开发一个基于模拟的掌握学习课程,以实现晚期的护理目标 讨论
James M Walter1, Melanie M Smith1, Noah Einstein2
1Department of Medicine (J.M.W., M.M.S., E.R.C., G.J.W., J.H.V.), Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Journal of pain and symptom management
|March 25, 2024
概括
这项研究开发了一个基于模拟的掌握学习课程,用于重症监护医学研究员,以改善护理讨论的后期目标. 该课程成功提高了沟通技巧和学习者能力,为培训建立了基准.
科学领域:
- 医疗教育 医学教育
- 关键护理医学 关键护理医学
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 临床护理医学 (CCM) 奖学员需要在生命结束时进行沟通的培训.
- 晚期护理目标 (LGOC) 讨论是复杂的,并影响患者的护理.
- 对于这些关键的对话,需要标准化,基于能力的培训.
研究的目的:
- 为LGOC讨论制定基于模拟的掌握学习 (SBML) 课程.
- 建立一个最低通过标准 (MPS) 来评估同学能力.
主要方法:
- 开发了一个SBML课程,使用REMAP记忆器为CCM研究员.
- 创建并验证了18项检查清单和6项规模化项目,用于评估LGOC讨论.
- 使用Mastery Angoff方法将MPS设置为87%.
主要成果:
- 评估工具证明了可靠的数据 (k ≥ 0.7,ICC ≥ 0.7).
- 同学表现从测试前 (中位数52%) 到测试后 (中位数96%) (P = 0.005) 显著改善.
- 学习者在LGOC讨论中的能力从测试前的10%增加到测试后的70% (P = 0.02).
结论:
- 成功开发了一个新的SBML课程,用于CCM中的LGOC讨论.
- 该课程包括一个验证的评估工具和一个可辩护的MPS.
- 这种方法确保了重症监护人员在生命终端沟通方面获得标准化的技能.
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