了解医疗保健远程模拟的影响:系统性审查
Matthew D Charnetski1, Dawn Wawersik, Janice C Palaganas
1From the Dartmouth Health (M.C.), Lebanon, NH; Nova Southeastern University (D.W.), Fort Lauderdale, FL; MGH Institute of Health Professions (J.P.), Boston, MA; Department of Pediatrics (J.P.D.), University of Alberta, Edmonton, Alberta, Canada; Center for Advanced Medical Learning & Simulation (S.K.T.B.), Morsani College of Medicine, University of South Florida, Tampa, FL; Department of Pediatric Intensive Care (G.R.), Krishna Institute of Medical Science, Secunderabad, India; Royal College of Surgeons in Ireland - Medical University of Bahrain (N.B., B.N.), Busaiteen, Bahrain; Columbia University Vagelos College of Physicians and Surgeons (R.E.), New York, NY; The Dartmouth Institute for Health Policy and Clinical Practice (P.T.), Hanover, NH; and Yale University School of Medicine (I.T.G.), New Haven, CT.
在COVID-19期间,医疗保健中的远程模拟迅速增长. 一项审查发现,大多数研究都评估了像满意度这样的低水平结果,这表明需要研究更高层次的影响.
科学领域:
- 医疗保健模拟器 医疗保健模拟器
- 医疗教育 技术 技术 医学教育
- 远程学习 远程学习
背景情况:
- 随着COVID-19的流行,医疗保健教育中加速采用远程模拟.
- 关于远程模拟的研究激增,需要对现有文献进行全面审查.
研究的目的:
- 系统地审查关于远程医疗保健模拟的同行评审文献.
- 评估现有研究在这个快速发展的领域的质量和范围.
主要方法:
- 进行了全面的系统审查,搜索了多个数据库和灰色文献.
- 最初的选发现了10,588个标题,其中570篇全文文章被评估了资格.
- 在最终分析中包括了54项研究,主要是在2020-2022年间发表的研究.
主要成果:
- 大多数包括的研究都集中在远程模拟环境上.
- 没有任何研究评估过基克帕特里克2级以上的结果,大多数研究评估了参与者的满意度.
- 在"只有远程"和"混合远程"学习环境之间进行了区分.
结论:
- 目前的远程医疗模拟研究主要评估参与者的直接反应,而不是更深层次的学习或行为变化.
- 迫切需要更多的比较研究来评估更高层次的结果,以推动该领域的发展.
- 未来的研究应该专注于严格评估远程模拟对临床实践和患者结果的影响.
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