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针对医学生的跨专业模拟培训效果:一项系统评价与Meta分析

Interprofessional simulation effects for healthcare students: A systematic review and meta-analysis.

作者信息

Marion-Martins Alexandra D, Pinho Diana L M

机构信息

Nursing School, Centro Universitário Euro-Americano, Brasilia and Post Graduation Program in Health Science and Technology, University of Brasilia, Brazil..

Nursing School, Centro Universitário Euro-Americano, Brasilia and Post Graduation Program in Health Science and Technology, University of Brasilia, Brazil.; Faculty of Health Science and Post-graduation Program in Health Science and Technology, University of Brasilia, Brazil..

出版信息

Nurse Educ Today. 2020 Nov;94:104568. doi: 10.1016/j.nedt.2020.104568. Epub 2020 Aug 22.

Abstract

OBJECTIVE

To conduct a systematic review of studies describing the effects of interprofessional education (IPE) on collaborative competence using simulated-based training of undergraduate healthcare students.

DESIGN

A systematic review and meta-analysis based on PRISMA guidelines.

DATA SOURCES

PubMed and Cumulative Index to Nursing and Allied Health Literature databases were searched to identify articles in all languages published up to 2018. The systematic review protocol was registered at PROSPERO under number 133330.

REVIEW METHODS

In total, 419 articles were identified. The following articles were excluded: non-English articles, articles for which the full text was not available, articles that did not employ a validated tool, articles that did not use quasi-experimental methods and that did not assess healthcare student populations. Eleven studies were included, and 6 were submitted to meta-analysis using forest plots through RevMan 5.3.

RESULTS

Interprofessional simulation analysis yielded results regarding participants, protocols, scenarios, validated tools, collaborative competencies and primary outcomes. The meta-analysis was organized based on assessment tool, and summary value, confidence interval, and Z test results for the random-effects model are presented.

CONCLUSION

Quantitative analysis reveals a positive impact and the effectiveness of interprofessional simulation. However, more research should be conducted utilizing clinical trials with distinguished analyses for each collaborative competency factor to assess long-term effects on the outcome.

摘要

目的

对描述跨专业教育(IPE)对本科医学生基于模拟训练的协作能力影响的研究进行系统评价。

设计

基于PRISMA指南进行系统评价和荟萃分析。

数据来源

检索PubMed和护理及联合健康文献累积索引数据库,以识别截至2018年发表的所有语言的文章。该系统评价方案已在PROSPERO上注册,注册号为133330。

评价方法

共识别出419篇文章。排除以下文章:非英文文章、无法获取全文的文章、未使用经过验证的工具的文章、未采用准实验方法且未评估医学生群体的文章。纳入11项研究,其中6项使用RevMan 5.3通过森林图进行荟萃分析。

结果

跨专业模拟分析得出了关于参与者、方案、场景、经过验证的工具、协作能力和主要结果的结果。荟萃分析基于评估工具进行组织,并呈现了随机效应模型的汇总值、置信区间和Z检验结果。

结论

定量分析揭示了跨专业模拟的积极影响和有效性。然而,应开展更多研究,采用针对每个协作能力因素进行区分分析的临床试验,以评估对结果的长期影响。

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