Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA
Department of Pediatrics, Seattle Children's Hospital, Seattle, Washington, USA.
BMJ Open. 2020 Feb 10;10(2):e034029. doi: 10.1136/bmjopen-2019-034029.
The objective of this study was to explore the access to, and perceived utility of, various simulation modalities by in-service healthcare providers in a resource-scarce setting.
Paediatric training workshops at a national paediatric conference in Nigeria.
All 200 healthcare workers who attended the workshop sessions were eligible to participate. A total of 161 surveys were completed (response rate 81%).
A paper-based 25-item cross-sectional survey on simulation-based training (SBT) was administered to a convenience sample of healthcare workers from secondary and tertiary healthcare facilities.
Respondents were mostly 31-40 years of age (79, 49%) and women (127, 79%). Consultant physicians (26, 16%) and nurses (56, 35%) were in both general (98, 61%) and subspecialty (56, 35%) practice. Most had 5-10 years of experience (62, 37%) in a tertiary care setting (72, 43%). Exposure to SBT varied by profession with physicians more likely to be exposed to manikin-based (29, 30% physicians vs 12, 19% nurses, p<0.001) or online training (7, 7% physician vs 3, 5% nurses, p<0.05). Despite perceived barriers to SBT, respondents thought that SBT should be expanded for continuing education (84, 88% physician vs 39, 63% nurses, p<0.001), teaching (73, 76% physicians vs 16, 26% nurses, p<0.001) and research (65, 68% physicians vs 14, 23% nurses, p<0.001). If facilities were available, nearly all respondents (92, 98% physicians; 52, 96% nurses) would recommend the use of online simulation for their centre.
The access of healthcare workers to SBT is limited in resource-scarce settings. While acknowledging the challenges, respondents identified many areas in which SBT may be useful, including skills acquisition, skills practice and communication training. Healthcare workers were open to the use of online SBT and expressed the need to expand SBT beyond the current scope for health professional training in Nigeria.
本研究旨在探讨资源匮乏环境下在职医疗保健提供者对各种模拟模式的可及性和感知效用。
尼日利亚全国儿科会议上的儿科培训研讨会。
所有参加研讨会的 200 名医疗保健工作者均有资格参加。共完成了 161 份调查（回应率为 81%）。
对来自二级和三级医疗机构的医疗保健工作者进行了一项基于纸质的 25 项横断面调查，内容涉及基于模拟的培训（SBT）。
受访者主要年龄在 31-40 岁（79 人，占 49%）和女性（127 人，占 79%）。顾问医师（26 人，占 16%）和护士（56 人，占 35%）均从事一般（98 人，占 61%）和专科（56 人，占 35%）实践。大多数人在三级护理环境中拥有 5-10 年的经验（62 人，占 37%）。接触 SBT 的情况因专业而异，医生更有可能接触到基于人体模型的培训（29 人，占 30%的医生与 12 人，占 19%的护士相比，p<0.001）或在线培训（7 人，占 7%的医生与 3 人，占 5%的护士相比，p<0.05）。尽管受访者认为 SBT 存在障碍，但他们认为 SBT 应该扩展到继续教育（84 人，占 88%的医生与 39 人，占 63%的护士相比，p<0.001）、教学（73 人，占 76%的医生与 16 人，占 26%的护士相比，p<0.001）和研究（65 人，占 68%的医生与 14 人，占 23%的护士相比，p<0.001）。如果有设施可用，几乎所有受访者（92%的医生；52%的护士）都将推荐其中心使用在线模拟。
在资源匮乏的环境中，医疗保健工作者获得 SBT 的机会有限。尽管认识到了挑战，但受访者确定了 SBT 在许多领域可能有用，包括技能获取、技能练习和沟通培训。医疗保健工作者对在线 SBT 的使用持开放态度，并表示需要将 SBT 扩展到尼日利亚目前的卫生专业人员培训范围之外。
