测量住户在胸腔管插入在厚度包裹的尸体上的能力:一个有效性研究
Leander De Mol1, Isabelle Van Herzeele, Patrick Van de Voorde
1From the Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium (L.D.M., I.V.H., L.D., W.W.); Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium (I.V.H., L.D.); Department of Basic and Applied Medical Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium (P.V.d.V.); Department of Emergency Medicine, Ghent University Hospital, Ghent, Belgium (P.V.d.V.); Department of Gastrointestinal Surgery, Ghent University Hospital, Ghent, Belgium (H.V., W.W.); Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark (L.K.); and Copenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark (L.K.).
这项研究验证了Thiel-embalmed尸体上的胸管插入能力评估 (ACTION) 工具. 评级表显示了基于模拟的培训的良好有效性,但对总结性评估的错误清单需要改进.
科学领域:
- 医学教育 医学教育
- 手术模拟器手术模拟器
- 解剖学模型 解剖学模型
背景情况:
- 胸管插入 (CTIs) 的并发症率很高,需要有效的培训.
- 基于模拟的培训需要验证的技术技能评估工具.
- 厚度包装的身体为CTI培训提供了一个现实的平台.
研究的目的:
- 收集用于评估CTI技术技能的有效性证据,使用Thiel包装尸体上的ACTION工具.
- 评估ACTION工具的评级级和错误检查清单的可靠性和有效性.
- 为ACTION工具建立一个通过/失败值.
主要方法:
- 参与者 (居民和工作人员) 在蒂尔包裹的身体上进行了CTI.
- 胸腔管插入能力评估 (ACTION) 工具,包括评级级和错误检查清单,用于评估.
- 进行了实时和视频评估,并进行了可靠性的概括性分析.
主要成果:
- 在ACTION工具的评级级表中显示了适度的概括性 (0.75).
- 新手在评级表上得分明显低于经验丰富的参与者 (P=0.024).
- 错误检查清单显示一般化率低 (0.4) 并且组之间的错误没有显著差异.
结论:
- 在基于模拟的掌握学习中,ACTION工具的评级表是有效的,用于评估基于Thiel的身体的CTI技能.
- 行动工具的错误检查清单缺乏足够的可靠性和有效性来进行总结性评估.
- 建议进一步完善错误检查清单.
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