Jowsey Tanisha, Yu Tsu-Chieh Wendy, Ganeshanantham Gihan, Torrie Jane, Merry Alan F, Bagg Warwick, Bacal Kira, Weller Jennifer
Faculty of Medical and Health Sciences, Centre for Medical and Health Sciences Education, School of Medicine, University of Auckland, Auckland, New Zealand.
Faculty of Medical and Health Sciences, Department of Anaesthesiology, School of Medicine, University of Auckland, Auckland, New Zealand.
BMJ Simul Technol Enhanc Learn. 2018 Jul 9;4(3):133-140. doi: 10.1136/bmjstel-2017-000257. eCollection 2018.
An interprofessional simulation 'ward call' course-WardSim-was designed and implemented for medical, pharmacy and nursing students. We evaluated this intervention and also explored students' experiences and ideas of both the course and of ward calls.
We used a mixed-methods cohort study design including survey and focus groups. Descriptive statistical analysis and general purpose thematic analysis were undertaken.
Survey respondents who participated in WardSim subsequently attended more ward calls and took a more active role than the control cohort, with 34% of the intervention cohort attending ward calls under indirect supervision, compared with 15% from the control cohort (P=0.004). Focus group participants indicated that the situation they were most anxious about facing in the future was attending a ward call. They reported that their collective experiences on WardSim alleviated such anxiety because it offered them experiential learning that they could then apply in real-life situations. They said they had learnt how to work effectively with other team members, to take on a leadership role, to make differential diagnoses under pressure and to effectively communicate and seek help.
An interprofessional, simulated ward call course increased medical students' sense of preparedness for and participation in ward calls in the next calendar year.
为医学、药学和护理学专业学生设计并实施了一个跨专业模拟“病房呼叫”课程——WardSim。我们对这一干预措施进行了评估，并探讨了学生对该课程以及病房呼叫的体验和看法。
我们采用了包括调查和焦点小组的混合方法队列研究设计。进行了描述性统计分析和通用主题分析。
参与WardSim的调查受访者随后比对照组参与了更多的病房呼叫，并且发挥了更积极的作用，干预组中有34%的人在间接监督下参与病房呼叫，而对照组为15%（P = 0.004）。焦点小组参与者表示，他们未来最担心面对的情况是参与病房呼叫。他们报告说，他们在WardSim上的共同经历缓解了这种焦虑，因为它为他们提供了可以应用于现实生活情况的体验式学习。他们说他们学会了如何与其他团队成员有效合作、承担领导角色、在压力下进行鉴别诊断以及有效地沟通和寻求帮助。
一个跨专业的模拟病房呼叫课程提高了医学生在下一学年对病房呼叫的准备意识和参与度。
