From the Department of Obstetrics and Gynecology Nursing (C.Y.), Hacettepe University, Faculty of Nursing, Ankara, Turkey; The University of Queensland (G.H.), Faculty of Health and Behavioural Sciences, School of Nursing, Midwifery and Social Work, Brisbane, Queensland, Australia; Department of Nursing (F.T.), Atilim University, Faculty of Health Sciences, Ankara, Turkey; University of the Sunshine Coast (F.B.), Sunshine Coast; and The University of Queensland (F.B.), Brisbane, Queensland, Australia.
Simul Healthc. 2020 Apr;15(2):98-105. doi: 10.1097/SIH.0000000000000416.
This review explores the effectiveness of simulation-based team training in obstetric emergencies for improving technical skills. A literature search was conducted that included all articles to January 2018. A total of 21 articles were included from a potential 1327 articles. Each included study was assessed for impact of the training program using Kirkpatrick's 4-level model. Only the performance of technical skills was evaluated.Five studies reported on acceptance of simulation as an education tool at a level 1. Level 2 outcomes were reported in 7 studies where staff demonstrated improved skills in an educational setting. Three studies reported improved performance in a clinical setting at a level 3. Ten studies were categorized as level 4 and found that simulation learning was translated into improved techniques or maneuvers in reduced time frames in emergency situations of shoulder dystocia and postpartum hemorrhage. There was evidence that neonatal outcomes were improved.
本文回顾了基于模拟的团队训练在产科急症中提高技术技能的效果。检索了截至 2018 年 1 月的所有文献。从最初的 1327 篇文章中筛选出了 21 篇文章。根据柯克帕特里克的四级模型评估了每个研究对培训计划的影响。仅评估了技术技能的表现。有 5 项研究报告了模拟作为一种教育工具的接受程度，处于第 1 级。有 7 项研究报告了第 2 级的结果，在教育环境中工作人员的技能有所提高。有 3 项研究报告了第 3 级在临床环境中的表现有所提高。10 项研究被归类为第 4 级，发现模拟学习在肩难产和产后出血等紧急情况下缩短了时间，提高了技术或手法。有证据表明新生儿结局得到了改善。
