虚拟模拟在培训GP住院医生预先进行护理规划对话中的价值
Willemijn Tros1, Jenny T van der Steen1,2,3, Mattijs E Numans1
1Department of Public Health and Primary Care, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
概括
虚拟模拟有助于全科医生 (GP) 住院人员进行预先护理计划 (ACP) 对话. 虽然它并不完全现实,但它为未来的患者护理讨论提供了宝贵的基础技能.
科学领域:
- 医学教育 医学教育
- 主要护理是指初级护理.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 预先护理计划 (ACP) 对患有进展性疾病的患者至关重要,但在一般实践中未得到充分利用.
- 赋予患者沟通未来护理偏好的能力是ACP的一个关键目标.
- 医生医生居民需要有效的培训方法来进行敏感的ACP对话.
研究的目的:
- 探索一般医生 (GP) 住院居民对实践预先护理计划 (ACP) 对话的虚拟模拟的经验.
- 评估虚拟模拟在准备GP居民参加ACP讨论中的教育价值.
- 了解以前的现实生活经验如何影响从虚拟ACP模拟中学习.
主要方法:
- 在荷兰第一年GP居民中使用了一种解释学现象学方法.
- 十一名参与者参与了ACP对话的虚拟模拟场景.
- 在模拟后进行了深入采访和代数据分析.
主要成果:
- 医生住户发现虚拟模拟对于学习非洲国家和地区主题和对话策略非常有价值.
- 模拟的现实主义受到缺乏细微的措辞和个人调整的限制.
- 之前的真实生活中ACP经验显著塑造了居民从模拟中学习的过程.
结论:
- 虚拟模拟是混合课程中有利的组成部分,用于启动或加强非洲和非洲国家和地区的技能.
- 与同行和主管的批判性反思,以及与演员或真实患者的实践,是模拟后必不可少的.
- 进一步发展GP居民的ACP对话技能需要综合培训方法.
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