Department of Rural Health, University of Newcastle, 114-140 Johnson Street, Tamworth, NSW 2340, Australia; School of Medicine and Public Health, University of Newcastle, Bowman Building, University Drive, Callaghan, NSW 2300, Australia.
School of Medicine and Public Health, University of Newcastle, Bowman Building, University Drive, Callaghan, NSW 2300, Australia.
Nurse Educ Today. 2018 May;64:49-55. doi: 10.1016/j.nedt.2018.01.003. Epub 2018 Feb 22.
Simulation Based Education (SBE) is used as a primer for clinical education in nursing and other health professions. Participant engagement strategies and good debriefing have been identified as key for effective simulations. The environment in which the simulation is situated also plays a large role in the degree of participant engagement. Various cues are staged within simulations to enhance this engagement process. Moulage techniques are used in current-day simulation to mimic illnesses and wounds, acting as visual and tactile cues for the learner. To effectively utilise moulage in simulation, significant expense is required to train simulation staff and to purchase relevant equipment.
Explore the use of moulage in simulation practice today and its influence on participant engagement.
Using a systematic process to extract papers, we reviewed the literature with a critical-realist lens.
CINAHL Complete, ERIC, Embase, Medline, PsycINFO, SCOPUS, Web of Science, Proquest, Science Direct and SAGE.
10 databases were systematically reviewed using the keyword "moulage" to answer the question "How does the authenticity of moulage impact on participant engagement?". 1318 records were identified prior to exclusion criterion were applied. 10 articles were targeted for review, following exclusion for English language and publication between 2005 and 2015.
The resulting 10 papers were assessed for quality using the Medical Education Research Study Quality Instrument (MERSQI). The majority of papers were situated in dermatology teaching, with only one nursing paper. Study participants were both undergraduate and postgraduate. Most of the studies were undertaken at a university setting. No papers comprehensively addressed whether the authenticity of moulage influences learner engagement.
Results were limited, yet clearly outline a widely held assumption that moulage is essential in simulation-based education for improved realism and subsequent learner engagement. Despite this, there is no clear evidence from the literature that this is the case, suggesting that further research to explore the impact of moulage on participant engagement is warranted. A number of recommendations are made for future research.
模拟教育（SBE）被用作护理和其他健康专业的临床教育的基础。已经确定，参与者参与策略和良好的汇报对于有效的模拟至关重要。模拟所处的环境也在参与者参与的程度方面起着重要作用。各种提示在模拟中设置，以增强此参与过程。化妆技术用于当前的模拟中，以模拟疾病和伤口，为学习者提供视觉和触觉提示。为了有效地在模拟中使用化妆，需要花费大量的培训模拟人员和购买相关设备的费用。
探讨当前模拟实践中化妆的使用及其对参与者参与的影响。
使用系统的过程提取论文，我们使用批判现实主义视角审查了文献。
CINAHL Complete、ERIC、Embase、Medline、PsycINFO、SCOPUS、Web of Science、Proquest、Science Direct 和 SAGE。
使用关键字“moulage”系统地审查了 10 个数据库，以回答问题“化妆的逼真度如何影响参与者的参与度？”。在应用排除标准之前，确定了 1318 条记录。针对 10 篇文章进行了审查，排除了英语和 2005 年至 2015 年之间发表的文章。
使用医学教育研究研究质量工具（MERSQI）对这 10 篇论文进行了质量评估。大多数论文都位于皮肤科教学中，只有一篇护理论文。研究参与者既有本科生也有研究生。大多数研究都是在大学环境中进行的。没有论文全面解决化妆的逼真度是否影响学习者的参与度。
结果有限，但清楚地概述了一个广泛持有的假设，即化妆在基于模拟的教育中对于提高现实感和随后的学习者参与度是必不可少的。尽管如此，文献中没有明确的证据表明事实如此，这表明有必要进行进一步的研究，以探讨化妆对参与者参与度的影响。提出了一些对未来研究的建议。
