Shiner N, Howard M L
University of Derby, Kedleston Road, Derby, DE22 1GB, United Kingdom.
Raigmore Hospital, Old Perth Road, Inverness, IV23UJ, United Kingdom.
Radiography (Lond). 2019 Aug;25(3):194-201. doi: 10.1016/j.radi.2018.12.015. Epub 2019 Jan 8.
There is a national drive to increase allied health professions simulation training. However, there is a paucity of literature within diagnostic radiography in relation to clinical simulation. No research could be found regarding the impact of simulation in radiography with complex clinical burns scenarios. This research aims to explore the perceptions of radiography undergraduate students regarding their preparedness for the complex care requirements in imaging examinations of clinical burns cases using a mixed methods approach.
A small-scale simulation-based teaching session was developed in a Scottish HEI, using role play and moulage to create realism. Twenty-eight undergraduate student radiographers participated in the scenario. Students completed pre and post-scenario questionnaires using Likert scale and free response data. Focus groups were undertaken three months after the simulation to obtain rich qualitative data. Common themes were identified via a process of initial coding and a 6-phase thematic analysis.
Thematic analysis demonstrated a marked increased perception of preparedness post-scenario; students felt more prepared to undertake their role in the imaging of complex care patients (Likert scoring increased with both mode and median post-scenario). Common themes that were identified were patient centeredness, realism and learning.
Within this limited pilot project, the use of simulation was an effective means of preparing students to understand their role within the complex care setting (with respect to the traumatic realism of burns) in preparedness for professional practice. Additionally, students related to the practical understanding of the complexity of human factors that exist within clinical practice.
目前全国正在推动增加联合健康专业的模拟培训。然而，诊断放射学领域中关于临床模拟的文献匮乏。尚未找到关于模拟在复杂临床烧伤场景的放射检查中所产生影响的研究。本研究旨在采用混合方法，探讨放射学本科学生对于使用模拟训练来为临床烧伤病例影像检查中的复杂护理要求做好准备的看法。
在苏格兰的一所高等教育机构开展了一场小规模的基于模拟的教学课程，运用角色扮演和人体模型制作来营造真实感。28名放射学本科学生参与了该场景模拟。学生们使用李克特量表和自由回答数据完成了模拟前后的问卷调查。在模拟结束三个月后进行了焦点小组讨论，以获取丰富的定性数据。通过初始编码过程和六阶段主题分析确定了常见主题。
主题分析表明，模拟后学生对做好准备的认知有显著提高；学生们感觉更有准备在复杂护理患者的影像检查中发挥自己的作用（模拟后李克特评分的均值和中位数均有所增加）。确定的常见主题包括以患者为中心、真实感和学习。
在这个有限的试点项目中，模拟的使用是一种有效的方式，能让学生理解他们在复杂护理环境中（针对烧伤的创伤真实感）的角色，为专业实践做好准备。此外，学生们也从实践角度理解了临床实践中存在的人为因素的复杂性。
