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低保真模拟在劳动和交付中的作用

Improving Maternal and Newborn Care

年代imulating birth scenarios can help healthcare professionals recognize and potentially mitigate adverse events for new mothers and newborns.1然而，为这些情景选择的现实程度或“富达”并不总是必须极端。通常，当教育工作者开始计划劳动和交付周围的情景时，他们的战略迅速跳跃高保真，全身的分娩模拟器。但，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 –at minimal expense.下面，我们总结了三种方式，您可以使用低保真仿真培训，以减少对母婴和新生患者的可预防伤害。

Task Trainers – How Your Learners Can Improve Skills Performance

需要重复练习的情况最适合使用任务培训师。例如，使用任务培训师的巨大机会正在培训分娩评估和不同的传送协议。学习者可以独立练习实践，精神电机技能，并以自己的节奏，没有高保真仿真的复杂性。

In a study evaluating the training of shoulder dystocia using a birthing simulator, learners saw a 44% improvement in the following.2

  1. 评估
  2. Call for help
  3. 定位
  4. 年代uprapubic pressure
  5. Episiotomy assessment
  6. 内部旋转
  7. Delivery of posterior arm

Using a task trainer, students can focus on the fundamentals of building their confidence in performing specific skills and educators can measure and confirm that learners have mastered those skills. From here, learners can advance onto high-fidelity simulations or treat real patients, knowing they have the necessary foundational experience.

If your learners are in need of repetitive, isolated skills practice, a task trainer may be what you need to integrate into your training.

标准化患者 - 提高新学习者的技能表现

The use of standardized patients (SP)s can be beneficial to develop a practitioner’s interpersonal communication skills. Because SPs can verbalize symptoms that they are experiencing, they are particularly useful in gathering patient history and diagnosing symptoms. By using a SP’s body language to convey certain information, healthcare professionals are required to be more observant of their patient.

华盛顿大学医学中心劳动和交付单位开发的一种情况证明了在出生情景中使用SP的益处。制定产科出血的紧急情况，SP为医疗保健团队提供了危急触发。随着患者的病情恶化，SP变得焦虑而且有关。3By using this type of practice, learners improved their observational and professional skills.

By incorporating a SP into your scenario, you can introduce a real, human element to your simulation training. Learners can converse with a "real" patient, observing physical cues and considering their overall demeanor to form a more complete diagnosis.

Combining the Two – Hybrid Simulation Offers the Best of Both Worlds

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).Using this form of simulation can allow for an integrated practice of both technical and communication skills.4

研究表明，学习者更有吸引力的患者与SP互动，但很可能与Manikins更频繁地使用逼真的程序触摸。4混合模拟是改善临床治疗的一种方法和a learner’s patient interaction skills.

By combining the two forms of simulation in one scenario, you can effectively teach the complexities associated with birth, while also helping learners develop their communication and rapport with a patient.

模拟从来都不是一个放之四海而皆准的解决方案

考虑到计划的规模，预算和学习目标，每个模拟应该是不同的。对于不需要高保真，丰富的仿真设备的情况，还有其他可用的选项。

无论是一起使用，任务培训师和标准化患者是否都有其独特的作用。他们可以实施基本临床评估和程序技能，并有助于分别开发学习者的人际关系和沟通技巧。更令人兴奋的是，当适当地使用时，它们可以帮助您在学习者中实现两项技能。

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Mamanatalie Birthing模拟器可以帮助您创建现实的培训场景。在线购买并查找类似产品...... Mamanatalie Birthing模拟器可以帮助您创建现实的培训场景。在线购买并在莱德尔医疗中查找类似产品。188体育直播比分金宝搏官方app下载

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参考
  1. Le Morvan，P.＆Stock B.（2005）。医学学习曲线和凯蒂安理想。Journal of Medical Ethics,31（9）;513-518。
  2. Fialkow，M.F.，Adams，C.R.，Carranza，L.，Golden，S.J.，Benedetti，T.J.，＆Fernandez，R。（2014）。基于原位标准化患者的模拟，用于培训劳动和交付单位的产后出血和团队技能。年代imulation in Healthcare: The Journal of the Society for Simulation in Healthcare,9（1）：65-71。DOI：10.1097 / SIH.0000000000000007
  3. Flynn，K。（2012）。使用标准化患者在临床环境中最大限度地减少本科护理学生中的焦虑。Retrieved fromhttp://sophia.stkate.edu/cgi/viewcontent.cgi?article=1057&context=ma_nursing
  4. Lopreiato，J.O.（2016）。医疗仿真：字典。Rockville，MD：医疗保健研究和质量的机构
  5. Coffey, F. Tsuchiya, K., Timmons, S., Baxendale, B., Adolph, S., & Atkins, S. (2016). Simulated patients versus manikins in acute-care scenarios. Clin Teach, 13(4): 257-61. doi: 10.1111/tct.12425
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