为农村提供者提供新生儿复苏团队培训的混合方法试点研究,使用混合现实原型模拟器HoloBaby
Michael A Ferguson1, Micheline Chipman, Anya Cutler
1From the Tufts School of Medicine (M.A.F.), Pediatric Intensive Care, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, ME; The Hannaford Center for Safety, Innovation and Simulation (M.C.), Department of Medical Education, Maine Medical Center, Portland, ME; MaineHealth Institute for Research (A.C.), Center for Interdisciplinary Population and Health Research, Department of Pediatrics Scholars Academy, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, ME; Interactive Commons (M.A.G.), Case Western Reserve University, Cleveland, OH; Tufts University School of Medicine (L.M.), Boston, MA, The Hannaford Center for Safety, Innovation and Simulation, Department of Medical Education; Department of Pediatrics, Section of Hospital Medicine, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, ME; Tufts University School of Medicine (M.M.), Boston, MA, Department of Pediatrics, Section of Neonatal-Perinatal Medicine, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, ME; Department of Pediatrics Scholars Academy (L.M.S.), The Barbara Bush Children's Hospital at Maine Medical Center, Portland, ME; Tufts University School of Medicine (A.Z.), Boston, MA, Department of Pediatrics, Section of Neonatal-Perinatal Medicine, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, ME; Tufts School of Medicine (M.Z.), Pediatric Intensive Care, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, ME; Tufts University School of Medicine (M.O.), Boston, MA; MaineHealth Child Health Service Line; Department of Pediatrics, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, ME.
使用HoloBaby混合现实模拟器的农村临床医生在新生儿复苏训练期间提高了识别冲击的能力. 这项技术为传统方法提供了有价值的替代方案,克服了农村地区模拟访问的障碍.
科学领域:
- 医疗模拟 医疗模拟
- 新生儿复苏新生儿的复苏
- 混合现实技术技术混合现实技术
背景情况:
- 农村新生儿面临更高的发病率和死亡率风险,原因是新生儿重症监护室 (NICU) 的访问有限.
- 农村医院的低分娩量减少了临床医生对新生儿复苏的接触,影响了技能维护.
- 模拟培训获取障碍阻碍了农村医疗保健提供者的技能发展.
研究的目的:
- 用HoloBaby混合现实 (MR) 模拟器评估和识别患者状态变化的农村临床医生的能力.
- 为了比较临床医生与HoloBaby的经验与传统的基于人形的模拟.
- 评估MR模拟与现实世界复苏体验相比的感知价值.
主要方法:
- 这是一项混合方法研究,涉及来自三个农村医院的45名跨专业临床医生.
- 参与者使用高科技模型 (HTM) 和HoloBaby MR模拟器完成了相同的新生儿复苏模拟.
- 通过模拟后调查和促进焦点小组收集的数据;使用后勤混合效应回归和主题分析进行分析.
主要成果:
- 临床医生报告使用HoloBaby比HTM更好地识别了冲击.
- 在评估/识别其他患者状态变化方面,在HoloBaby和HTM之间没有发现显著差异.
- 主题分析揭示了MR技术新性的主题,HoloBaby的比较优势/劣势,以及模拟培训的整体价值.
结论:
- HoloBaby MR模拟器提供了有效的基于模拟的团队训练,与HTM性能相匹配,并在识别冲击时超越它.
- 像HoloBaby一样,MRI模拟可以减轻农村环境中定期进行新生儿复苏培训的财务和地理障碍.
- HoloBaby显示了增强新生儿复苏技能和改善服务不足地区新生儿的结果的前景.
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