Shiner N
University of Derby, Kedleston Road, Derby DE22 1GB, UK.
Radiography (Lond). 2019 Nov;25(4):294-300. doi: 10.1016/j.radi.2019.04.009. Epub 2019 May 11.
This study reports on the use of moulage within a simulation to introduce first year diagnostic radiography students to open wounds in preparation for clinical practice.
A mixed-method quasi-experimental design was used. Visual Analogue Scales were used to capture state feelings at the point of seeing open wounds. Interpretative Phenomenological Analysis was used to draw themes from focus groups and an interview following clinical placement.
The simulation reduced negative feelings whilst emotional preparedness, distraction and excitement increased. Five major themes were identified including emotional engagement, engagement with wound, building relationships, developing professional self and simulation impact.
The use of moulage and a simulation provides an opportunity to explore initial reactions. Students actively reflect on this experience during clinical practice changing practice. The impact of open wounds can be long lasting and support from radiographers should allow these new experiences to be processed reducing the risk of burnout.
本研究报告了在模拟环境中使用模拟道具向一年级诊断放射学学生介绍开放性伤口,为临床实践做准备的情况。
采用了混合方法的准实验设计。使用视觉模拟量表来捕捉看到开放性伤口时的状态感受。采用解释性现象学分析从焦点小组和临床实习后的访谈中提取主题。
模拟减少了负面情绪,同时情绪准备、注意力分散和兴奋感增加。确定了五个主要主题,包括情感投入、与伤口的接触、建立关系、发展专业自我和模拟影响。
使用模拟道具和模拟提供了一个探索初始反应的机会。学生在临床实践中积极反思这段经历,从而改变实践。开放性伤口的影响可能是持久的,放射技师的支持应有助于处理这些新经历,降低倦怠风险。