快速循环故意实践培训模拟心肺复苏在居民教育中的实践培训
Jaron D Raper1, Charles A Khoury1, Anderson Marshall2
1University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama.
The western journal of emergency medicine
|April 10, 2024
概括
与沉浸式模拟 (IS) 相比,高级心脏生命支持 (ACLS) 的快速循环故意实践 (RCDP) 培训导致更快的脉检查和更高的自我评价能力. 此外,RCDP学习者在复苏期间的压力也较小.
科学领域:
- 医学教育 医学教育
- 基于模拟的培训基于模拟的培训
- 心肺复苏心肺复苏的使用方法
背景情况:
- 基于模拟的医学教育是医疗保健培训中的长期实践.
- 快速循环故意练习 (RCDP) 是一种创新的模拟策略,专注于代练习和技能掌握的反.
- 有限的研究存在,比较RCDP与标准的沉浸式模拟 (IS) 用于教授心肺复苏 (CPR) 给研究生医学教育 (GME) 学习者.
研究的目的:
- 为了比较RCDP与IS在向GME居民教授高级心脏生命支持 (ACLS) 技能方面的有效性.
- 评估RCDP和IS培训后执行关键ACLS操作所需的时间.
- 评估自我报告的压力水平和领导和参与复苏事件的感知能力.
主要方法:
- 一个前性的,随机的,受控的课程评估,涉及55名研究生一年内科和急诊医学住院医生.
- 参与者被随机分配到RCDP (n=28) 或IS (n=27) 培训组.
- 培训前后的调查评估了自我报告的压力和能力,使用利克特类型的问题,在随后的IS中测量了关键ACLS动作时间.
主要成果:
- 在RCDP和IS组之间完成最关键的ACLS行动的时间没有发现显著差异.
- 在压缩周期之间,RCDP训练员的脉检查时间显著缩短 (6.2 vs 14.2 秒,P=0.01).
- 与IS学员相比,RCDP学习者报告了更高的自我评价能力参与复苏 (4.50对3.96,P=0.01) 和更低的意识到压力 (2.36对2.85,P=0.01).
结论:
- 与IS相比,针对ACLS的RCDP培训导致脉检查时间更短,感知压力更低.
- 接受RCDP培训的学习者报告说,他们提高了参与复苏的能力.
- 这些发现表明RCDP对其他基于模拟的医学教育环境具有前景,需要进一步调查.
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