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未来基于模拟的掌握学习与故意实践干预对新生儿输管治疗的影响
Arika G Gupta1, Shamik B Trivedi1, Shawn M Smith2
1Division of Neonatology, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, USA.
Cureus
|August 4, 2025
概括
这项研究表明,基于模拟的掌握学习与故意练习有效地培养新生儿输管技巧. 该课程提高了医疗保健提供者在分娩室的表现和留守率.
科学领域:
- 医学教育 医学教育
- 新生儿复苏新生儿的复苏
- 基于模拟的培训
背景情况:
- 新生儿输内管是临界分娩室手术.
- 临床机会的减少挑战了提供者获得技能.
- 需要有效的培训方法来确保熟练.
研究的目的:
- 设计和实施基于模拟的掌握学习 (SBML) 课程,并有意识的实践 (DP).
- 评估本SBML与DP课程对新生儿输管性能和技能保留的影响.
- 为了满足对新生儿输管术的最佳熟练程度的需求.
主要方法:
- 一项前性单组研究为儿科医院医生和新生儿护士从业人员实施了SBML与DP干预.
- 参与者接受了基线评估,有反的故意练习和干预后评估,直到达到最低合格标准 (MPS).
- 在3至6个月后评估了技能保留,如果需要,则进行额外的实践.
主要成果:
- 大多数参与者 (95%) 之前的新生儿输管经验有限.
- 基线评估显示,95%的人没有达到MPS.
- 干预后,检查清单平均得分从74%提高到99%,具有显著的影响 (效果大小>2).
- 在保留评估时,66%的人在第一次尝试时遇到了MPS;92%的人报告了增加的信心和改善的临床实践.
结论:
- 带DP课程的SBML是培养新生儿输管技能在分娩室的有效方法.
- 这种方法优化了临床学习机会下降的关键程序的熟练程度.
- 医疗模拟提供了一种可行的解决方案,以保持和提高新生儿基本的复苏技能.
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