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成组模拟人基础的跨专业模拟训练在成人急诊创伤复苏中对真实团队协作的有效性:系统综述。

Effectiveness of Interprofessional Manikin-Based Simulation Training on Teamwork Among Real Teams During Trauma Resuscitation in Adult Emergency Departments: A Systematic Review.

机构信息

From the Université de Montréal (A.L., S.B., J.G.-L., P.L., C.A.); Research Center (J.G.-L.), Sainte-Justine Hospital; Research Center (P.L.), Montreal Heart Institute; and Research Center (A.L., C.A.), Sacré-Cœur Hospital, Montréal, Quebec, Canada.

出版信息

Simul Healthc. 2020 Dec;15(6):409-421. doi: 10.1097/SIH.0000000000000443.

DOI:10.1097/SIH.0000000000000443
PMID:32218090
Abstract

This systematic review synthesizes the relevant evidence about the effectiveness of interprofessional manikin-based simulation training on teamwork among real teams during trauma resuscitation in adult civilian emergency departments. A systematic literature search was conducted in MEDLINE, CINAHL, EMBASE, EBM reviews, PsycINFO, and Web of Science with no time limit. Only experimental and quasi-experimental studies were included. Effects of the simulation intervention on teamwork were categorized according to a modified version of the Kirkpatrick's model. From the 1120 studies found, 11 studies were included for synthesis. All studies showed immediate improvement in teamwork after training, but divergent results were found regarding skills retention. Although this review focused on interprofessional manikin-based simulations in real trauma teams, the results are similar to previous systematic reviews including different types of simulation. This raises significant questions regarding the importance of simulation design characteristics to improve teamwork in trauma care.

摘要

这篇系统综述综合了相关证据,探讨了成人平民急诊创伤复苏中,真实团队之间基于多专业模拟人的模拟训练对团队合作的有效性。系统检索了 MEDLINE、CINAHL、EMBASE、EBM 评价、PsycINFO 和 Web of Science,未设时间限制。仅纳入了实验和准实验研究。根据柯克帕特里克模型的修订版,对模拟干预对团队合作的影响进行了分类。在 1120 项研究中,有 11 项研究被纳入进行综合分析。所有研究都表明培训后团队合作立即得到改善,但技能保留方面的结果存在差异。尽管本综述重点关注真实创伤团队中的多专业模拟人模拟,但结果与包括不同类型模拟的先前系统综述相似。这对提高创伤护理中团队合作的模拟设计特征的重要性提出了重大质疑。

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