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一种创新方法:运用模拟教学初级保健妇科手术。

An Innovative Approach: Using Simulation to Teach Primary Care Gynecologic Procedures.

作者信息

Hellier Susan D, Ramponi Denise R, Wrynn Alexander, Garofalo Stephanie

机构信息

From the Robert Morris University School of Nursing and Health Sciences (S.D.H., D.R.R. A.W., S.G.), Moon Township, PA.

出版信息

Simul Healthc. 2017 Aug;12(4):268-273. doi: 10.1097/SIH.0000000000000213.

DOI:10.1097/SIH.0000000000000213
PMID:28072606
Abstract

INTRODUCTION

In response to the growing body of evidence that simulation is a satisfactory way to instruct procedural skills, we developed an innovative model to teach common gynecologic procedures such as cervical cancer screening, cervical polyp removal, intrauterine device removal, and endometrial biopsy. The objectives of this study were to describe the construction of the model and to assess participants' satisfaction and confidence in applying the learning objectives to their clinical practice.

METHODS

The researchers created the model with reusable and readily available materials. During a hands-on skills workshop, practicing clinicians performed simulated cervical cancer screening, endocervical polyp removal, intrauterine device removal, and an endometrial biopsy on a low-fidelity gynecologic model. Using convenience sampling, each participant completed a survey designed to measure satisfaction with the workshop and self-confidence in their newly acquired skills.

RESULTS

All (N = 30,100%) of the participants agreed at the "agree" or "strongly agree" level that the gynecologic skills workshop using lecture and a hands-on model was a satisfying and self-confidence-building experience.

CONCLUSIONS

An easily reproducible and reusable gynecologic procedure simulator was highly rated as a means of teaching common primary care gynecologic procedures. The simulated model provided an opportunity for hands-on skills learning for clinicians who wish to expand their gynecologic procedure skill set.

摘要

引言

鉴于越来越多的证据表明模拟是指导操作技能的一种令人满意的方式,我们开发了一种创新模型来教授常见的妇科手术,如宫颈癌筛查、宫颈息肉切除、宫内节育器取出和子宫内膜活检。本研究的目的是描述该模型的构建,并评估参与者对将学习目标应用于临床实践的满意度和信心。

方法

研究人员用可重复使用且容易获得的材料创建了该模型。在一个实践技能工作坊中,执业临床医生在一个低保真度的妇科模型上进行了模拟宫颈癌筛查、宫颈管息肉切除、宫内节育器取出和子宫内膜活检。采用便利抽样法,每位参与者完成了一项旨在衡量对工作坊的满意度以及对新获得技能的自信程度的调查。

结果

所有参与者(N = 30,100%)在“同意”或“强烈同意”的程度上一致认为,使用讲座和实践模型的妇科技能工作坊是一次令人满意且能增强自信的经历。

结论

一种易于复制和重复使用的妇科手术模拟器作为教授常见初级保健妇科手术的手段获得了高度评价。该模拟模型为希望扩展其妇科手术技能的临床医生提供了实践技能学习的机会。

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