The use of virtual patients for breaking bad news: A rapid review

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-10-20 DOI:10.1111/tct.13681

Woohyun Kang

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Abstract

Background

Breaking bad news is an imperative skill for clinical practice that health care professionals struggle with. Virtual patients have been adopted as a new teaching aide in medical education and have shown efficacy in teaching clinical skills; however, there is limited research for use in communication skills. Virtual patients are especially well-suited for difficult communication skills, as students can practice without risk to patients. This rapid review aimed to review literature observing the potential of virtual patients as an effective means to teach breaking bad news.

Method

A systematic search strategy was applied for papers published between November 2012 and November 2022 on Medline and Embase databases. Following the application of inclusion criteria, three studies were included. The Medical Education Research Study Quality Instrument and Critical Appraisal Skills Programme checklist were used for quality appraisal of the studies. Tabular and narrative synthesis was used to present the findings.

Findings

The findings of the studies suggest that when teaching breaking bad news, virtual patients are valuable compared with no intervention and are not inferior compared with simulated patients. An unexpected benefit of virtual patients was videotaping. A barrier to learning was the lack of affect and interaction. More research into the design of virtual simulations and its integration into existing curricula is required.

Conclusion

Virtual patients are a valuable educational tool for breaking bad news; however, they are yet to replace existing educational approaches. There is a need for more large-scale, homogeneous studies to inform instructional design and curriculum integration.

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利用虚拟病人突发坏消息：快速回顾。

背景：突发坏消息是医疗保健专业人员在临床实践中必须掌握的技能。虚拟病人已被作为医学教育中的一种新的教学辅助手段，并在临床技能教学中显示出有效性；然而，在交流技能方面的研究有限。虚拟患者特别适合难沟通的技能，因为学生可以在没有患者风险的情况下进行练习。这篇快速综述旨在回顾文献，观察虚拟患者作为教授突发坏消息的有效手段的潜力。方法：对2012年11月至2022年11月在Medline和Embase数据库上发表的论文采用系统搜索策略。在应用纳入标准后，纳入了三项研究。医学教育研究性学习质量工具和关键评估技能计划检查表用于研究的质量评估。研究结果采用表格和叙述综合法。研究结果：研究结果表明，在教授突发坏消息时，与没有干预相比，虚拟患者是有价值的，与模拟患者相比并不逊色。虚拟病人的一个意想不到的好处是录像。学习的一个障碍是缺乏情感和互动。需要对虚拟模拟的设计及其与现有课程的整合进行更多的研究。结论：虚拟病人是一种很有价值的坏消息教育工具；然而，它们还没有取代现有的教育方法。需要进行更大规模、同质化的研究，为教学设计和课程整合提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.