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Updated: Feb 6, 2026

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息医学专业培训的模拟主题:一个两阶段的课程开发需要评估
Laurie Lemieux1, Kathryn Nichol2, Purnima Rao3
1Division of Palliative Medicine, University of Calgary, Calgary, Canada.
Journal of palliative medicine
|February 4, 2026
概括
本研究确定了息医学培训的关键模拟主题,包括复杂的症状管理和紧急情况. 这些发现将指导制定结构化的课程,以加强专业教育.
科学领域:
- 医学教育 医学教育
- 抚慰性护理是一种缓解性护理.
- 基于模拟的学习
背景情况:
- 在息医学中模拟的使用是有限的,主要用于通信和疼痛管理.
- 对于复杂的症状管理和息医学中的紧急情况,需要一个结构化的模拟课程.
- 目前的培训缺乏一种系统的方法来模拟先进的息护理.
研究的目的:
- 确定和优先考虑临床关键主题,用于息医学专业培训模拟课程.
- 建立一个以共识驱动的优先级模拟主题列表.
- 为制定一个全面的息医学模拟课程提供信息.
主要方法:
- 利用Kern的六步课程开发模型.
- 进行了两阶段的需求评估:对101名息护理从业者的调查和对46名参与者的Delphi方法共识研究.
- 采用系统方法来识别和优先考虑模拟培训需求.
主要成果:
- 确定了十个高优先级的模拟主题:呼吸障碍危机,复杂的疼痛管理,急性疼痛危机,终端激动性妄想,呼吸道阻塞,存在性痛苦,息镇静,难治的恶心和吐,阿片类药物使用障碍和呼吸器支持撤回.
- 这些主题与基于能力的教育和可信任的专业活动保持一致.
- 优先考虑的主题涉及息医学中的关键和复杂的临床场景.
结论:
- 该研究解决了复杂和新出现的息护理情况的基于模拟的培训中的重大差距.
- 未来的步骤包括与项目主管进行验证,并为课程开发制定资源映射.
- 这项工作支持了通过模拟推进息医学专业教育的合作努力.
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