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基于现场模拟的团队培训及其对学习向临床实践转移的意义——一项针对麻醉人员的定性焦点组访谈研究。

In situ simulation-based team training and its significance for transfer of learning to clinical practice-A qualitative focus group interview study of anaesthesia personnel.

机构信息

Department of Nurse Anaesthesia, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.

SHARE - Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.

出版信息

BMC Med Educ. 2023 Apr 4;23(1):208. doi: 10.1186/s12909-023-04201-8.

Abstract

BACKGROUND

Anaesthesia personnel are an integral part of an interprofessional operating room-team; hence, team-based training in non-technical skills (NTS) are important in preventing adverse events. Quite a few studies have been done on interprofessional in situ simulation-based team training (SBTT). However, research on anaesthesia personnel's experiences and the significance for transfer of learning to clinical practice is limited. The aim of this study is to explore anaesthesia personnel's experience from interprofessional in situ SBTT in NTS and its significance for transfer of learning to clinical practice.

METHODS

Follow-up focus group interviews with anaesthesia personnel, who had taken part in interprofessional in situ SBTT were conducted. A qualitative inductive content analysis was performed.

RESULTS

Anaesthesia personnel experienced that interprofessional in situ SBTT motivated transfer of learning and provided the opportunity to be aware of own practice regarding NTS and teamwork. One main category, 'interprofessional in situ SBTT as a contributor to enhance anaesthesia practice' and three generic categories, 'interprofessional in situ SBTT motivates learning and improves NTS', 'realism in SBTT is important for learning outcome', and 'SBTT increases the awareness of teamwork' illustrated their experiences.

CONCLUSIONS

Participants in the interprofessional in situ SBTT gained experiences in coping with emotions and demanding situations, which could be significant for transfer of learning essential for clinical practice. Herein communication and decision-making were highlighted as important learning objectives. Furthermore, participants emphasized the importance of realism and fidelity and debriefing in the learning design.

摘要

背景

麻醉人员是跨专业手术室团队的重要组成部分;因此,非技术技能(NTS)的团队基础培训对于预防不良事件非常重要。已经有很多关于跨专业现场模拟为基础的团队培训(SBTT)的研究。然而,关于麻醉人员的经验以及对学习向临床实践转移的意义的研究有限。本研究旨在探讨麻醉人员在 NTS 中的跨专业现场 SBTT 中的经验及其对学习向临床实践转移的意义。

方法

对参与跨专业现场 SBTT 的麻醉人员进行后续焦点小组访谈。采用定性归纳内容分析法。

结果

麻醉人员体验到跨专业现场 SBTT 促进了学习的转移,并为了解自己在 NTS 和团队合作方面的实践提供了机会。一个主要类别,“跨专业现场 SBTT 作为增强麻醉实践的贡献者”和三个通用类别,“跨专业现场 SBTT 激发学习并提高 NTS”、“SBTT 中的真实性对于学习成果很重要”和“SBTT 提高团队合作意识”,说明了他们的经验。

结论

跨专业现场 SBTT 的参与者获得了应对情绪和高要求情况的经验,这对于临床实践中至关重要的学习转移具有重要意义。在这里,沟通和决策被强调为重要的学习目标。此外,参与者强调了学习设计中的真实性、保真度和讨论的重要性。

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