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对比辅助医生学生模拟培训中辅导员主导和学生主导的汇报之间的反思水平
Carl Robert Christiansen1, Jeanette Viggen Andersen2, Peter Dieckmann3,4,5
1Department for Prehospital Education and Research, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway. carl.christiansen@oslomet.no.
Advances in simulation (London, England)
|December 15, 2023
概括
在护理人员培训中,学生主导的模拟产生了与辅导员主导的课程相似的反思水平,提供了具有成本效益的教育补充. 复杂的场景增强了学生的反思能力,而不是儿科紧急情况.
科学领域:
- 医学教育 医学教育
- 基于模拟的培训
- 护理科学 护理科学
背景情况:
- 医疗保健模拟提供体验式学习,弥合学术研究和临床实践.
- 在模拟中研究同行辅助学习 (PAL),通过让经验丰富的护理人员学生领导会议.
- 这种方法旨在通过教学角色来增强学生的学习,并优化培训的成本效益.
研究的目的:
- 为了比较辅导员和学生领导的模拟汇报之间的反射水平.
- 分析不同场景类型 (儿科紧急情况与复杂评估) 的反射水平.
- 评估学生参与,无论是辅导员领导的,还是学生领导的汇报设置.
主要方法:
- 观察性非劣等性研究分析了第三年护理学学生的录制和转录的汇报.
- 使用修改后的弗莱克分析框架 (R0-R4) 进行评分的反射水平.
- 用于比较反射水平和参与度 (转数) 的奇平方测试.
主要成果:
- 没有统计学上显著的差异的反映水平 (R0-R4) 之间的辅导员领导和学生领导的汇报 (p=0.178).
- 在这两种情况下,学生的贡献几乎是相同的 (49%对51%).
- 复杂的评估场景显示反射水平明显高于儿科紧急情况 (p=0.010).
结论:
- 学生主导的模拟报告会在促进学生反思方面与辅导员主导的同样有效.
- 学生主导的模拟为传统的模拟培训提供了潜在的成本效益的补充.
- 场景设计,特别是复杂性,显著影响学生反思的深度.
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