Varghese Arun, Kumar Hemanth, Kathrotia Rajesh, Uniyal Madhur, Rao Shalinee
College of Nursing, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.
Advanced Center of Medical Simulation and Skills, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus. 2024 Apr 2;16(4):e57451. doi: 10.7759/cureus.57451. eCollection 2024 Apr.
Background Simulation-based trauma education facilitates repeated practice in a controlled and safer environment for the learner without any risk to the patient's well-being. Moulage contributes to the perception of reality during training using standardized patients. However, the high cost of commercial moulage items is often prohibitive for regular use. This study aimed to assess the effectiveness of indigenously prepared, low-cost moulage as a valid simulation tool to improve trauma education, explore possible replacements of commercial moulage products, and determine their merits and demerits. Methodology Readily available economic items were used to make low-cost moulage on the simulated patients to replicate trauma victims. A cross-sectional design used a pre-validated Modified Moulage Authenticity Rating Scale to collect data from 61 participants of Advanced Trauma Life Support and Advanced Trauma Care for Nurses courses to analyze the effectiveness and fidelity of moulage. Results In total, 54 (89%) participants scored the low-cost moulage to provide high fidelity effectively. The majority of respondents graded the authenticity of moulage as good. Overall, 46 (75%) participants felt moulage injuries were quite realistic. All agreed that the moulage-based simulation offered a good teaching-learning alternative to assess and manage trauma victims. Further, 45 (73%) participants felt they were in an actual clinical situation, and 58 (95%) stated it could help them in their clinical practice. Conclusions Indigenously prepared, low-cost moulage is a feasible and cost-effective means to enhance fidelity in simulation-based trauma education. It can also be a possible replacement for commercial moulage. Further research is needed to rigorously evaluate the effectiveness of indigenously prepared, cost-effective moulage in trauma education to enhance patient care outcomes. This technique can also be easily translated into other simulation-based medical education domains.
基于模拟的创伤教育能在可控且更安全的环境中让学习者反复练习，不会对患者的健康造成任何风险。在使用标准化病人的培训过程中，模拟道具有助于营造真实感。然而，商业模拟道具的高昂成本常常使其难以经常使用。本研究旨在评估自制低成本模拟道具作为一种有效的模拟工具来改善创伤教育的效果，探索商业模拟道具产品的可能替代品，并确定其优缺点。
使用现成的经济物品在模拟病人身上制作低成本模拟道具，以复制创伤受害者。采用横断面设计，使用预先验证的改良模拟道具真实性评分量表，从高级创伤生命支持课程和护士高级创伤护理课程的61名参与者那里收集数据，以分析模拟道具的有效性和逼真度。
总共有54名（89%）参与者认为低成本模拟道具能有效提供高逼真度。大多数受访者将模拟道具的真实性评为良好。总体而言，46名（75%）参与者认为模拟道具造成的损伤非常逼真。所有人都同意基于模拟道具的模拟为评估和处理创伤受害者提供了一个很好的教学替代方法。此外，45名（73%）参与者感觉他们处于实际临床情境中，58名（95%）表示这对他们的临床实践有帮助。
自制的低成本模拟道具是增强基于模拟的创伤教育逼真度的一种可行且具成本效益的手段。它也可能成为商业模拟道具的替代品。需要进一步研究来严格评估自制的、具成本效益的模拟道具在创伤教育中的有效性，以改善患者护理结果。该技术也可轻松应用于其他基于模拟的医学教育领域。
