儿科息护理模拟改善了居民学习成果:一篇11年的回顾
Cassandra D Hirsh1, Gwendolyn Richner2, Miraides Brown3
1Haslinger Family Pediatric Palliative Care Center (C.D.H., G.R., D.H.G., S.F.), Akron Children's Hospital, Akron, Ohio, USA; Department of Pediatrics (C.D.H., S.F.), Northeast Ohio Medical University, Rootstown, Ohio, USA.
Journal of pain and symptom management
|November 10, 2024
概括
使用丧亲父母演员的模拟训练显著提高了儿科住院医生在进行困难对话方面的技能,提高了他们在终身护理讨论中的信心和表现.
科学领域:
- 医学教育 医学教育
- 儿科缓和护理 儿科缓和护理
- 基于模拟的学习
背景情况:
- 一般儿科住院医生往往对练习困难的对话的接触有限,特别是关于生命末期护理.
- 模拟学习提供了一种有效的方法来磨练专业技能.
- 儿科息护理 (PPC) 医生有很好的位置来指导学员通过模拟进行具有挑战性的讨论.
研究的目的:
- 为了记录一个11年的经验,利用模拟的困难对话与悲伤的父母演员.
- 评估模拟对居民和同学在关键通信场景中的表现的影响.
主要方法:
- 两种不同的模拟由PPC医生开发,以训练临床学习者管理困难的对话.
- 模拟涉及悲伤的父母和医院牧师的共同促进.
- 绩效是根据医学研究生教育认证委员会 (ACGME) 核心能力的标题进行评估的.
主要成果:
- 住院居民在第一个场景 (婴儿死亡) 的16/21 ACGME标准和第二个场景 (护理目标) 的10/21显著改善.
- 奖学员表现出高的基线分数,在任何一种情况下都没有显著的改善.
- 模拟方法在提高居民的性能和舒适度方面被证明是有效的.
结论:
- 涉及悲伤父母演员的模拟有效地提高了一般儿科住院医生的表现和在困难对话中的舒适性.
- 这种模拟模型是可适应的,可以在各种教育环境中实施.
- 模拟提供了一个有价值的工具,以准备儿科实习生进行具有挑战性的家庭讨论.
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