Barré Jessy, Michelet Daphné, Truchot Jennifer, Cabon Philippe, Tesniere Antoine
Ilumens, Paris Descartes University, Paris, Île-de-France, France.
Department of Anesthesia and Intensive Care, Robert-Debré University Hospital, Paris, Île-de-France, France.
BMJ Simul Technol Enhanc Learn. 2020 Apr 6;7(1):31-34. doi: 10.1136/bmjstel-2019-000525. eCollection 2021.
Simulation in medical education is widely used to teach both technical and non-technical skills. The use of tools such as screen-based simulation raises the question of their efficiency and the retention rate for knowledge and skills. In this study, we measured midwives' retention of learning after screen-based simulation training on neonatal resuscitation. 14 midwifery students participated in this pilot study. They undertook two screen-based simulation sessions 2 months apart. Measurements included a knowledge quiz, a self-efficacy assessment and two experts' evaluations of the Anaesthetists' Non-Technical Skills (ANTS) and Neonatal Resuscitation Performance Evaluation (NRPE) scoring (non-technical and technical skills, respectively). A demographic survey with open-ended questions on professional experience and learning concluded the study. We showed an improvement in the self-efficacy assessment (p<0.05), the knowledge quiz (p<0.01) and the ANTS evaluation (p<0.0001). However, there was no significant difference in the NRPE score. The students enjoyed the apprenticeship aspect of the screen-based simulation. Repeated exposure to a screen-based simulation on neonatal resuscitation could be advantageous for non-technical skills training, self-confidence and retention of knowledge. This is still a work in progress, undergoing further investigation with more participants and new variables.
医学教育中的模拟广泛用于教授技术和非技术技能。基于屏幕的模拟等工具的使用引发了其效率以及知识和技能保留率的问题。在本研究中，我们测量了助产士在接受基于屏幕的新生儿复苏模拟培训后的学习保留情况。14名助产专业学生参与了这项试点研究。他们在相隔两个月的时间里参加了两次基于屏幕的模拟课程。测量内容包括知识测验、自我效能评估以及两名专家分别对麻醉医生非技术技能（ANTS）和新生儿复苏性能评估（NRPE）评分的评估（分别针对非技术和技术技能）。一项关于专业经验和学习的开放式问题的人口统计学调查结束了该研究。我们发现自我效能评估（p<0.05）、知识测验（p<0.01）和ANTS评估（p<0.0001）均有改善。然而，NRPE评分没有显著差异。学生们喜欢基于屏幕模拟的学徒制方面。反复接触基于屏幕的新生儿复苏模拟可能有利于非技术技能培训、自信心和知识保留。这仍在进行中，正在通过更多参与者和新变量进行进一步调查。
