Tervajärvi Lasse, Tervajärvi Sanna, Storvik-Sydänmaa Stiina, Hutri Nina
Education, Tampere Centre for Skills Training and Simulation, Tampere University of Applied Sciences, Tampere, FIN.
Education, Virrat Comprehensive School, Virrat, FIN.
Cureus. 2024 Jan 31;16(1):e53284. doi: 10.7759/cureus.53284. eCollection 2024 Jan.
Almost all healthcare professionals find themselves in a situation where they witness death in their work. Meeting a family in crisis is challenging for healthcare professionals and students. Simulation is an effective tool to practice complex and emotionally challenging situations in healthcare education.
The aims of the study were to find out what challenges healthcare students experience when facing a family in crisis and to assess the usability of simulation in teaching healthcare students how to manage this situation. Voluntary simulations for paramedic students and medical students (a total of 29 students) were held in the autumn of 2021. Before and after the simulations, the students evaluated their skills to meet a family in crisis (the loss of a child) with the help of a questionnaire that contained mostly open-ended questions. The study was completed using a qualitative method.
The challenges raised by our students were divided into three categories: child-, family-, and self/student-related. Child-related challenges included the developmental stage which impacted communication. Family-related challenges included family members' different reactions to a devastating situation. Student/self-related challenges were few previous child contacts, communication with the family, and a situation that requires paying attention to multiple things at the same time.
According to our study, the students find simulation as a useful method for preparing to communicate with a family in crisis. The students see that with the help of simulation, they can practice different modes of operation and communication when facing a family in crisis. They also have the possibility to think about the processing of their own emotions during a crisis.
几乎所有医疗保健专业人员都会在工作中目睹死亡。对于医疗保健专业人员和学生来说，与处于危机中的家庭打交道具有挑战性。模拟是医疗保健教育中练习复杂且情感上具有挑战性情况的有效工具。
本研究的目的是了解医学生在面对处于危机中的家庭时会遇到哪些挑战，并评估模拟在教导医学生如何应对这种情况方面的可用性。2021年秋季为护理专业学生和医学专业学生（共29名学生）举行了自愿模拟活动。在模拟前后，学生们借助一份主要包含开放式问题的问卷，评估自己应对处于危机中的家庭（孩子死亡）的能力。本研究采用定性方法完成。
我们的学生提出的挑战分为三类：与孩子相关、与家庭相关以及与自我/学生相关。与孩子相关的挑战包括影响沟通的发育阶段。与家庭相关的挑战包括家庭成员对灾难性情况的不同反应。与学生/自我相关的挑战包括之前很少与孩子接触、与家人沟通以及需要同时关注多件事情的情况。
根据我们的研究，学生们发现模拟是一种有助于为与处于危机中的家庭进行沟通做准备的有用方法。学生们认为，借助模拟，他们可以在面对处于危机中的家庭时练习不同的操作和沟通模式。他们也有可能思考自己在危机期间的情绪处理方式。
