在模拟训练中创建共享的心理模型提高了复苏的质量:一项随机对照研究
Christopher Friederich1, Leonie Schulte-Unetrop1, Denisa Cenaj1
1Department of Anaesthesiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Journal of medical education and curricular development
|March 4, 2025
概括
基于模拟的医学教育 (SBME) 有效地教授高级心脏生命支持 (ACLS) 的技术技能 (TS). 结合共享心理模型 (SMM) 培训,可显著提高医学本科生的非技术技能 (NTS).
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 基于模拟的培训
背景情况:
- 高级心脏生命支持 (ACLS) 的有效培训需要发展技术技能 (TS) 和非技术技能 (NTS).
- 基于模拟的医学教育 (SBME) 是培训的关键模式,但通过SBME增强NTS的方法需要进一步开发.
- 建立共享的心理模型 (SMM) 和培养团队信任对于有效的紧急响应至关重要.
研究的目的:
- 通过改善TS和NTS来提高本科ACLS培训的质量.
- 在本科应急培训团队中制定和评估建立SMM和信任的战略.
- 评估基于SMM的干预对NTS,情境动机和学习收益的影响.
主要方法:
- 该研究涉及强制性ACLS本科模拟培训课程.
- 控制组接受了传统的教师领导的培训,干预组接受了包含SMM的培训.
- 测量结果包括心肺复苏质量 (TS和NTS),情境动机和主观学习收益.
主要成果:
- 干预组在NTS中显著改善 (P=.01),而对照组没有.
- 对照组显示TS显著改善 (P=.030),但干预组没有显示统计学上显著的改善 (P=.078).
- 两组都表现出相似的动机变化,并报告了显著的学习收益,具有高水平的自主动机.
结论:
- SBME对于教学TS是有效的,但需要先进的方法来改进NTS.
- 发展SMM是加强SBME中NTS的一个有希望的策略.
- 结合教学技术和实践应用的平衡方法,包括SMM开发,对于ACLS培训中全面的技能获取至关重要.
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