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针对现实世界技能的模拟学习:评估儿科知情同意培训对模拟急诊室中学习者沟通的影响。

Simulated Learning for Real-World Skills: Evaluating the Impact of Pediatric Informed Consent Training on Learner Communication in a Simulated Emergency Room.

作者信息

Dixit Shivani, Boulos Sarah, Buxner Sanlyn, Eckhardt David

机构信息

Simulation in Medical Education, Rocky Vista University, Parker, USA.

Simulation, Rocky Vista University College of Osteopathic Medicine, Parker, USA.

出版信息

Cureus. 2025 Mar 6;17(3):e80167. doi: 10.7759/cureus.80167. eCollection 2025 Mar.

DOI:10.7759/cureus.80167
PMID:40190871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11972110/
Abstract

Informed consent is an integral part of medical care and can be especially complicated in the care of the pediatric population where adult caregivers provide consent. Despite the complexity and importance required in obtaining parental consent, many healthcare trainees (students and residents) do not feel comfortable securing consent. Obtaining informed consent is often not a standard part of the medical education curriculum, which adds to this level of discomfort. This study measured communication outcomes during obtaining informed consent during a simulated ER setting for 200 medical professional students when given a structured didactic curriculum. Results showed that in comparing the groups of those who received the intervention after obtaining consent with those who obtained the intervention before the consent, an independent t-test revealed a statistically significant difference in scores between the groups who did not complete the education module before completing the simulation (n=42, mean = 0.627, s.d. = 0.127) and the groups who did receive the education model before completing the simulation (n=42, mean = 0.685, s.d. = 0.136), (82) = 2.023, p = 0.023, with a small effect size. The results of this study show that incorporating structured and formal didactic teaching modality about obtaining parental consent for pediatric populations can lead to better communication outcomes.

摘要

知情同意是医疗护理的一个组成部分,在成人护理人员为儿童提供同意的儿科护理中可能会特别复杂。尽管获得家长同意需要复杂性和重要性,但许多医疗培训人员(学生和住院医生)在确保获得同意方面并不感到自在。获得知情同意通常不是医学教育课程的标准组成部分,这增加了这种不适感。本研究在模拟急诊室环境中,对200名医学专业学生在接受结构化教学课程时获得知情同意的沟通结果进行了测量。结果显示,在比较获得同意后接受干预的组与获得同意前接受干预的组时,独立t检验显示,在完成模拟前未完成教育模块的组(n = 42,均值 = 0.627,标准差 = 0.127)和在完成模拟前接受教育模式的组(n = 42,均值 = 0.685,标准差 = 0.136)之间,得分存在统计学上的显著差异,(82) = 2.023,p = 0.023,效应量较小。本研究结果表明,纳入关于为儿科人群获得家长同意的结构化和正式教学方式可带来更好的沟通结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9710/11972110/51a17975e98a/cureus-0017-00000080167-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9710/11972110/51a17975e98a/cureus-0017-00000080167-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9710/11972110/51a17975e98a/cureus-0017-00000080167-i01.jpg

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本文引用的文献

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Ethics of Pediatric and Young Adult Medical Decision-Making: Case-Based Discussions Exploring Consent, Capacity, and Surrogate Decision-Making.儿科和青少年医疗决策的伦理:基于案例的讨论,探讨同意、能力和代理决策。
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Effects of Simulation-Based Deliberate Practice on Nursing Students' Communication, Empathy, and Self-Efficacy.
基于模拟的刻意练习对护生沟通、同理心和自我效能的影响。
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Acad Med. 2009 Aug;84(8):1036-42. doi: 10.1097/ACM.0b013e3181acfbcd.
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Pediatrics. 2007 Apr;119(4):e849-59. doi: 10.1542/peds.2006-2208.
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Teaching pediatrics residents how to obtain informed consent.
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