Halamek Louis P
Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University, Suite 315, 750 Welch Road, Palo Alto, CA 94305, USA.
Semin Fetal Neonatal Med. 2008 Dec;13(6):448-53. doi: 10.1016/j.siny.2008.04.015. Epub 2008 Jun 3.
The science underlying neonatal resuscitation is growing exponentially in quantity and quality. So, too, is the knowledge of effective methodologies that facilitate acquisition and maintenance of the cognitive, technical, and behavioral skills necessary to for successful resuscitation of the newborn. One of these methodologies, simulation-based training, offers many advantages over more traditional methodologies: By providing key visual, auditory, and tactile cues it creates a high level of physical, biological, and psychological fidelity to the real environment and thus is able to elicit realistic responses from trainees. Training scenarios coupled with debriefings (where discussion of what went well and what could be improved upon occur in a nonjudgmental fashion) provide rich learning experiences that rival or exceed those in the real clinical environment. Simulation-based training will likely become the standard for not only routine training but also high-stakes assessment such as licensure and board certification.
新生儿复苏的基础科学在数量和质量上都呈指数级增长。促进获取和维持新生儿成功复苏所需的认知、技术和行为技能的有效方法的知识也是如此。其中一种方法，即基于模拟的培训，与更传统的方法相比具有许多优势：通过提供关键的视觉、听觉和触觉线索，它营造出与真实环境高度逼真的物理、生物和心理环境，从而能够引发学员的真实反应。培训场景与总结汇报（以无评判的方式讨论哪些方面做得好以及哪些方面可以改进）相结合，提供了丰富的学习体验，可与真实临床环境中的体验相媲美甚至超越。基于模拟的培训不仅可能成为常规培训的标准，也可能成为诸如执照颁发和委员会认证等高风险评估的标准。
