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一项关于提供者对用于自杀预防培训的虚拟患者模拟的可行性和可接受性反馈的定性研究。

A qualitative study of provider feedback on the feasibility and acceptability of virtual patient simulations for suicide prevention training.

作者信息

O'Brien Kimberly H McManama, Quinlan Kristen, Humm Laura, Cole Andrea, Pires Warren Jay, Jacobs Ariel, Goldstein Grumet Julie

机构信息

Department of Psychiatry, Boston Children's Hospital, Boston, MA, USA.

Department of Psychiatry, Harvard Medical School, Boston, MA, USA.

出版信息

Mhealth. 2022 Oct 30;8:31. doi: 10.21037/mhealth-22-15. eCollection 2022.

Abstract

BACKGROUND

Healthcare organizations are often committed to preventing suicide among their patients, but they can struggle to adequately train providers and implement strategies grounded in evidence-based suicide prevention practices. Virtual patient simulations (VPS) offer the opportunity for providers at healthcare organizations and educational institutions to learn suicide prevention strategies using a realistic and risk-free environment. The purpose of this study was to gather feedback from leaders in the healthcare field regarding the feasibility and acceptability of VPS for their organizations.

METHODS

Participants (N=9) included administrators, managers, and educators from a variety of health care settings. They were invited to independently test the VPS and participate in a subsequent focus group to provide feedback. Participants were asked about VPS acceptability, satisfaction, potential fit within the intended context, feasibility of delivery, motivation to use, and likelihood of adoption. Responses were audio recorded and transcribed for coding and thematic analysis.

RESULTS

Themes emerged regarding perceived benefits of the VPS, considerations related to cost, barriers to implementation, and suggestions for improvement. Participants reported VPS trainings were acceptable and feasible, filling an important gap in the field especially around suicide safety planning, particularly for newer clinicians and students in training. Participants felt that this type of virtual training was particularly feasible given the recent increase in need for online trainings. Suggested improvements included the need to normalize the trial-and-error nature of the VPS for trainees prior to the start of the training, and to consider shortening the duration of the simulation due to learners not being able to bill for time while training.

CONCLUSIONS

VPS may help to fill an important training need in the field of suicide prevention. The training suite may be best suited for certain settings, such as educational institutions, and most useful for populations including students and new clinicians. VPS may be particularly feasible for organizations that already utilize remote options for work and training.

摘要

背景

医疗保健机构常常致力于预防患者自杀,但在充分培训医护人员并实施基于循证自杀预防实践的策略方面可能会遇到困难。虚拟患者模拟(VPS)为医疗保健机构和教育机构的医护人员提供了一个在现实且无风险的环境中学习自杀预防策略的机会。本研究的目的是收集医疗保健领域领导者对于VPS在其机构中的可行性和可接受性的反馈。

方法

参与者(N = 9)包括来自各种医疗保健环境的管理人员、经理和教育工作者。他们被邀请独立测试VPS,并参加随后的焦点小组以提供反馈。参与者被问及VPS的可接受性、满意度、在预期环境中的潜在适用性、交付的可行性、使用动机以及采用的可能性。回答被录音并转录以进行编码和主题分析。

结果

出现了关于VPS感知益处、成本相关考虑因素、实施障碍以及改进建议的主题。参与者报告称VPS培训是可接受且可行的,填补了该领域尤其是自杀安全规划方面的重要空白,特别是对于新临床医生和实习学生而言。鉴于近期对在线培训需求的增加,参与者认为这种虚拟培训特别可行。建议的改进包括在培训开始前需要让学员将VPS的试错性质正常化,以及考虑缩短模拟时长,因为学习者在培训期间无法计费。

结论

VPS可能有助于满足自杀预防领域的一项重要培训需求。该培训套件可能最适合某些环境,如教育机构,并且对包括学生和新临床医生在内的人群最有用。对于已经采用远程工作和培训选项的组织来说,VPS可能特别可行。

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