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体验虚拟患者以练习患者咨询技巧。

Experiencing a virtual patient to practice patient counselling skills.

机构信息

Newcastle University, School of Pharmacy, Newcastle upon Tyne NE1 7RU, UK.

School of Pharmacy and Bioengineering, Keele University, ST5 5BG, UK.

出版信息

Curr Pharm Teach Learn. 2021 Dec;13(12):1593-1601. doi: 10.1016/j.cptl.2021.09.048. Epub 2021 Sep 28.

Abstract

INTRODUCTION

Virtual patients (VPs) are a safe and standardised method of simulating clinical environments but few studies have explored health care professional's experiences of learning via a VP. This study explored how users experienced and used a VP that aimed to teach the user to deliver non-vitamin K oral anticoagulant patient education.

METHODS

The study used semi-structured interviews with pharmacists and pre-registration trainees from a wider research study. Interview topics were based on key areas concerning VP use. Interviews were audio-recorded and transcribed verbatim before being analysed using the framework approach to thematic analysis. Ethical approval was granted by Keele University.

RESULTS

There was variation in the type and nature of use of the VP and in the reported learning, which included reinforcement of knowledge, an opportunity to promote reflection, and acquisition and application of knowledge to clinical, patient-facing interactions. The VP was seen as an adjunct to other education and training. The majority of users indicated that they used the VP more than once. Some users seemed to have gamified their learning with a drive to achieve perfect feedback rather than true engagement with the learning, whereas for others the learning appeared to be deep with a reflective focus.

CONCLUSIONS

The VP offered an educational use as experiential learning, although the users experienced the VP differently; commonly the VP facilitated learning via reinforcement of pre-existing knowledge. The users reported that the VP had value as an adjunct to other education and training resources.

摘要

简介

虚拟患者(VP)是一种安全且标准化的模拟临床环境的方法,但很少有研究探讨医疗保健专业人员通过 VP 学习的体验。本研究探讨了用户如何体验和使用旨在教授用户提供非维生素 K 口服抗凝剂患者教育的 VP。

方法

该研究使用半结构化访谈,对来自更广泛研究的药剂师和预注册学员进行了访谈。访谈主题基于与 VP 使用相关的关键领域。访谈以音频形式记录并逐字转录,然后使用框架方法进行主题分析进行分析。基尔大学获得了伦理批准。

结果

VP 的使用类型和性质以及报告的学习存在差异,包括知识的强化、促进反思的机会,以及将知识应用于临床、面向患者的互动。VP 被视为其他教育和培训的补充。大多数用户表示他们不止一次使用过 VP。一些用户似乎将他们的学习游戏化,以追求完美的反馈,而不是真正参与学习,而对其他人来说,学习似乎是深入的,具有反思性的重点。

结论

VP 提供了一种作为体验式学习的教育用途,尽管用户对 VP 的体验不同;通常,VP 通过强化预先存在的知识来促进学习。用户报告说,VP 作为其他教育和培训资源的补充具有价值。

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