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The Role of Low-Fidelity Simulation in Labor and Delivery

改善孕产妇和新生儿护理

模拟出生情景可以帮助医疗保健专业人员认识并潜在地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,根据学习目标,努力要求ed to plan and set up a high-fidelity simulation can be unnecessary and labor-intensive.

低保真仿真可以为学习者提供丰富的培训体验 -以最少的费用。Below, we sum up three ways that you can use low-fidelity simulation training to reduce preventable harm to maternal and newborn patients.

任务培训师 - 学习者如何提高技能表现

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.

在使用分娩模拟器评估肩腹部训练的研究中,学习者在以下内容达到了44%的改善。2

  1. Assessment
  2. 寻求帮助
  3. Positioning
  4. 宿布压力
  5. eaciocomy评估
  6. Internal rotation
  7. 交付后臂

使用任务培训师,学生可以专注于建立他们对执行特定技能和教育工作者可以衡量并确认学习者掌握这些技能的基本面。从这里,学习者可以推进高保真仿真或治疗真正的患者,知道他们有必要的基础经验。

如果您的学习者需要重复,孤立的技能实践,则任务培训师可能是您需要整合到您的培训中的内容。

Standardized Patients – Improving Skills Performance for New Learners

使用标准化的患者(SP)S可能有利于制定从业者的人际沟通技巧。因为SPS可以言语症状他们正在经历,因此它们特别适用于收集患者历史和诊断症状。通过使用SP的肢体语言来传达某些信息,医疗保健专业人员必须更令人观察患者。

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.通过使用这种类型的实践,学习者提高了他们的观察和专业技能。

通过将SP合并到您的场景中,您可以向您的模拟培训介绍真实的人类元素。学习者可以与“真正的”患者相反,观察物理提示,并考虑到他们的总体风度来形成更完全的诊断。

结合双混合模拟提供了最好的两个世界

任务培训师和SPS共享一个主要效益:它们都可以以创造性方式纳入您的模拟中。您可以随意尽可能令您想象力 - 特别是如果您认为混合模拟作为一种选择。混合仿真是在相同的模拟会话中使用两个或更多的模拟方式时(即将任务训练器附加到SP)。使用这种形式的仿真可以允许技术和沟通技能的综合实践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.4.Hybrid simulation is one means to improve both clinical treatmentand学习者的患者互动技巧。

通过在一个场景中结合两种形式的模拟,您可以有效地教导与出生相关的复杂性,同时帮助学习者与患者培养他们的沟通和融洽关系。

模拟绝不是一个尺寸适合 - 所有解决方案

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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References

  1. Le Morvan, P. & Stock, B. (2005). Medical learning curves and the Kantian ideal.医学伦理学杂志3.1(9); 513-518.
  2. Fialkow, M.F., Adams, C.R., Carranza, L., Golden, S.J., Benedetti, T.J., & Fernandez, R. (2014). An in situ standardized patient based simulation to train postpartum hemorrhage and team skills on a labor and delivery unit.医疗保健中的模拟:医疗保健社会学报,9(1): 65-71. doi:10.1097/SIH.0000000000000007
  3. Flynn, K. (2012).The use of standardized patients to minimize anxiety in undergraduate nursing students in the clinical setting.从...获得http://sophia.stkate.edu/cgi/viewContent.cgi?article=1057&context= ma_nursing.
  4. Lopreiato, J.O. (2016). Healthcare simulation: Dictionary. Rockville, MD: Agency for Healthcare Research and Quality
  5. Coffey,F. Tsuchiya,K。,Timmons,S.,Baxendale,B.,Adolph,S.,&Atkins,S。(2016)。模拟患者与急性护理情景中的Manikins。Clin教授,13(4):257-61。DOI:10.1111 / TCT.12425
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