From the MGH Institute of Health Professions (J.C.P., C.J.M., A.M.), Boston, MA; Alfaisal University (C.J.M.), Riyadh, Saudi Arabia; Oxford Medical (A.M.); SimConverse (A.M.); University of Miami (C.F.), Coral Gables, FL; University of Calgary (A.C.), Calgary, Canada; and Athabasca University (T.A.), Athabasca, Canada.
Simul Healthc. 2024 Dec 1;19(6):395-404. doi: 10.1097/SIH.0000000000000788. Epub 2024 Apr 8.
Understanding distance health care simulation debriefing is crucial in light of the increased use of and emerging technology in remote education for reasons of accessibility, global collaboration, and continuous professional development. This article is a confluence of a number of previously published studies designed to serve as a foundation to develop the concept of "engagement in health care distance simulation debriefing" using the Schwartz-Barcott & Kim hybrid mixed methods model. The model uses 3 phases: theoretical (a realist systematic review of the literature), fieldwork (3 exploratory studies and 2 pilot experimental studies), and analytical (analysis of the theoretical and fieldwork findings through expert discussion). This study defines the concept of "engagement in health care simulation distance debriefing" through exploration of its uses and analysis in literature, interviews, and expert review. The hybrid approach to the analysis provided rigor to generate a new, reflective conceptual model. This conceptual model defines the complexity in engagement during distance debriefing and helps shape the development of simulationists and debriefers, leading to more effective distance simulations and debriefings.
了解远程医疗模拟后的讨论至关重要，因为出于可及性、全球合作和持续专业发展的原因，远程教育中越来越多地使用和出现新技术。本文是先前发表的多项研究的融合，旨在使用 Schwartz-Barcott 和 Kim 的混合混合方法模型为“参与医疗保健远程模拟后的讨论”这一概念的发展奠定基础。该模型使用 3 个阶段：理论（文献的现实主义系统回顾）、实地工作（3 项探索性研究和 2 项试点实验研究）和分析（通过专家讨论对理论和实地工作结果进行分析）。通过对文献、访谈和专家评论中对其用途和分析的探索，本研究定义了“参与医疗保健模拟远程后的讨论”这一概念。混合方法分析为生成新的、反思性的概念模型提供了严谨性。这个概念模型定义了远程后的讨论中参与的复杂性，并有助于塑造模拟专家和讨论者的发展，从而实现更有效的远程模拟和后的讨论。
