在撒哈拉以南和中部非洲的紧急产科护理中基于模拟的培训:一个范围审查
Anne A C van Tetering1,2, Peter Ntuyo3, Renata P J Martens1
1Department of Obstetrics and Gynaecology, Máxima Medical Center, Veldhoven, NL.
Annals of global health
|October 2, 2023
概括
在非洲,以紧急产科模拟为基础的培训显示出对孕产妇和新生儿护理的积极影响. 然而,为了提高效率,需要一致的结果和详细的教学设计.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 产科 产科 产科 产科 产科
背景情况:
- 全球仍然存在高的孕产妇和新生儿死亡率,特别是在撒哈拉以南非洲.
- 提高紧急产科护理的质量对于减少可预防的死亡至关重要.
- 基于模拟的培训是提高医疗保健提供者的技能的一个关键策略.
研究的目的:
- 对非洲的基于紧急产科模拟培训的研究进行审查.
- 检查这些培训计划的教学设计.
- 评估培训在Kirkpatrick的评估水平的有效性.
主要方法:
- 在Medline,Embase和Cochrane图书馆的系统文献搜索 (截至2021年5月).
- 包含关于撒哈拉以南和中非地区紧急产科模拟培训的同行评审文章.
- 通过使用Kirkpatrick的水平和教学设计通过ID-SIM问卷对结果的评估.
主要成果:
- 包括47项研究,显示了积极反应 (一级) 和知识/技能改进 (二级).
- 在几项研究中报告了在工作中的技能改进 (三级) 和更好的孕产妇/新生儿结果 (四级).
- 在不同研究中,教学设计元素被不一致地应用和描述.
结论:
- 基于模拟的培训可以在所有评估水平上对非洲的孕产妇和新生儿医疗保健产生积极影响.
- 培训的有效性各不相同,结果在所有研究中都不一致.
- 详细的教学设计描述对于理解培训有效性和改善母亲/新生儿结果至关重要.
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