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基于模拟的培训工作坊对产科应急团队协作与沟通的影响:一项混合研究。

Effect of simulation-based training workshop on obstetric emergency team collaboration and communication: a mixed study.

作者信息

Wu Na, Li Wei, Huang Rong, Jiang Hui

机构信息

Nursing Department of Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.

Anesthesiology department, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.

出版信息

Front Med (Lausanne). 2024 Mar 20;11:1282421. doi: 10.3389/fmed.2024.1282421. eCollection 2024.

Abstract

AIMS AND OBJECTIVES

To explore the effects of simulation-based midwife training workshops and determine whether such a program can improve team collaboration and communication.

BACKGROUND

Simulation training improves communication, team cooperation, critical thinking, and situational awareness.

DESIGN

This mixed study was conducted September 15-18, 2021.

METHODS

Participants included 23 obstetricians and midwives who completed 2 days of simulation training, including communication, skills, teamwork, single technical operation, and scene running. The Clinical Teamwork Scale was used before and after the comparison, and the data were analyzed using a phenomenological analytic process.

RESULTS

The total team cooperation, transparent thinking, closed-loop communication, overall decision-making, clear responsibility, and leadership scores of the trainees were significantly higher after than before the training. The experience of attending a simulated training workshop can be divided into two themes: innovative ways of offering training and active learning. Three key themes emerged from each category: education combined with recreation; full participation in interactions; and teamwork and communication. (1) application of knowledge (2) dissemination, and (3) sublimation of knowledge.

CONCLUSION

This study's findings indicated a good experience and higher team cooperation score among midwives participating in simulation-based training in China, the value of our work is to show that the researched teaching methods, although published in other contexts, are also valuable in the Chinese context, suggesting that they will pass on the methods and concepts of the simulated training to others and change the current status of classroom teaching, which is its most meaningful practical training effect.

RELEVANCE TO CLINICAL PRACTICE

These results imply that simulation-based midwife training for obstetric emergencies is required to improve the comprehensive ability of midwives to address obstetric emergencies, thereby improving maternal clinical outcomes.

NO PATIENT OR PUBLIC CONTRIBUTION

Neither patients nor the public were involved in this study, and the midwives and obstetricians voluntarily participated.

摘要

目的与目标

探讨基于模拟的助产士培训工作坊的效果,并确定该项目是否能改善团队协作与沟通。

背景

模拟培训可提高沟通、团队合作、批判性思维和情景意识。

设计

本混合研究于2021年9月15日至18日进行。

方法

参与者包括23名产科医生和助产士,他们完成了为期2天的模拟培训,内容包括沟通、技能、团队合作、单项技术操作和场景演练。在培训前后使用临床团队合作量表进行比较,并采用现象学分析方法对数据进行分析。

结果

培训后,学员的团队合作总分、透明思维、闭环沟通、整体决策、明确责任和领导能力得分均显著高于培训前。参加模拟培训工作坊的体验可分为两个主题:创新的培训方式和主动学习。每个类别中出现了三个关键主题:寓教于乐;充分参与互动;团队合作与沟通。(1)知识的应用(2)传播,以及(3)知识的升华。

结论

本研究结果表明,在中国参加基于模拟培训的助产士有良好的体验且团队合作得分更高,我们工作的价值在于表明所研究的教学方法虽然在其他背景下已发表,但在中国背景下也有价值,这表明它们将把模拟培训的方法和理念传授给他人并改变当前课堂教学的现状,这是其最有意义的实践培训效果。

与临床实践的相关性

这些结果意味着需要对产科急诊进行基于模拟的助产士培训,以提高助产士应对产科急诊的综合能力,从而改善孕产妇的临床结局。

无患者或公众参与

本研究未涉及患者或公众,助产士和产科医生自愿参与。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ef/10997034/f8630b11cf9e/fmed-11-1282421-g001.jpg

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