van Tetering Anne A C, Fransen Annemarie F, van der Hout-van der Jagt M Beatrijs, Oei S Guid
Máxima Medical Centre, Department of Obstetrics and Gynaecology, Veldhoven, The Netherlands.
Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
BMJ Simul Technol Enhanc Learn. 2020 Sep 3;6(5):284-288. doi: 10.1136/bmjstel-2019-000434. eCollection 2020.
This study compares satisfaction levels from multiprofessional obstetric care teams about simulation-based obstetric team training courses with and without the instructional design feature repetitive practice.
The present study is part of a multicentre cluster-randomised controlled trial (TOSTI trial) that investigated the effectiveness of a 1 day, multiprofessional, simulation-based obstetric team training. The initial training group received a training which was designed based on best practice. After 1 year, the control group received a training course in which the instructional design was changed by providing repetitive practice. All participants were asked to fill in a 29-item evaluation form with seven questions about baseline characteristics and 22 questions about training features. The questions about training features could be rated on a scale of 1 to 5. Finally, all participants were asked to rate the total training day on a scale of 1-10.
The best practice group consisted of 471 trainees and the repetitive practice group of 549, including gynaecologists, residents, midwives and nurses. The best practice group rated the total training day significantly higher than the repetitive practice group (mean 8.8, SD 0.6 and mean 8.7, SD 0.6; p<0.003, Cohen's d=0.19). Several training features were also scored higher in the best practice group.
This study showed that obstetric healthcare professionals rated a simulation-based obstetric team training course, with and without repetition of scenarios, both high. The training without the repetitive elements gained higher scores for the total training dayand several, and several training features were scored higher. The difference between the mean scores and the effect sizes for the training features were small. This implies that repetitive practice can be integrated in simulation-based team training to optimise learning effects, with small effects on trainees satisfaction.
本研究比较了多专业产科护理团队对有和没有重复练习教学设计特点的基于模拟的产科团队培训课程的满意度。
本研究是一项多中心整群随机对照试验（TOSTI试验）的一部分，该试验调查了为期1天的多专业、基于模拟的产科团队培训的有效性。初始培训组接受了基于最佳实践设计的培训。1年后，对照组接受了通过提供重复练习来改变教学设计的培训课程。所有参与者都被要求填写一份包含29个项目的评估表，其中有7个关于基线特征的问题和22个关于培训特点的问题。关于培训特点的问题可以在1至5的量表上进行评分。最后，所有参与者都被要求在1至10的量表上对整个培训日进行评分。
最佳实践组由471名学员组成，重复练习组由549名学员组成，包括妇科医生、住院医生、助产士和护士。最佳实践组对整个培训日的评分显著高于重复练习组（平均分8.8，标准差0.6；平均分8.7，标准差0.6；p<0.003，科恩d值=0.19）。最佳实践组在几个培训特点上的得分也更高。
本研究表明，产科医疗保健专业人员对有和没有场景重复的基于模拟的产科团队培训课程的评价都很高。没有重复元素的培训在整个培训日以及几个方面获得了更高的分数，并且几个培训特点的得分更高。培训特点的平均分和效应量之间的差异很小。这意味着重复练习可以融入基于模拟的团队培训中以优化学习效果，对学员满意度的影响较小。
