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缩小差距:经验丰富的模拟教育工作者在日常医疗保健中的角色与影响

Closing the Gap: Experienced Simulation Educators' Role and Impact on Everyday Health care.

作者信息

Tamás Éva, Södersved Källestedt Marie-Louise, Hult Håkan, Karlgren Klas, Allvin Renée

机构信息

Dr. Tamás: Department of Cardiovascular Diseases, Institute of Medicine and Health, Medical Faculty, University of Linköping, Linköping, Sweden. Dr. Södersved Källestedt: Clinical Skills Center, Center for Clinical Research, Uppsala University, Västerås, Sweden. Dr. Hult: Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden. Dr. Karlgren: Department of Learning, Informatics, Management, and Ethics and Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden. Dr. Allvin: Clinical Skills Center, Faculty of Medicine and Health, School of Medical Sciences, Örebro University, Örebro, Sweden.

出版信息

J Contin Educ Health Prof. 2019 Winter;39(1):36-41. doi: 10.1097/CEH.0000000000000240.

Abstract

INTRODUCTION

Trained simulation educators (SEs) usually work both at simulation centers and in everyday health care, and thus, they possess dual expertise. Experienced SEs are known to grow confident with their expanding experience, but evidence is scarce about how this affects their development as clinical professionals. The aim of this study was to explore how experienced SEs describe their role within the context of everyday health care.

METHODS

An explorative descriptive study including 14 semistructured interviews and 27 questionnaires was conducted with 41 experienced SEs. An inductive thematic analysis was used to identify and analyze patterns describing SEs' perceptions of the influence of their educational work on everyday health care.

RESULTS

The SEs' descriptions of their encounters during everyday clinical work, which were affected by the fact that they had experience of facilitating simulation training, were gathered into three main themes with three of their own subthemes: education (educational needs, routines/guidelines, and being a resource), nontechnical skills (communication, feedback, and leadership/coworkership), and clinical proficiency (situational insight, role model, and confidence in clinical practice). The insights gained and actions taken as clinical professionals are all intended to be implemented with the ultimate aim of safe patient care.

DISCUSSION

All the aspects of the SEs' work are perceived to be successfully translated into clinical practice and can be summarized by the main themes of education, nontechnical skills, and clinical proficiency as delineated by this study. These themes are demonstrated at the individual, team, and organizational levels through increased competence and confidence.

摘要

引言

受过培训的模拟教育工作者(SEs)通常在模拟中心和日常医疗保健环境中工作,因此,他们具备双重专业知识。众所周知,经验丰富的SEs会随着经验的增加而变得更加自信,但关于这如何影响他们作为临床专业人员的发展的证据却很少。本研究的目的是探讨经验丰富的SEs如何描述他们在日常医疗保健背景下的角色。

方法

对41名经验丰富的SEs进行了一项探索性描述性研究,包括14次半结构化访谈和27份问卷调查。采用归纳主题分析法来识别和分析描述SEs对其教育工作对日常医疗保健影响的看法的模式。

结果

SEs对他们在日常临床工作中遇到的情况的描述,受到他们有促进模拟培训经验这一事实的影响,这些描述被归纳为三个主要主题以及各自的三个子主题:教育(教育需求、常规/指南以及作为一种资源)、非技术技能(沟通、反馈以及领导能力/合作能力)和临床熟练程度(情境洞察力、榜样作用以及临床实践中的信心)。作为临床专业人员所获得的见解和采取的行动都旨在最终以安全的患者护理为目标来实施。

讨论

SEs工作的所有方面都被认为成功地转化为了临床实践,并且可以通过本研究所界定的教育、非技术技能和临床熟练程度这些主要主题来概括。这些主题通过个人、团队和组织层面能力和信心的提升得以体现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f759/6400642/959afc92d526/ceh-39-36-g002.jpg

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