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复苏教育中的刻意练习与掌握学习:一项范围综述。

Deliberate practice and mastery learning in resuscitation education: A scoping review.

作者信息

Donoghue Aaron, Navarro Kenneth, Diederich Emily, Auerbach Marc, Cheng Adam

机构信息

Divisions of Critical Care Medicine and Emergency Medicine, Departments of Anesthesia and Critical Care Medicine and Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Division of EMS, Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.

出版信息

Resusc Plus. 2021 May 15;6:100137. doi: 10.1016/j.resplu.2021.100137. eCollection 2021 Jun.

Abstract

STUDY AIM

To summarize the current state of knowledge of deliberate practice and mastery learning (DP and/or ML) as teaching methods for resuscitation education.

METHODS

A scoping review of PubMed, Scopus, and Embase was conducted through March 1, 2021. Studies examining the effect of the incorporation of either deliberate practice and/or mastery learning during resuscitation education were eligible for inclusion. Included studies were dichotomized into studies comparing deliberate practice and/or mastery learning to other training methods (randomized controlled trials) and studies examining before and after impact of deliberate practice and/or mastery learning alone (observational studies). Studies and findings were tabulated and summarized using the scoping review methodology published by Arksey and O'Malley.

RESULTS

63 published studies were screened; sixteen studies met all inclusion criteria (4 randomized controlled trials and 12 observational studies). One randomized controlled trial and eleven observational studies demonstrated improvement in skill and/or knowledge following educational interventions using deliberate practice and/or mastery learning. Significant variability between studies with regard to research designs, learner groups, comparators, and outcomes of interest made quantitative summarization of findings difficult.

CONCLUSIONS

The incorporation of deliberate practice and/or mastery learning in resuscitation education may be associated with improved educational outcomes and less skill decay than other educational methods. Current literature on DP and ML suffers from a lack of consistency in research methodology, subjects, and outcomes. Future research should employ uniform definitions for deliberate practice and mastery learning, follow research design that isolates its effect, and examine generalizable and translatable outcomes.

摘要

研究目的

总结作为复苏教育教学方法的刻意练习和掌握学习(DP和/或ML)的当前知识状态。

方法

截至2021年3月1日,对PubMed、Scopus和Embase进行了范围综述。研究在复苏教育期间纳入刻意练习和/或掌握学习的效果的研究符合纳入条件。纳入的研究被分为将刻意练习和/或掌握学习与其他训练方法进行比较的研究(随机对照试验)以及单独考察刻意练习和/或掌握学习前后影响的研究(观察性研究)。使用Arksey和O'Malley发表的范围综述方法对研究和结果进行列表和总结。

结果

筛选了63项已发表的研究;16项研究符合所有纳入标准(4项随机对照试验和12项观察性研究)。一项随机对照试验和11项观察性研究表明,在使用刻意练习和/或掌握学习的教育干预后,技能和/或知识有所提高。研究在研究设计、学习者群体、比较对象和感兴趣的结果方面存在显著差异,使得对结果进行定量总结变得困难。

结论

在复苏教育中纳入刻意练习和/或掌握学习可能比其他教育方法带来更好的教育效果且技能衰退更少。目前关于DP和ML的文献在研究方法、主题和结果方面缺乏一致性。未来的研究应该对刻意练习和掌握学习采用统一的定义,遵循能分离其效果的研究设计,并考察可推广和可转化的结果。

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