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开发虚拟患者:沟通技巧培训中的设计、可用性和学习效果。

Developing a virtual patient: design, usability, and learning effect in communication skills training.

机构信息

Faculty of Medicine, Department of Medical Education and Informatics, Hacettepe University, Altindag, Ankara, Turkey.

Faculty of Nursing, Department of Pediatric Nursing, Ankara University, Ankara, Turkey.

出版信息

BMC Med Educ. 2023 Nov 22;23(1):891. doi: 10.1186/s12909-023-04860-7.

DOI:10.1186/s12909-023-04860-7
PMID:37993846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10664539/
Abstract

BACKGROUND

Literature shows that Virtual Patients (VPs) find extensive usage in the field of health sciences, especially in the post-pandemic period. VPs are successfully utilized in developing various effective skills like medical interview. However, this technology is quite new in Turkey and has not yet been used in communication skills training in a structured form. This research aimed to develop a virtual patient to improve the communication skills of medical students.

METHODS

Developmental research method was used in the study. The implementation phase involved the one group posttest quasi-experimental design. The study group comprised of experts in various fields and 213 medical students. Needs Analysis Form, Scenario Building Form, System Validation Form, Communication Skills Assessment Form, and Interview Form were used as data collection tools. The research primarily concentrated on ensuring minimal errors within the system and enhancing students' communication skill scores.

RESULTS

The study found that VP was effective in teaching communication skills. Communication skills improved from a mean score of 36.74 in the first interview with 15 students to 74.2 in the final application with 198 students. It was determined that the students who practiced repeatedly (n = 26) made 17% more effective interviews than their first practices (score: 89.2). The script matching of the VP was 83%. Other data obtained from the students generally showed that the VP application was developed in accordance with the purpose, that it was user-friendly, and that the scenarios were adequate.

CONCLUSION

VPs like this have the potential to develop skills such as history taking, clinical reasoning, etc., which are very important in the field of health sciences.

摘要

背景

文献表明,虚拟患者(VP)在医学领域得到广泛应用,尤其是在后疫情时期。VP 在培养各种有效技能方面发挥了重要作用,例如医学访谈。然而,在土耳其,这项技术还相当新颖,尚未以结构化形式用于沟通技能培训。本研究旨在开发虚拟患者以提高医学生的沟通技能。

方法

本研究采用发展研究方法。实施阶段采用单组后测试准实验设计。研究组由各领域的专家和 213 名医学生组成。使用需求分析表、情景构建表、系统验证表、沟通技巧评估表和访谈表作为数据收集工具。该研究主要集中在确保系统内最小错误和提高学生的沟通技能分数上。

结果

研究发现,VP 在教授沟通技能方面非常有效。学生的沟通技能从与 15 名学生的第一次访谈中的平均 36.74 分提高到与 198 名学生的最后应用中的 74.2 分。练习过多次的学生(n=26)比第一次练习时的访谈效果提高了 17%(分数:89.2)。VP 的脚本匹配率为 83%。学生获得的其他数据普遍表明,该 VP 应用程序符合目的、用户友好,并且情景充足。

结论

像这样的 VP 有潜力培养健康科学领域非常重要的技能,例如病史采集、临床推理等。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/10664539/8611ebaa5b22/12909_2023_4860_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/10664539/8611ebaa5b22/12909_2023_4860_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/10664539/8611ebaa5b22/12909_2023_4860_Fig1_HTML.jpg

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本文引用的文献

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BMC Med Educ. 2022 Jun 3;22(1):429. doi: 10.1186/s12909-022-03474-9.
2
The effects of using virtual patients on the history-taking ability of nursing interns: A non-randomized controlled study.使用虚拟患者对护理实习生问诊能力的影响:一项非随机对照研究。
Nurse Educ Pract. 2022 Feb;59:103289. doi: 10.1016/j.nepr.2022.103289. Epub 2022 Jan 12.
3
Virtual Standardized Patients for Mental Health Education.
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Syst Rev. 2025 Mar 1;14(1):52. doi: 10.1186/s13643-025-02793-4.
虚拟标准化患者在心理健康教育中的应用。
Curr Psychiatry Rep. 2021 Jul 15;23(9):57. doi: 10.1007/s11920-021-01273-5.
4
Does your team know how to respond safely to an operating room fire? Outcomes of a virtual reality, AI-enhanced simulation training.贵团队是否知道如何安全应对手术室火灾?虚拟现实、人工智能增强模拟训练的结果。
Surg Endosc. 2022 May;36(5):3059-3067. doi: 10.1007/s00464-021-08602-y. Epub 2021 Jul 15.
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An update on developments in medical education in response to the COVID-19 pandemic: A BEME scoping review: BEME Guide No. 64.应对 COVID-19 大流行的医学教育发展动态更新:BEME 范围综述:第 64 号 BEME 指南。
Med Teach. 2021 Mar;43(3):253-271. doi: 10.1080/0142159X.2020.1864310. Epub 2021 Jan 26.
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Feedback from health professionals in postgraduate medical education: Influence of interprofessional relationship, identity and power.医学研究生教育中卫生专业人员的反馈:专业关系、身份和权力的影响。
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Developing a Conversational Virtual Standardized Patient to Enable Students to Practice History-Taking Skills.开发一个对话式虚拟标准化患者,以帮助学生练习病史采集技能。
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