通过模拟对培训的影响进行比较分析,使用用于初级保健专业人员的危机资源管理工具
Marta Bernardino-Santos1,2, Daniel Arnal-Velasco1, Pilar Reboto-Cortés1
1Department of Anesthesiology and Reanimation, University Hospital Fundación Alcorcón, 28922 Madrid, Spain.
Healthcare (Basel, Switzerland)
|January 23, 2024
概括
针对初级保健医生的临床模拟课程有效地教授非技术技能,提高患者安全和团队合作. 参与者报告了高满意度和工作场所的变化,呼吸急救培训对患者护理的影响更大.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 初级保健医生需要接受非技术技能培训,以管理医疗紧急情况.
- 临床模拟提供了一种实际的方法来提高危机资源管理 (CRM) 技能.
- 评估模拟课程对学习和行为改变的影响至关重要.
研究的目的:
- 评估临床模拟课程在初级保健医生代谢和呼吸紧急情况中的有效性.
- 评估培训对非技术技能,患者安全知识和工作场所行为的影响.
- 用修改的柯克帕特里克 - 菲利普斯模型来测量参与者的满意度和学习成果.
主要方法:
- 一项前性观察性研究,涉及西班牙283名初级保健医生.
- 两个模拟课程:代谢紧急情况 (ME) 和呼吸紧急情况 (RE).
- 通过在课程结束时 (K1,K2) 和一年后 (K2,K3) 的调查进行评估.
主要成果:
- 在ME (9.5/10) 和RE (9.6/10) 课程中报告了高整体满意度 (K1).
- 参与者报告了年度培训愿望 (K2),鼓励了汇报 (K3),并实施了工作场所的变化 (K3).
- 与ME疗程相比,RE疗程在患者护理 (19%vs. 6%),患者安全知识 (49%vs. 31%) 和团队关注 (64%vs. 50%) 方面的改善显著增加.
结论:
- 临床模拟课程是高度重视和有效的培训初级保健医生在患者安全和CRM.
- 培训对工作场所的程序,团队组织和对绩效的关注有积极的影响.
- 建议对长期影响和患者益处进行客观测量的进一步研究 (K4).
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