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基于模拟的教育工作坊:参与者的看法

Simulation-based education workshop: perceptions of participants.

作者信息

Piryani Rano Mal, Piryani Suneel, Shrestha Unisha, Acharya Asmita, Kanskar Srijana, Shahi Mandira, Kayastha Jeny, Chaulagain Amrita, Agarwal Jagdish Prasad, Bajracharya Sangha Ratna

机构信息

Health Professions Training Committee, Universal College of Medical Sciences, Bhairahawa, Nepal.

Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.

出版信息

Adv Med Educ Pract. 2019 Jul 23;10:547-554. doi: 10.2147/AMEP.S204816. eCollection 2019.

Abstract

BACKGROUND

Simulation-based education (SBE) is increasingly endorsed as an educational strategy. It allows health-care professionals to practice clinical skills within a safe learning environment, and requires devices for simulation or simulated patients, trained teachers, and an appropriate environment. The objective of this study was to evaluate perceptions of participants on SBE and an SBE workshop.

METHODS

A 1-day SBE workshop was conducted on September 4, 2018, in collaboration with Laerdal Global Health Nepal and the National Centre for Health Professions Education (NCHPE), Institute of Medicine, Kathmandu, Nepal. Semistructured pretest and posttest questionnaires were used to evaluate the perceptions of participants regarding SBE and the effectiveness of the workshop. Data were analyzed using SPSS 21.

RESULTS

The mean difference in participant perceptions of SBE before and after participation in the workshop was significant (<0.05) on seven statements: enhances communication skills (pretest 4.53±0.72, posttest 4.84±0.75; =0.03), helps in seeing and managing even rarest of cases (pretest 3.59±1.00, posttest 4.21±0.92; =0.02), overcomes the problem of uncooperative patients (pretest 3.12±0.93, posttest 3.95±1.22; =0.004), increases confidence of students in dealing with real patients (pretest 4.29±0.77, posttest 4.79±0.42; =0.041), enables preparation of rating scales for skills and attitude evaluation (pretest 3.76±0.83, posttest 4.11±0.76; =0.049), provides immediate feedback during simulation (pretest 4.06±0.9, posttest 4.58±0.51; =0.016), and keeps materials/equipment ready before simulation (pretest 4.29±0.68, posttest 4.79±0.53; =0.007). Mean scores for participant feedback on the workshop using a Likert scale of 1-5 (5= strongly agree, 1= strongly disagree) were notable: objective of workshop fulfilled (4.16±0.688), session very interesting (4.37±0.597), session useful for future job (4.47±0.513), scenario relevant to subject (4.21±0.787), what I learnt will be useful in practice (4.05±0.78), resource persons/facilitators were helpful and effective (4.37±0.597), professional (4.42±0.507), and answered all questions (4.32±0.478), and course content was presented clearly (4.26±0.452). Almost all participants found the workshop useful and well presented, and suggested conducting such workshops frequently.

CONCLUSION

The SBE workshop produced substantial differences in perceptions of participants. Participants found the workshop effective in improving knowledge and understanding of SBE.

摘要

背景

基于模拟的教育(SBE)作为一种教育策略越来越受到认可。它使医疗保健专业人员能够在安全的学习环境中练习临床技能,并且需要模拟设备或模拟患者、训练有素的教师以及合适的环境。本研究的目的是评估参与者对SBE和一次SBE工作坊的看法。

方法

2018年9月4日,与挪威挪度全球健康公司和尼泊尔加德满都医学研究所国家卫生专业教育中心(NCHPE)合作举办了为期1天的SBE工作坊。采用半结构化的预测试和后测试问卷来评估参与者对SBE的看法以及工作坊的效果。使用SPSS 21对数据进行分析。

结果

在七个陈述方面,参与者参加工作坊前后对SBE看法的平均差异具有统计学意义(<0.05):提高沟通技巧(预测试4.53±0.72,后测试4.84±0.75;P = 0.03)、有助于观察和处理极为罕见的病例(预测试3.59±1.00,后测试4.21±0.92;P = 0.02)、克服不合作患者的问题(预测试3.12±0.93,后测试3.95±1.22;P = 0.004)、增强学生与真实患者打交道的信心(预测试4.29±0.77,后测试4.79±0.42;P = 0.041)、能够制定技能和态度评估的评分量表(预测试3.76±0.83,后测试4.11±0.76;P = 0.049)、在模拟过程中提供即时反馈(预测试4.06±0.9,后测试4.58±0.51;P = 0.016)以及在模拟前准备好材料/设备(预测试4.29±0.68,后测试4.79±0.53;P = 0.007)。使用1 - 5李克特量表(5 = 强烈同意,1 = 强烈不同意)对工作坊参与者反馈的平均得分很显著:工作坊目标达成(4.16±0.688)、课程非常有趣(4.37±0.597)、课程对未来工作有用(4.47±0.513)、情景与主题相关(4.21±0.787)、我所学的内容在实践中会有用(4.05±0.

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