Mileder Lukas P, Bereiter Michael, Schwaberger Bernhard, Wegscheider Thomas
Clinical Skills Center, Medical University of Graz, 8010 Graz, Austria.
Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Auenbruggerplatz 34/2, 8036 Graz, Austria.
Children (Basel). 2023 Sep 4;10(9):1502. doi: 10.3390/children10091502.
Telesimulation may be an alternative to face-to-face simulation-based training. Therefore, we investigated the effect of a single telesimulation training in inexperienced providers. First-year medical students were recruited for this prospective observational study. Participants received a low-fidelity mannequin and medical equipment for training purposes. The one-hour telesimulation session was delivered by an experienced trainer and broadcast via a video conference tool, covering all elements of the neonatal resuscitation algorithm. After the telesimulation training, each student underwent a standardized simulated scenario at our Clinical Skills Center. Performance was video-recorded and evaluated by a single neonatologist, using a composite score (maximum: 10 points). Pre- and post-training knowledge was assessed using a 20-question questionnaire. Seven telesimulation sessions were held, with a total of 25 students participating. The median performance score was 6 (5-8). The median time until the first effective ventilation breath was 30.0 s (24.5-41.0) and the median number of effective ventilation breaths out of the first five ventilation attempts was 5 (4-5). Neonatal resuscitation knowledge scores increased significantly. Following a one-hour telesimulation session, students were able to perform most of the initial steps of the neonatal resuscitation algorithm effectively while demonstrating notable mask ventilation skills.
远程模拟可能是面对面模拟培训的一种替代方式。因此，我们研究了单次远程模拟培训对经验不足的医护人员的影响。本前瞻性观察性研究招募了一年级医学生。参与者获得了一个低保真度人体模型和用于培训目的的医疗设备。为期一小时的远程模拟课程由一位经验丰富的培训师授课，并通过视频会议工具进行直播，涵盖了新生儿复苏算法的所有要素。远程模拟培训后，每位学生在我们的临床技能中心进行了一次标准化模拟场景演练。演练过程进行了视频录制，并由一名新生儿科医生使用综合评分（满分10分）进行评估。培训前后的知识水平通过一份包含20个问题的问卷进行评估。共举办了7次远程模拟课程，共有25名学生参与。中位表现评分为6分（5 - 8分）。首次有效通气呼吸的中位时间为30.0秒（24.5 - 41.0秒），前五次通气尝试中有效通气呼吸的中位次数为5次（4 - 5次）。新生儿复苏知识得分显著提高。经过一小时的远程模拟课程后，学生们能够有效地执行新生儿复苏算法的大部分初始步骤，同时展现出显著的面罩通气技能。
