Zamani Majid, Nasr-Esfahani Mohammad, Forghani Mostafa, Sichani Mohammadreza Asadollahian, Omid Athar
Department of Emergency Medicine, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Medical Education, Medical Education Development Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2020 May 28;9:126. doi: 10.4103/jehp.jehp_705_19. eCollection 2020.
The ability of physicians to perform endotracheal intubation by laryngoscope is one of the essential skills. The purpose of this study was to evaluate the effectiveness of the four-step python training method with the Halsted's "See one, Do one, and Teach one" training method in endotracheal intubation competency in simulated environment.
This quasi-experimental study was performed on two independent groups with posttest. The statistical society consisted of eighth-semester medical students referred to the emergency medicine unit. The experimental group received a modified four-step python's training method that modified for small groups, and the control group received the Halsted's "See one, Do one, and Teach one" training method. Researcher-made checklist used to rate participant competency as posttest. Data were analyzed using SPSS 19 software.
Sixty-seven students volunteered for the experimental group and 57 students for the control group. In posttest, the experimental group more competent than the control group significantly ( < 0.001). Furthermore, the training course satisfaction of the experimental group was significantly higher than the control group ( < 0.001).
Modified python training method for small groups has shown a better effect on student performance. This finding is consistent with previous researches. Modified four-step python's training for small group with an emphasis on peer to peer teaching and receiving feedback from peer can be related to the effectiveness of this training. Further research is recommended in other clinical education settings.
医生使用喉镜进行气管插管的能力是一项基本技能。本研究的目的是在模拟环境中评估四步派森训练法与霍尔斯特德的“看一次、做一次、教一次”训练法在气管插管能力方面的有效性。
本准实验研究在两个独立组中进行,采用后测。统计总体包括到急诊医学科就诊的八年级医学生。实验组接受了针对小组进行修改的四步派森训练法,对照组接受霍尔斯特德的“看一次、做一次、教一次”训练法。使用研究者编制的检查表对参与者的能力进行后测评分。数据使用SPSS 19软件进行分析。
67名学生自愿参加实验组,57名学生参加对照组。在后测中,实验组的能力明显高于对照组(<0.001)。此外,实验组的培训课程满意度明显高于对照组(<0.001)。
针对小组的改良派森训练法对学生表现显示出更好的效果。这一发现与先前的研究一致。针对小组的改良四步派森训练法强调 peer to peer 教学并从同伴那里获得反馈,这可能与该训练的有效性有关。建议在其他临床教育环境中进行进一步研究。 (注:“peer to peer”直译为“对等的”,在这里结合语境意译为“同伴之间” )