Miles Anna, Friary Philippa, Jackson Bianca, Sekula Julia, Braakhuis Andrea
Speech Science, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
Nutrition & Dietetics, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
Dysphagia. 2016 Jun;31(3):407-15. doi: 10.1007/s00455-016-9691-0. Epub 2016 Jan 23.
This study evaluated hospital readiness and interprofessional clinical reasoning in speech-language pathology and dietetics students following a simulation-based teaching package. Thirty-one students participated in two half-day simulation workshops. The training included orientation to the hospital setting, part-task skill learning and immersive simulated cases. Students completed workshop evaluation forms. They filled in a 10-question survey regarding confidence, knowledge and preparedness for working in a hospital environment before and immediately after the workshops. Students completed written 15-min clinical vignettes at 1 month prior to training, immediately prior to training and immediately after training. A marking rubric was devised to evaluate the responses to the clinical vignettes within a framework of interprofessional education. The simulation workshops were well received by all students. There was a significant increase in students' self-ratings of confidence, preparedness and knowledge following the study day (p < .001). There was a significant increase in student overall scores in clinical vignettes after training with the greatest increase in clinical reasoning (p < .001). Interprofessional simulation-based training has benefits in developing hospital readiness and clinical reasoning in allied health students.
本研究评估了言语病理学和营养学专业学生在接受基于模拟的教学包培训后对医院环境的准备情况和跨专业临床推理能力。31名学生参加了两场为期半天的模拟工作坊。培训内容包括医院环境介绍、部分任务技能学习和沉浸式模拟病例。学生们完成了工作坊评估表。他们在工作坊开始前和结束后立即填写了一份关于在医院环境中工作的信心、知识和准备情况的10道问题调查问卷。学生们在培训前1个月、培训即将开始前以及培训结束后立即完成了15分钟的书面临床案例分析。设计了一个评分标准,以在跨专业教育框架内评估对临床案例分析的回答。所有学生对模拟工作坊的评价都很高。在学习日之后,学生们对信心、准备情况和知识的自我评分有显著提高(p < .001)。培训后,学生在临床案例分析中的总体得分有显著提高,临床推理能力的提高最为显著(p < .001)。基于模拟的跨专业培训有助于培养联合健康专业学生对医院环境的准备能力和临床推理能力。