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基于模拟的紧急气道管理教育对医学实习生知识、技能和感知信心的影响。

Effect of simulation-based emergency airway management education on the knowledge, skills and perceived confidence of medical interns.

作者信息

Basnet Samjhana, Shrestha Sailesh P, Shrestha Roshana, Shrestha Anmol P, Shrestha Ashish, Sahu Sandeep, Mhatre Bhavana, Silwal Prabhat

机构信息

Deparments ofGeneral Practice and Emergency Medicine.

Anesthesia and Critical Care.

出版信息

Ann Med Surg (Lond). 2024 Aug 7;86(9):5191-5198. doi: 10.1097/MS9.0000000000002376. eCollection 2024 Sep.

Abstract

BACKGROUND

An effective airway management education program is a crucial part of the undergraduate medical education curriculum. Theoretical instructions and practical demonstrations are the major modalities of medical education in Nepal. Simulation-based education (SBE) programs have not yet been implemented effectively. The authors aimed to determine the effects of an SBE program on the knowledge, skills, and perceived confidence of medical interns regarding emergency airway management.

METHODS

This mixed methods study comprised both quantitative and qualitative components. The study participants were 47 medical interns who had participated in the SBE program.

RESULTS

The mean age of the 47 participants was 24.74 years. There were 33 (70.21%) male and 14 (29.79%) female participants. The knowledge, skills, and perceived confidence scores of the participants for airway management preparation, basic airway management, endotracheal intubation, and laryngeal mask airway (LMA) insertion improved significantly following the SBE program (<0.001). Analysis of the participants' feedback indicated that they largely approved of the SBE program. The majority of students and faculty expressed a willingness to include similar programs in the undergraduate medical education curriculum.

CONCLUSION

This study demonstrated through quantitative and qualitative metrics that SBE can enhance the knowledge, skills, and perceived confidence in performing emergency airway management among medical interns. The authors recommend measures to include and effectively implement SBE in the undergraduate medical education curriculum of Nepal.

摘要

背景

有效的气道管理教育项目是本科医学教育课程的关键组成部分。理论教学和实践演示是尼泊尔医学教育的主要方式。基于模拟的教育(SBE)项目尚未得到有效实施。作者旨在确定SBE项目对医学实习生在紧急气道管理方面的知识、技能和感知信心的影响。

方法

这项混合方法研究包括定量和定性两个部分。研究参与者为47名参加了SBE项目的医学实习生。

结果

47名参与者的平均年龄为24.74岁。其中男性33名(70.21%),女性14名(29.79%)。在SBE项目实施后,参与者在气道管理准备、基本气道管理、气管插管和喉罩气道(LMA)插入方面的知识、技能和感知信心得分显著提高(<0.001)。对参与者反馈的分析表明,他们对SBE项目大多表示认可。大多数学生和教师表示愿意在本科医学教育课程中纳入类似项目。

结论

本研究通过定量和定性指标表明,SBE可以提高医学实习生在进行紧急气道管理方面的知识、技能和感知信心。作者建议采取措施,将SBE纳入尼泊尔本科医学教育课程并有效实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7aa8/11374257/a914ed418cd7/ms9-86-5191-g001.jpg

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