Tsai Yuan-Ming, Lin Szu-Yu, Huang Go-Shine, Liu Feng-Cheng, Chang Yaw-Wen, Lin Chin-Sheng
Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan.
Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan.
Saudi J Med Med Sci. 2024 Jul-Sep;12(3):223-229. doi: 10.4103/sjmms.sjmms_76_24. Epub 2024 Jun 20.
Central venous catheterization (CVC) is a critical clinical procedure. To avoid complications, possessing good knowledge regarding the CVC care bundle and skills for the proper insertion and maintenance of CVC are important.
To evaluate the effectiveness of an educational intervention and the use of an interactive response system in enhancing the CVC bundle care and insertion skills of medical students undergoing critical care medicine training.
Sixth-year medical students (equivalent to fourth-year students in the United States) engaged in didactic lessons, interactive demonstrations, and simulator training facilitated by a CVC team comprising three thoracic and two vascular surgeons (all with a minimum 5 years of experience in central venous access) during their intensive care unit (ICU) rotation. Self-reported knowledge and confidence levels were assessed using pre-and posttests administered through the Zuvio App, an interactive response system.
A total of 60 students underwent the educational intervention, of which 54 completed the pretest and 40 completed the posttest. In the posttest, significant improvement was found in the CVC bundle care competency and understanding ( = 0.002), preprocedural preparation ( = 0.002), insertion procedures ( = 0.004), complications ( = 0.003), and insertion depth decisions ( = 0.001). Staff and students reported that assessment and interaction via the Zuvio App were valuable, practical, and feasible in a clinical setting, providing trainees with an individual competency portfolio of receiving precise medical education.
Integrating the training provided by a specialized team with an interactive response system enhanced the knowledge and competency level in CVC insertion among medical students in this study.
中心静脉置管（CVC）是一项关键的临床操作。为避免并发症，掌握有关CVC护理集束方案的知识以及正确插入和维护CVC的技能非常重要。
评估教育干预措施以及使用交互式响应系统对接受重症医学培训的医学生在增强CVC集束护理和插入技能方面的效果。
在重症监护病房（ICU）轮转期间，由三名胸外科医生和两名血管外科医生（均至少有5年中心静脉置管经验）组成的CVC团队，为六年级医学生（相当于美国四年级学生）提供理论课程、交互式演示和模拟培训。通过交互式响应系统Zuvio应用程序进行的课前和课后测试，评估自我报告的知识和信心水平。
共有60名学生接受了教育干预，其中54名完成了课前测试，40名完成了课后测试。在课后测试中，发现CVC集束护理能力和理解（P = 0.002）、操作前准备（P = 0.002）、插入操作（P = 0.004）、并发症（P = 0.003）以及插入深度决策（P = 0.001）方面有显著改善。工作人员和学生报告称，通过Zuvio应用程序进行评估和互动在临床环境中是有价值、实用且可行的，为学员提供了接受精确医学教育的个人能力档案。
在本研究中，将专业团队提供的培训与交互式响应系统相结合，提高了医学生在CVC插入方面的知识和能力水平。
