基于模拟的死亡通知培训的初步评估和实施,用于军事居民
Marion Legay1, Guillaume Vanderperre1, Anaelle Leroux1
1Department of Oncology, Hôpital National d'Instruction des Armées Sainte Anne, Toulon, 83000, France.
Military medicine
|January 30, 2026
概括
军事医疗人员在死亡通知方面需要专门的培训. 一个基于模拟的程序显著提高了他们宣布死亡的技能和自我效能,提高了对悲伤家庭的关怀.
科学领域:
- 医疗教育 医学教育
- 军事医学 军事医学
- 紧急医疗 紧急医疗
背景情况:
- 将病人的死亡信息传达给家属是一个敏感的医疗任务,特别是在军队中,因为突然死亡.
- 法国军事医疗人员在死亡通知程序方面缺乏系统的培训.
- 这种差距需要对当前的培训进行评估,并制定有针对性的教育干预措施.
研究的目的:
- 评估军事医疗住院人员在死亡通知方面的基础训练水平.
- 设计和实施基于模拟的培训计划,以解决已识别的培训缺口.
- 评估该计划对居民自我效能及其长期相关性的影响.
主要方法:
- 一项使用分发给军事医疗住院人员 (2023-2024年队伍) 的问卷进行的观察性研究.
- 根据初步发现,开发和交付一个定制的基于模拟的培训计划.
- 培训前后进行自我评估,并进行5个月的后续调查以衡量结果.
主要成果:
- 在72名受访居民中,只有19%以前曾宣布过死亡,而65%的人觉得自己没有做好准备.
- 44%的受访者表示,他们接受过先前的培训,但他们发现技能差距很大.
- 基于模拟的培训显著改善了10个评估技能中的8个 (P < .05);100%的人认为在后续中是有用的.
结论:
- 显然需要为军事医生提供专门的死亡通知培训.
- 基于模拟的程序有效地提高了居民宣布死亡的自我效能.
- 建议每年整合这项培训,以改善对丧亲军人家属的照顾.
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