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对接受儿科心肺复苏跨专业模拟培训的住院医师非技术技能的获取与保持情况的评估。

Evaluation of acquisition and retention of non-technical skills of residents submitted to interprofessional simulation-based training in pediatric cardiopulmonary resuscitation.

作者信息

Friedlaender Rafaella Fadel, Gubert Eduardo Maranhão, Fernandes Cláudia Maria Baroni, Mello Rosiane Guetter, Coelho Izabel Cristina Meister Martins

机构信息

Hospital Infantil Pequeno Príncipe (HPP), Curitiba, Paraná, Brazil; Faculdades Pequeno Príncipe (FPP), Curitiba, Paraná, Brazil.

Hospital Infantil Pequeno Príncipe (HPP), Curitiba, Paraná, Brazil; Faculdades Pequeno Príncipe (FPP), Curitiba, Paraná, Brazil.

出版信息

J Pediatr (Rio J). 2025 May-Jun;101(3):394-399. doi: 10.1016/j.jped.2024.12.003. Epub 2025 Feb 26.

Abstract

OBJECTIVE

The purpose of the study was to evaluate the acquisition and retention of non-technical skills by pediatric residents who participated in an interprofessional simulated pediatric cardiopulmonary resuscitation scenario through simulation-based training.

METHOD

This prospective cohort study was conducted at a simulation center of a Pediatric Hospital. Ninety-six residents of pediatrics and nursing were divided into 16 interprofessional teams and participated in a cardiopulmonary resuscitation simulated scenario followed by a debriefing session. It was conducted twice on the same day and repeated after a period of time that ranged from 107 to 161 days. Groups were evaluated for the acquisition and retention of non-technical skills and global non-technical performance through a valid and reliable tool for measuring teamwork in medical emergencies.

RESULTS

Participants demonstrated an improvement in leadership, teamwork, task management, and overall performance of the team after the first intervention. However, when evaluated during the second intervention, retention of leadership and teamwork were noted, but not for task management and overall performance.

CONCLUSION

Learning non-technical skills is complex and requires training, ideally with short periodicity, since it demands frequent practice for its acquisition and retention. The present research showed that non-technical skills can be acquired through simulation-based training. However, it was noted that the retention of these skills is more complex, requiring repeated simulations over a longer period of time. Therefore, further research on the learning curve, time to acquisition, and retention of non-technical skills trained with simulation-based education is warranted.

摘要

目的

本研究旨在评估参与基于模拟训练的跨专业小儿心肺复苏模拟场景的儿科住院医师非技术技能的获得与保持情况。

方法

这项前瞻性队列研究在一家儿童医院的模拟中心进行。96名儿科和护理专业的住院医师被分成16个跨专业团队,参与心肺复苏模拟场景,随后进行总结汇报。同一天进行两次,并在107至161天的一段时间后重复进行。通过一种有效且可靠的医疗紧急情况下团队合作测量工具,对各小组非技术技能的获得与保持以及整体非技术表现进行评估。

结果

在首次干预后,参与者在领导力、团队合作、任务管理和团队整体表现方面均有改善。然而,在第二次干预评估时,发现领导力和团队合作得以保持,但任务管理和整体表现未保持。

结论

学习非技术技能较为复杂,需要培训,理想情况下周期要短,因为其获得和保持需要频繁练习。本研究表明,非技术技能可通过基于模拟的训练获得。然而,注意到这些技能的保持更为复杂,需要在更长时间内进行重复模拟。因此,有必要对基于模拟教育所训练的非技术技能的学习曲线、获得时间和保持情况进行进一步研究。

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