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通过将基于案例和问题的学习与模拟相结合,加强产后出血训练:一项准实验性研究.

Yike Yang1,2, Zhichao Guo1,2, Xiaoyue Guo1,2

  • 1Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China.

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概括

将基于案例的学习 (CBL) 和基于问题的学习 (PBL) 与模拟相结合,显著提高了助产士学员管理产后出血 (PPH) 的技能. 这种增强培训方法比PPH管理的传统方法更有效.

关键词:
基于案例的学习.继续教育持续教育助产士培训 - 助产士培训产后出血 产后出血 产后出血基于问题的学习-基于问题的学习.场景模拟 - 场景模拟

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科学领域:

  • 医学教育 医学教育
  • 产科和妇科 产科和妇科
  • 模拟培训培训 模拟培训培训

背景情况:

  • 产后出血 (PPH) 是全球产妇死亡的主要原因.
  • 有效的PPH管理培训对于改善结果至关重要.
  • 目前的培训方法需要提高,以确保PPH救援技术的熟练程度.

研究的目的:

  • 评估基于案例的学习 (CBL) 和基于问题的学习 (PBL) 方法的有效性,并对PPH管理培训进行模拟.
  • 将这种新的方法与传统的助产士学员模拟培训进行比较.
  • 评估在管理PPH方面的技术能力和知识的提高.

主要方法:

  • 这是一项准实验性研究,涉及北京大学第三医院的76名助产士学员.
  • 参与者被分为一个控制组 (传统模拟) 和一个研究组 (模拟的CBL-PBL).
  • 培训后的评估包括理论考试和关于满意度和自我评估技能的问卷.

主要成果:

  • 与模拟组相结合的CBL-PBL报告了更高的满意度,并显著提高了临床思维,PPH操作员技能,知识和管理能力的自我评估技能.
  • 与对照组相比,研究小组在PPH知识评估中得分明显高 (91.7 ± 6.0对比76.0 ± 7.1,p < .01).
  • 实习生绝大多数人更喜欢定期的模拟练习和详细的案例讨论,用于未来的培训.

结论:

  • 将CBL-PBL与模拟相结合是产后出血管理培训的优质教学方法.
  • 这种方法对于具有现有临床经验的产科工作人员来说尤其有效.
  • 进一步的研究应侧重于在实际临床环境中实施定期的PPH救援技能培训.