一项关于模拟对通过发声表现出的积极偏差影响的纵向研究。
A longitudinal study on the impact of simulation on positive deviance through speaking up.
作者信息
Violato Efrem M
机构信息
Northern Alberta Institute of Technology, Centre for Advanced Medical Simulation, Edmonton, Ab, Canada.
出版信息
Can J Respir Ther. 2022 Aug 29;58:137-142. doi: 10.29390/cjrt-2022-006. eCollection 2022.
BACKGROUND
Students reported positive learning outcomes during a simulation study addressing compliance and speaking up.
PURPOSE
Investigate if the impacts of the simulation had a lasting effect on participants after moving into practice.
METHOD
Semi-structured interviews focusing on memory of the study, psychological impacts, educational impacts, professional impacts, and experiences in practice were conducted with Advanced Care Paramedics (3) and Respiratory Therapists (7) between 19 and 24 months after the original study.
DISCUSSION
Participants indicated the simulation helped them develop the skill and confidence to speak up, preparing them to speak up in practice. Primary findings included: () the importance of experience for speaking up, () the benefit of high-impact simulation, and () the importance of simulation training.
CONCLUSIONS
Simulation for speaking up should occur early. Conducting high-impact simulations for speaking up is a practical and actionable intervention that appears to enhance confidence, ability, and likelihood of speaking up in practice.
背景
在一项针对依从性和直言不讳的模拟研究中，学生报告了积极的学习成果。
目的
调查模拟的影响在参与者进入实践后是否对他们有持久作用。
方法
在原研究后的19至24个月期间，对3名高级急救护理人员和7名呼吸治疗师进行了半结构化访谈，重点关注对该研究的记忆、心理影响、教育影响、专业影响以及实践经历。
讨论
参与者表示模拟帮助他们培养了直言不讳的技能和信心，使他们为在实践中直言不讳做好了准备。主要发现包括：（1）经验对直言不讳的重要性；（2）高影响力模拟的益处；（3）模拟训练的重要性。
结论
直言不讳的模拟应该尽早进行。开展高影响力的直言不讳模拟是一种切实可行且可操作的干预措施，似乎能增强在实践中直言不讳的信心、能力和可能性。
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