雇佣模拟参与者来培养医学教育中的沟通技巧:一个系统审查
Ute Linder1, Lilly Hartmann, Monika Schatz
1From the Skills Lab TheSiMa (U.L., L.H., M.S., I.P., J.J.K.), Department of Study and Teaching Development, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; and Department of Medical Statistics, Biomathematics and Information Processing (S.H.), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
概括
与传统方法相比,模拟参与者 (SP) 培训在医学教育中显著提高了以患者为中心的沟通技巧. 这一元分析提供了支持基于SP的教学有效性的定量证据.
科学领域:
- 医学教育研究 医学教育研究
- 沟通技巧培训 培训 沟通技巧培训
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 模拟参与者 (SPs) 在医学教育中广泛用于沟通技能的发展.
- 现有的研究主要由定性或非比较性研究组成.
- 缺乏基于SP的教学有效性的定量比较证据.
研究的目的:
- 量化评估基于SP的教学对医疗教育中以患者为中心的沟通技能的有效性.
- 将基于SP的教学与传统方法 (如讲座和同行角色扮演) 进行比较.
- 综合对这种教育方法的比较定量数据.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在2023年2月之前搜索了多个数据库 (MEDLINE,Cochrane图书馆,PsycINFO,CINAHL,ERIC)
- 包括21项研究 (2500名参与者);10项有资格进行元分析.
主要成果:
- 中等效果大小 (SMD = 0.74) 支持基于SP的教学,而不是传统的沟通技能的教学形式.
- 综合分析包括来自10项研究的2061名参与者.
- 在研究中观察到高异质性 (I2 = 95%).
结论:
- 基于SP的教学证明了在医学教育中对沟通技能的中等,统计学上显著的积极影响.
- 高异质性表明研究群体,干预措施和结果措施的变化.
- 需要进一步的研究来探索导致这种异质性的因素.
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