"我应该说些什么吗? ":一个模拟课程解决失败的专业性,以提高患者的安全
Lydia A Flier1, Jeremy B Richards2, Michele R Hacker3
1Instructor, Department of Medicine, Mount Auburn Hospital and Harvard Medical School.
MedEdPORTAL : the journal of teaching and learning resources
|December 13, 2023
概括
医学学生在模拟课程后获得了沟通技巧和信心,以解决专业性的缺失. 然而,很少有人将这些技能应用于现实世界患者护理环境中.
科学领域:
- 医学教育 医学教育
- 医疗保健中的专业精神
- 患者安全 患者安全
背景情况:
- 医学学生经常目睹专业主义失败,但缺乏有效的沟通策略.
- 现有的专业化课程很少提供解决这些问题的实践.
研究的目的:
- 评估一个模拟课程,旨在提高医学学生解决专业性缺失的能力.
- 评估课程对知识,技能和对专业精神的态度的影响.
主要方法:
- 开发了一个模拟课程,结合了TeamSTEPPS程序中的沟通工具.
- 医学学生参与了课程,并完成了干预前,干预后和6个月的调查.
主要成果:
- 沟通工具的知识显著增加 (82%至94%).
- 学生对居民进行讲话的授权 (19%至44%) 和出席 (15%至39%) 的情况有所改善.
- 96%的学生报告说,在6个月后,他们目睹了专业性的失败.
结论:
- 模拟课程有效地提高了有关专业性的知识和赋权.
- 尽管有报道的收益,但在真实临床场景中学习的沟通技术的应用仍然有限.
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