概括
虚拟患者有效地教医疗保健专业人员打破坏消息技能,显示与模拟患者相似的结果. 需要进一步的研究来优化虚拟模拟设计和课程集成,以提高医疗教育.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 打破坏消息是一个关键的临床技能,医疗保健专业人员发现具有挑战性.
- 虚拟患者 (VPs) 正在成为医学教育中有效的临床技能工具,但需要在沟通培训方面进行更多的研究.
- 副校长为学生提供一个没有风险的环境,以练习困难的沟通技巧,如打破坏消息.
研究的目的:
- 审查现有的关于虚拟患者在教导坏消息传播技能的有效性方面的文献.
主要方法:
- 在Medline和Embase数据库上对2012年11月至2022年11月期间发表的研究进行了系统的文献搜索.
- 三项研究符合纳入标准,并使用医学教育研究研究质量工具和批判性评估技能计划清单进行质量评估.
- 数据使用表格和叙事方法进行了合成.
主要成果:
- 与没有干预相比,虚拟患者在教导突破坏消息方面表现出价值,并且与模拟患者不逊色.
- 虚拟程序的一个意想不到的优势是能够记录会话,尽管缺乏影响和互动被认为是学习障碍.
- 建议进一步研究虚拟模拟设计和将其整合到医学课程中.
结论:
- 虚拟患者是教导突破坏消息的宝贵辅助,但尚未取代传统方法.
- 需要更多大规模的标准化研究来指导VP的教学设计和课程整合,以打破坏消息.
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