Office of Medical Education, Ajou University School of Medicine, Suwon, South Korea.
Department of Obstetrics & Gynecology, Ajou University School of Medicine, Suwon, South Korea.
PLoS One. 2021 May 13;16(5):e0251078. doi: 10.1371/journal.pone.0251078. eCollection 2021.
Psychological factors such as anxiety and confidence that students have in the patient care situation are important in that this affects the actual clinical performance. Students who are just starting clinical practice have a lack of clinical knowledge, skill proficiency, and patient communication skills, so they experience anxiety and lack of confidence in clinical setting. Practice in a safe environment, such as simulation education, can help students perform more settled and competently in patient care. The purpose of this study was to analyze the effect of high-fidelity simulation experience on anxiety and confidence in medical students.
This study enrolled 37 5th-year students at Ajou University School of Medicine in 2020. Two simulation trainings were implemented, and a survey was conducted to measure students' level of anxiety and confidence before and after each simulation. Based on the research data, a paired t-test was conducted to compare these variables before and after the simulation, and whether this was their first or second simulation experience.
Students had a significantly lower level of anxiety and a significantly higher level of confidence after the simulation than before. In addition, after one simulation experience, students had less anxiety and more confidence before the second simulation compared to those without simulation experience.
We confirmed that medical students need to be repeatedly exposed to simulation education experiences in order to have a sense of psychological stability and to competently deliver medical treatment in a clinical setting. There is a practical limitation in that medical students do not have enough opportunities to meet the patients during clinical practice in hospitals. Therefore, in order to produce excellent doctors, students should have the expanded opportunities to experience simulation education so they can experience real-world medical conditions.
学生在患者护理环境中所具有的心理因素（如焦虑和信心）非常重要，因为这会影响实际的临床表现。刚开始临床实践的学生缺乏临床知识、技能熟练程度和患者沟通技巧，因此他们在临床环境中会感到焦虑和缺乏信心。在安全的环境中进行实践，如模拟教育，可以帮助学生在患者护理方面表现得更加镇定和熟练。本研究的目的是分析高保真模拟体验对医学生焦虑和信心的影响。
本研究纳入了 2020 年在 Ajou 大学医学院的 37 名五年级学生。实施了两次模拟培训，并在每次模拟前后进行了一项调查，以衡量学生的焦虑和信心水平。根据研究数据，进行了配对 t 检验，以比较模拟前后这些变量的差异，以及这是他们的第一次还是第二次模拟体验。
学生在模拟后比模拟前的焦虑水平显著降低，信心水平显著提高。此外，与没有模拟经验的学生相比，在第一次模拟体验后，学生在第二次模拟前的焦虑程度更低，信心水平更高。
我们证实，医学生需要反复接触模拟教育体验，才能在临床环境中获得心理稳定感，并熟练地提供医疗服务。但存在实际限制，即医学生在医院的临床实践中没有足够的机会接触患者。因此，为了培养出优秀的医生，学生应该有更多机会体验模拟教育，以便他们能够体验到真实的医疗环境。
