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科尔布实践中的体验式学习:居民课程
Kelci Butler1, Sarah Klein2, Danny Mackenzie1
1Department of Pediatrics, Advocate Children's Hospital, Park Ridge, Illinois, USA.
The clinical teacher
|January 27, 2026
概括
一个新的实践课程提高了儿科住院医疗器械管理的信心和技能. 这种培训对于准备未来的医生照顾技术依赖儿童是有价值的.
科学领域:
- 医学教育 医学教育
- 儿科住院培训培训 儿科住院培训
- 医疗器械管理 医疗器械管理
背景情况:
- 越来越多的技术依赖儿童需要专门的护理.
- 儿科住院医生往往缺乏足够的准备来管理医疗设备.
- 在为居民准备复杂的儿科护理方面存在教育差距.
研究的目的:
- 试点为儿科住院生提供一种新的,实践性的医疗器械课程.
- 评估本课程对学习者驱动成果的影响.
- 解决有关医疗技术的儿科住院人员培训的教育差距.
主要方法:
- 利用Kern的六步方法来开发和评估课程.
- 根据科尔布的体验式学习理论设计了五个研讨会 (中心线,胸腔管,肠道养,气管切割,变送).
- 将研讨会整合到由多学科专家领导的中午会议中,并衡量可行性,相关性和基于能力的结果 (自我评估,知识评估,ACGME里程碑).
主要成果:
- 13名研究生第一年 (PGY1) 居民参与了.
- 主题分析显示,医疗器械管理的舒适性和实践技能有所提高.
- 居民在3/5设备和9/10ACGME里程碑的自我评估技能上显示了统计学上显著的改善.
- 与未暴露的同龄人相比,暴露居民的知识评估得分更高 (不具有统计学意义).
结论:
- 手动的医疗器械课程对于儿科住院教育是有价值的.
- 该课程成功整合,受到了好评,并对技能和知识产生了积极的影响.
- 对于考虑类似适应方案,建议对患者水平结果进行进一步的研究.
相关概念视频
01:27Fundamentals of Nursing Process I
The nursing process is the core of practice for every registered nurse to deliver holistic, patient-focused care. The following are the five steps in the nursing process.
01:25Fundamentals of Nursing Process II
There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:21Cognitive Learning
Cognitive learning is based on purposive behavior, incidental learning, and insight learning.
E. C. Tolman's theory of purposive behavior emphasizes that much behavior is goal-directed. He argued that to understand behavior, we must look at the entire sequence of actions leading to a goal. For instance, high school students study hard, not just due to past reinforcement but also to achieve the goal of getting into a good college.
Tolman introduced the idea that behavior is influenced by...
E. C. Tolman's theory of purposive behavior emphasizes that much behavior is goal-directed. He argued that to understand behavior, we must look at the entire sequence of actions leading to a goal. For instance, high school students study hard, not just due to past reinforcement but also to achieve the goal of getting into a good college.
Tolman introduced the idea that behavior is influenced by...
01:22Purposive Learning
E. C. Tolman emphasized the purposiveness of behavior — the idea that much of our behavior is goal-directed. For instance, employees who aim for a promotion work diligently to meet their targets. Tolman argued that when classical conditioning and operant conditioning occur, the organism acquires certain expectations. In classical conditioning, a child might fear a dog because they expect it to bite. In operant conditioning, a person might consistently work overtime because they expect a bonus...
01:12Observational Learning
Albert Bandura's observational learning, also known as imitation or modeling, occurs when a person observes and imitates another's behavior. It is a quicker process than operant conditioning. A well-known example is the Bobo doll study, where children who saw an adult acting aggressively towards the doll were more likely to act aggressively when left alone, compared to those who observed a nonaggressive adult. Many psychologists view observational learning as a form of latent learning because...