低保真模拟在劳动和交付中的作用
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 labour and delivery, their strategy jumps quickly to high-fidelity, full-bodied birthing simulators. But,根据学习目标,计划和建立高保真仿真所需的努力可能是不必要的和劳动密集型的。
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。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。
任务培训师 - 学习者如何提高技能表现
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。
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
- Assessment
- 寻求帮助
- Positioning
- 宿布压力
- eaciocomy评估
- Internal rotation
- 交付后臂
标准化患者 - 提高新学习者的技能绩效
The use of standardised patients (SP) can be beneficial to develop a practitioner’s interpersonal communication skills. Because SPs can verbalise 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.
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 obstetric 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。
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 demeanour to form a more complete diagnosis.
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 standardised 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
- 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.
- 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
- 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.
- Lopreiato, J.O. (2016). Healthcare simulation: Dictionary. Rockville, MD: Agency for Healthcare Research and Quality
- 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