- 基于模拟的掌握学习 (SBML) 提供了一种结构化的方法来增强麻醉师的BBN技能.
研究的目的:
- 评估SBML课程在提高麻醉科医生的技能和在打破坏消息的信心方面的有效性.
- 评估标准化BBN培训计划对麻醉师沟通能力的影响.
主要方法:
- 开发了一个SBML课程,结合了SPIKES框架和NURSE对同情的陈述.
- 与麻醉科医生进行了测试前后测试研究,包括教学课程和刻意练习.
- 在2小时课程之前和之后使用16项技能检查清单评估BBN表现.
主要成果:
- 所有20名参与者在后测试中都达到最低通过分数,而在前测试中只有3人 (P < .001).
- 参与者对BBN技能的信心中位数显著增加,从3增加到4 (P < .001).
- 报告说,对课程的整体满意度很高,中位数为5.
结论:
- 在模拟环境中,SBML培训显著提高了麻醉师的沟通技巧,并提高了在模拟环境中打破坏消息的信心.
- 这些发现表明需要为麻醉科医生提供进一步的BBN教育,SBML被证明是一种有效的方法.
- 改善BBN技能对于麻醉科医生来说至关重要,以有效地管理具有挑战性的患者沟通.
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