模拟出生情景可以帮助医疗保健专业人员认识并可能减轻新母亲和新生儿的不良事件。1However, the degree of realism or "fidelity" chosen for those scenarios does not always have to be extreme. Often when educators begin to plan scenarios around labor and delivery, their strategy jumps quickly to high-fidelity, full-bodied birthing simulators. But,depending on the learning goals, the effort required to plan and set up a high-fidelity simulation can be unnecessary and labor-intensive.
Low-fidelity simulation can provide learners with a wealth of training experience –以最小的费用。Below, we sum up three ways that you can use low-fidelity simulation training to reduce preventable harm to maternal and newborn patients.
Situations that require repeated practice are best suited for use of a task trainer. For example, a great opportunity to use a task trainer is in the training of birthing assessments and different delivery protocols. Learners can practice hands-on, psychomotor skills independently and at their own pace without the complexity of a high-fidelity simulation.
在一项评估使用分娩模拟器训练肩膀难产训练的研究中，学习者在以下方面的提高了44％。2
标准化患者（SP）的使用可能有益于发展从业者的人际交往能力。由于SP可以口头表达他们正在经历的症状，因此它们在收集患者病史和诊断症状方面特别有用。通过使用SP的肢体语言传达某些信息，需要医疗保健专业人员更加观察患者。
One scenario developed by the University of Washington Medical Center Labor & Delivery Unit proved the benefits of using a SP in a birth scenario. Enacting an obstetrical bleeding emergency, the SP provided critical triggers to the healthcare team. As the patient’s condition worsened, the SP became anxious and concerned.3通过使用这种实践，学习者提高了他们的观察和专业技能。
通过将SP纳入您的场景中，您可以在模拟培训中引入真实的人类元素。学习者可以与“真正的”患者交谈，观察身体线索，并考虑其整体举止以形成更完整的诊断。
Task trainers and SPs share one key benefit: they both can be included in your simulations in creative ways. You are free to be as imaginative as you'd like – especially if you consider hybrid simulation as an option. Hybrid simulation is when two or more simulation modalities are used in the same simulation session (i.e. attaching a task trainer to a SP).使用这种模拟形式可以允许进行技术和沟通技巧的综合实践。4
Research shows that learners have more engaging patient interactions with a SP but are likely to use a realistic, procedural touch more frequently with manikins.4Hybrid simulation is one means to improve both clinical treatmentand学习者的患者互动技巧。
通过在一种情况下结合两种模拟形式，您可以有效地教授与出生相关的复杂性，同时还可以帮助学习者发展与患者的沟通和融洽关系。
Taking into consideration a program’s size, budget, and learning goals, each simulation should be and will be different. For scenarios that do not require high-fidelity, resource-rich simulation equipment, there are other options available.
Whether they are used together or alone, task trainers and standardized patients both have their unique role. They can enforce foundational clinical assessment and procedural skills and help to develop a learner’s interpersonal and communication skills, respectively. What is even more exciting is that, when used appropriately together, they can help you achieve both skill sets in your learners.
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