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International journal of healthcare simulation : advances in theory and practice最新文献

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A pilot study comparing immersive virtual reality simulation and computerized virtual patient simulation in undergraduate medical education 沉浸式虚拟现实仿真与计算机化虚拟病人仿真在本科医学教育中的初步比较研究
Katerina Bray, Lucy Bray, Thozhukat Sathyapalan, Alan S Rigby, David Hepburn
Simulation-based teaching is an integral feature within medical education and following the emergence of virtual simulation, an array of possibilities exists for educators to choose between. However, evidence informing their use is scarce, particularly regarding outcomes assessing user experience and knowledge acquisition, and experimental studies comparing different approaches to virtual simulation. Therefore, this study compared immersive virtual reality (VR) simulation to computerized virtual patient (VP) simulation measuring their effect on knowledge acquisition and retention, as well as user experience, in fifth-year medical students. This pilot study, of a randomized crossover design, comprised 18 participants independently completing an immersive VR simulation and a computerized VP simulation. All participants completed the same two scenarios and received an induction to both modalities. Multiple-choice questions were employed to assess knowledge acquisition and retention, with participants completing the questions immediately before and after the simulation and following a 12-week interval. User experience questionnaires were completed after the simulation, utilizing both Likert scale and open-ended questions. Statistical analysis comprised a Student’s Both interventions achieved statistically significant levels of knowledge acquisition and retention. However, VR simulation achieved higher levels of acquisition (2.11; 95% CI = 0.89, 3.32, The findings indicated that both interventions are effective and acceptable educational tools. However, learning does not appear to be uniform across different virtual simulators, with participants achieving higher levels of learning following immersive VR simulation. Moreover, participants reacted significantly more positively to VR simulation, though potential applications were identified for both interventions. This study highlights the importance of an evidence-based approach to the implementation of novel simulation technologies. The findings contribute to an underexplored area of the literature and offer a step towards enabling medical educators to make an informed decision regarding the application of virtual simulation in their context.
基于模拟的教学是医学教育的一个组成部分,随着虚拟模拟的出现,教育者有了一系列选择的可能性。然而,告知其使用的证据很少,特别是关于评估用户体验和知识获取的结果,以及比较不同方法的虚拟模拟的实验研究。因此,本研究比较了沉浸式虚拟现实(VR)模拟和计算机化虚拟病人(VP)模拟对五年级医学生知识获取和保留以及用户体验的影响。本初步研究采用随机交叉设计,由18名参与者独立完成沉浸式VR模拟和计算机化VP模拟。所有参与者都完成了同样的两个场景,并接受了两种模式的诱导。采用多项选择题来评估知识的获取和保留,参与者在模拟之前和之后以及间隔12周后立即完成问题。模拟后完成用户体验问卷,采用李克特量表和开放式问题。两种干预都达到了统计学上显著的知识获取和知识保留水平。然而,VR模拟获得了更高的获取水平(2.11;95% CI = 0.89, 3.32,结果表明两种干预措施都是有效且可接受的教育工具。然而,在不同的虚拟模拟器中,学习似乎并不统一,参与者在沉浸式VR模拟后达到了更高的学习水平。此外,尽管确定了两种干预措施的潜在应用,但参与者对VR模拟的反应明显更积极。这项研究强调了以证据为基础的方法实现新型仿真技术的重要性。这些发现有助于探索文献的一个未被充分探索的领域,并为使医学教育者能够在他们的环境中对虚拟模拟的应用做出明智的决定提供了一步。
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引用次数: 0
Use of prebriefing in simulation-based experience for nursing education: a scoping review 在护理教育模拟经验中使用预简报:范围回顾
Hoi Man Chan, Suet Lai Wong, Sui Yu Yau, Shi Hang Chan
Embracing innovative pedagogies and structured pre-simulation activities in healthcare simulation enhances learning and clinical performance. The Society for Simulation in Healthcare (SSH) and the International Nursing Association for Clinical Simulation and Learning (INACSL) propose a three-phase approach of prebriefing, simulation-based experiences and debriefing. This scoping review explored the impact of prebriefing pedagogies, aiming to enhance nursing students’ chances of success in simulation-based learning experiences. This scoping review encompassed the existing literature on simulation in nursing education, specifically focusing on prebriefing strategies. The existing literature revealed variations in the contexts, educational concepts, prebriefing pedagogy and outcome measures employed in simulation-based experiences. None of the studies established a correlation between dependent variables and prebriefing pedagogy strategies. Instead, most studies utilized a combination of dependent variables to measure the correlated aspects of prebriefing, namely personal development and engagement. The recognized prebriefing strategies serve as valuable resources for nurse educators when designing the prebriefing phase of a simulation-based experience.
在医疗保健模拟中采用创新的教学法和结构化的模拟前活动可以提高学习和临床表现。医疗保健模拟学会(SSH)和国际临床模拟与学习护理协会(INACSL)提出了一种三阶段的方法,即预先简报、基于模拟的经验和汇报。本综述探讨了预简报教学法的影响,旨在提高护理学生在基于模拟的学习经验中成功的机会。这个范围审查包括现有的文献模拟护理教育,特别侧重于简报策略。现有的文献揭示了情境、教育概念、简报教学法和基于模拟的体验所采用的结果测量的差异。没有一项研究建立了因变量与简报前教学法策略之间的相关性。相反,大多数研究使用了因变量的组合来衡量预简报的相关方面,即个人发展和敬业度。在设计基于模拟的体验的预简报阶段时,公认的预简报策略为护士教育者提供了宝贵的资源。
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引用次数: 0
The effectiveness and efficiency of using ChatGPT for writing health care simulations 使用ChatGPT编写医疗保健模拟的有效性和效率
Efrem Violato, Carl Corbett, Brady Rose, Benjamin Rauschning, Brian Witschen
Simulation is a crucial part of health professions education that provides essential experiential learning. Simulation training is also a solution to logistical constraints around clinical placement time and is likely to expand in the future. Large language models, most specifically ChatGPT, are stirring debate about the nature of work, knowledge and human relationships with technology. For simulation, ChatGPT may present a solution to help expand the use of simulation by saving time and costs for simulation development. To understand if ChatGPT can be used to write health care simulations effectively and efficiently, simulations written by a subject matter expert (SME) not using ChatGPT and a non-SME writer using ChatGPT were compared. Simulations generated by each group were submitted to a blinded Expert Review. Simulations were evaluated holistically for preference, overall quality, flaws and time to produce. The SME simulations were selected more frequently for implementation and were of higher quality, though the quality for multiple simulations was comparable. Preferences and flaws were identified for each set of simulations. The SME simulations tended to be preferred based on technical accuracy while the structure and flow of the ChatGPT simulations were preferred. Using ChatGPT, it was possible to write simulations substantially faster. Health Profession Educators can make use of ChatGPT to write simulations faster and potentially create better simulations. More high-quality simulations produced in a shorter amount of time can lead to time and cost savings while expanding the use of simulation.
模拟是卫生专业教育的重要组成部分,提供必要的经验学习。模拟培训也是解决围绕临床安置时间的后勤限制的一种解决方案,并可能在未来扩大。大型语言模型,尤其是ChatGPT,正在引发关于工作、知识和人类与技术关系的本质的争论。对于仿真,ChatGPT可以提供一种解决方案,通过节省仿真开发的时间和成本来帮助扩展仿真的使用。为了了解ChatGPT是否可以用于有效和高效地编写医疗保健模拟,比较了主题专家(SME)不使用ChatGPT和非SME作者使用ChatGPT编写的模拟。每组生成的模拟都提交给盲法专家评审。对模拟的偏好、整体质量、缺陷和生产时间进行全面评估。SME模拟被更频繁地选择用于实现,并且质量更高,尽管多个模拟的质量是相当的。为每组模拟确定了偏好和缺陷。基于技术精度考虑,中小企业仿真更受青睐,而ChatGPT仿真的结构和流程更受青睐。使用ChatGPT,可以更快地编写仿真程序。卫生专业教育工作者可以使用ChatGPT更快地编写模拟,并可能创建更好的模拟。在更短的时间内生成更多高质量的模拟可以在扩展模拟使用的同时节省时间和成本。
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引用次数: 0
Cross-discipline teaching and learning of cardiology through an augmented reality application 通过增强现实应用的心脏病学跨学科教学
Chooi Yeng Lee, Kevin Moffat, Philippa Harris, Irwyn Shepherd, Paul McIntosh
Undergraduate health sciences and health professional degree programmes introduce students to common heart diseases and associated treatments, including atrial fibrillation (AF). Our students, second-year biomedical science and pharmacy students, through formal and informal feedback on their learning experience with cardiology, noted AF as the most difficult to comprehend. The learning challenges include electrophysiology and pharmacology aspects of AF. This study, therefore, aims to investigate the potential use of augmented reality (AR) to enhance students’ engagement and understanding of AF. Based upon students’ feedback, and guided by the learning outcomes of our degree programmes, we developed an AR application (App) to teach AF, covering general as well as discipline-specific learning content. The development was done through an iterative process, grounded in the constructivist learning theories. A survey consisting of 13 Likert-scale questions and an open-ended question formulated around user interface principles was conducted to gather students’ feedback of the App. Thirteen per cent of pharmacy students ( This study shows that AR technology has enhanced students’ engagement as well as perception of understanding of AF, specifically in the areas that students find difficult. This authentic learning tool has successfully addressed some of the learning challenges raised by students of both disciplines. Students’ positive feedback suggests that a carefully designed AR App, guided by learning theories, is a suitable and viable option to improve students’ understanding of complex subjects, apart from making learning immersive and engaging.
本科健康科学和健康专业学位课程向学生介绍常见的心脏病和相关治疗,包括心房颤动(AF)。我们的学生,生物医学和药学二年级的学生,通过对他们在心脏病学学习经验的正式和非正式反馈,指出房颤是最难理解的。学习挑战包括心房颤动的电生理和药理学方面。因此,本研究旨在探讨增强现实(AR)的潜在用途,以提高学生对心房颤动的参与和理解。根据学生的反馈,并以我们学位课程的学习成果为指导,我们开发了一个AR应用程序(App)来教授心房颤动,涵盖一般和特定学科的学习内容。发展是通过一个迭代过程完成的,以建构主义学习理论为基础。一项由13个李克特量表问题和一个围绕用户界面原则制定的开放式问题组成的调查进行了,以收集学生对该应用程序的反馈。13%的药学学生(这项研究表明,AR技术提高了学生的参与度以及对AF的理解,特别是在学生觉得困难的领域。这个真实的学习工具已经成功地解决了两个学科的学生提出的一些学习挑战。学生们的积极反馈表明,在学习理论的指导下,一个精心设计的AR App,除了让学习变得身临其境和引人入胜之外,还可以提高学生对复杂学科的理解,是一个合适和可行的选择。
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引用次数: 0
A52 Probing for Veins: A Cost-Effective, Reproducible Method for Teaching Ultrasound-Guided Peripheral Intravenous Access A52静脉探查:超声引导下外周静脉通路的一种成本效益高、可重复的教学方法
William Southall, Christopher Torrilla, James Chu, Johann Willers, Nicholas Tovell
Repeated attempts at peripheral intravenous (PIV) access cause increased discomfort and delays in treatment for patients in hospital. The use of ultrasound can improve success in PIV access, benefitting patient experience. Medical professionals are increasingly expected to use ultrasound when landmark techniques fail [1]. We sought to improve confidence using ultrasound for PIV cannulation with low-cost simulation models made from ADAMgel [2] or tofu in multiple teaching sessions. We organized teaching sessions with multiple specialties at St Richard’s Hospital. A total of 48 members of staff have been taught over four sessions. Prior to the teaching session learners were asked to complete a survey identifying previous ultrasound experience and rating confidence using ultrasound for PIV access. The teaching session consisted of an introductory multimedia presentation with a video demonstration, then practical experience. Models consisted of water-filled balloons placed in ADAMgel (Aqueous Dietary Fibre Antifreeze Mix gel) or tofu to simulate human tissue and veins, Models used to deliver teaching sessions. After ADAMgel became available this has been used exclusively due to it being more reusable compared to the tofu modelsA: tofu model with ultrasound image underneath.B: ADAMgel model with ultrasound image underneath The initial survey identified only 29% of staff had previously used ultrasound for PIV access, and half of these (15% overall) had only used it once or twice a year. Using a five-point Likert scale, 74% of respondents rated their confidence in using ultrasound as one or two out of five. All respondents thought they would benefit from further teaching in PIV access. Feedback after teaching sessions was favourable, with 95% of respondents finding the session very useful and 95% also believing it would increase their use of ultrasound in clinical practice. After the session, more than half rated their confidence in ultrasound cannulation as four or five out of five. We have demonstrated that there is a desire from medical staff to increase their competency in ultrasound-guided PIV cannulation. Using low-cost, high-fidelity simulation models with a blended learning method, we can deliver teaching sessions to a large number of medical staff. We hope to continue this teaching in collaboration with our sister sites throughout Sussex to increase confidence with ultrasound-guided PIV cannulation in this region. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
反复尝试外周静脉注射(PIV)会增加住院患者的不适和治疗延误。超声的使用可以提高PIV通道的成功率,有利于患者的体验。当标志性技术失败时,越来越多的医疗专业人员希望使用超声[1]。我们试图在多次教学中使用由ADAMgel[2]或豆腐制成的低成本仿真模型来提高超声对PIV插管的信心。我们在圣理查德医院组织了多个专业的教学课程。总共有48名工作人员在四期课程中接受了培训。在教学之前,学生被要求完成一项调查,确定以前的超声经验,并评估使用超声进行PIV访问的信心。教学环节包括多媒体介绍和视频演示,然后是实践体验。模型由装满水的气球组成,放置在ADAMgel(含水膳食纤维防冻混合凝胶)或豆腐中,以模拟人体组织和静脉,模型用于提供教学课程。在ADAMgel问世后,它被专门使用,因为与豆腐模型相比,它更具可重复使用性。最初的调查发现,只有29%的员工以前使用过超声波进行PIV访问,其中一半(15%)每年只使用一到两次。使用李克特五点量表,74%的受访者将他们对使用超声波的信心评为1或2分(满分为5分)。所有受访者都认为他们将从进一步的PIV教学中受益。教学课程后的反馈是有利的,95%的受访者认为课程非常有用,95%的人也相信它会增加他们在临床实践中的超声波使用。疗程结束后,超过一半的人对超声插管的信心评分为4或5分(满分5分)。我们已经证明,医务人员希望提高他们在超声引导PIV插管方面的能力。使用低成本,高保真仿真模型和混合学习方法,我们可以向大量医务人员提供教学课程。我们希望与苏塞克斯郡的姐妹医院合作,继续进行这种教学,以增加该地区超声引导PIV插管的信心。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
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引用次数: 0
A30 Safe Interdepartmental Learning from clinical incidents using a Quality Improvement Framework 使用质量改进框架从临床事故中学习安全跨部门
Rasheed Kaja Mohammad, Nicola Jones, Zilley Khan
Mistakes are an inherent learning opportunity within healthcare that can be used to prevent future loss of lives and reduce suffering. We aim to create a safe learning space within our organization that can be embedded within our quality improvement (QI) process. We have designed a bespoke framework ( Safe Interdepartmental Learning with a Quality Improvement Framework Our tertiary hospital clinical governance team in collaboration with the multi-professional education, simulation, and patient safety departments has identified 5 topics based on the root cause analysis of serious clinical incidents. This description from our recent cohort involves the recruitment of 5 different specialty teams, each consisting of 1 experienced consultant faculty and 3 other facilitating clinicians with different levels of experience in healthcare simulation. The teams prepared and designed the most suitable clinical scenario progression to address the learning objectives based on their allocated topics. Learner and peer feedback along with reflections on the session, highlighted possible change ideas to modify the subsequent scenario running. Over a period of 6 months, different learner sets were involved in the same simulation exercise with 2 further iterative modifications. The 5 teams have generated a total of 15 hours of simulation sessions using standard pre-briefing, debriefing, and evidence-based simulation techniques. The level of independent facilitation and mentoring by more advanced debriefers has been adjusted to fit the individual pace of experiential learning. To further enhance the embedded faculty development a total of 270 minutes of online discussion, reflections, and 15 topics were presented by the facilitators to create a multi-professional learning experience. The content was structured to reflect the national outcome’s framework for faculty development and the ASPIH standards guidance for simulation-based education. The recorded simulation sessions, debriefing, and topic discussions have generated a useful asynchronous online reference for the current and future cohorts. The feasibility of implementing this simulation programme integrated with a QI framework is a major step for our future prospective evaluation of the impact of translational simulation as theorized in the current literature [2] on patient outcomes and healthcare performance indicators. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
在医疗保健中,错误是一个固有的学习机会,可以用来防止未来的生命损失和减少痛苦。我们的目标是在我们的组织内创建一个安全的学习空间,可以嵌入到我们的质量改进(QI)过程中。我们的三级医院临床治理团队与多专业的教育、模拟和患者安全部门合作,根据对严重临床事件的根本原因分析,确定了5个主题。我们最近的队列描述涉及5个不同专业团队的招聘,每个团队由1名经验丰富的顾问教师和3名其他具有不同医疗模拟经验水平的辅助临床医生组成。小组根据分配的主题准备和设计最合适的临床情景进展来解决学习目标。学习者和同伴的反馈以及对会议的反思,强调了可能改变的想法,以修改随后的场景运行。在6个月的时间里,不同的学习者组参与了同样的模拟练习,并进行了两次进一步的迭代修改。这5个团队使用标准的预先简报、汇报和基于证据的模拟技术,共进行了15个小时的模拟会议。更高级的汇报员的独立促进和指导水平已被调整,以适应体验式学习的个人节奏。为了进一步加强嵌入式教师的发展,主持人提供了总共270分钟的在线讨论、反思和15个主题,以创造一个多专业的学习体验。内容的结构反映了教师发展的国家成果框架和基于模拟的教育的ASPIH标准指导。记录的模拟会话、汇报和主题讨论为当前和未来的队列生成了有用的异步在线参考。实施与QI框架相结合的模拟程序的可行性是我们未来前瞻性评估当前文献[2]中对患者结果和医疗绩效指标的转化模拟影响的重要一步。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
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引用次数: 0
A37 Does simulation-based training increase perceived confidence to address demanding communication situations within critical care? 以模拟为基础的培训是否增加了在危重病护理中应对沟通需求的信心?
Kathleen Jones, Simone Bonasera, Nicole Flores, Samantha Murie
Training nurses to improve their ability and confidence to communicate effectively in difficult situations is beneficial [1]. Simulation is an effective method to replicate difficult communication situations with colleagues, family or patients and improves communication skills [2]. Iyasere et al., (2022) [2] determined improving perceived confidence to communicate increased team-performance specifically amongst nurses. The main purpose was to evaluate the effectiveness of using simulation-based communication scenarios to improve critical care nurses’ perceived confidence to communicate in difficult situations. Fourteen (Band 5 and Band 6) critical care nurses attended three sessions of communication simulation. Participants were invited based on manager feedback either requiring improved communication or demonstrating excellent communication skills, an equal number from both spectrums attended each session. A diamond debriefing model was used after each scenario as the debriefing model provides reflection resulting in improved practice [3]. Debriefing was conducted by training simulation faculty. A survey was used to measure perceived confidence and ability to communicate in three difficult situations: escalating concern, next-of-kin communication (NOK) and colleague interaction. The survey was presented pre-, post-simulation and at six-weeks post. Results showed an increase in confidence and ability to communicate in all three communication situations, as shown in The average rating (1-10) of perceived confidence in each simulation element, at each interval Simulation-based training is an effective method to increase Critical Care nurses perceived confidence to communicate in demanding situations. Communication situations involving colleagues remains the most challenging communication scenario for nurses. Improving confidence to communicate is essential to effective team working and patient-centred nursing practice. Further study is needed but initial results suggest the method is beneficial to improve critical care nursing practice. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
培训护士提高他们在困难情况下有效沟通的能力和信心是有益的[1]。模拟是模拟与同事、家人或患者沟通困难情况的有效方法,可以提高沟通技巧[2]。Iyasere等人,(2022)[2]决定提高感知信心,以沟通提高团队绩效,特别是在护士之间。主要目的是评估使用基于模拟的沟通场景来提高危重病护理护士在困难情况下沟通的感知信心的有效性。14名重症监护护士(5级和6级)参加了3次交流模拟。参与者是根据经理的反馈被邀请的,要么需要改进沟通,要么表现出出色的沟通技巧,每次会议都有相同数量的来自这两个领域的人参加。每个场景之后都使用了菱形汇报模型,因为汇报模型提供了反思,从而改进了实践[3]。由训练模拟教员进行汇报。一项调查被用来衡量在三种困难情况下的感知信心和沟通能力:升级关注,近亲沟通(NOK)和同事互动。调查分别在模拟前、模拟后和六周后进行。结果显示,在所有三种沟通情况下,信心和沟通能力都有所增加,如每个模拟元素在每个间隔的感知信心的平均评分(1-10)所示,基于模拟的培训是提高重症监护护士在要求高的情况下沟通的感知信心的有效方法。对护士来说,同事之间的沟通仍然是最具挑战性的沟通场景。提高沟通的信心对于有效的团队合作和以病人为中心的护理实践至关重要。虽然还需要进一步的研究,但初步结果表明,该方法有利于提高重症监护的护理实践。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
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引用次数: 0
A1 Interactive simulation training course for professionals working with children and adolescents with eating disorders A1互动模拟训练课程,为从事饮食失调儿童和青少年工作的专业人员提供
Naila Saleem, Megan Fisher, Jess Griffiths, Selena Galloway, Cristina Jianu, Marta Ortega Vega
Research suggests that eating disorders (ED) in children and adolescents are on the rise [1]. One study found that the incidence of anorexia nervosa in young girls aged 10–14 years increased by 50% between 1980 and 2000 [2]. Another study reported a 119% increase in the number of hospitalizations for eating disorders in children aged 12 and under between 1999 and 2006 [3]. These statistics highlight the urgent need for improved prevention, early intervention and treatment of eating disorders in young people. This 1-day interactive simulation training course is designed to enhance the knowledge, confidence and skills of medical doctors, psychiatrists, RMNs, physical health nurses, dieticians, general practitioners and family therapists who are working with children and young people (CYP) with eating disorders. This 1-day simulation course was delivered online. The course focuses on the assessment and management of CYP with ED, understanding the challenges faced by professionals in engaging CYP with ED in different settings, thinking about dynamics within family systems and in wider systems, and gaining a better understanding of capacity, consent and other conundrums. The course includes simulated scenarios played by trained actors to support the development of effective communication skills and Maudsley debrief model is employed to give participants feedback on their contributions and assist them in learning positively and constructively from their experience. Participants completed a pre- and post-course questionnaire measuring their confidence in course-specific skills and human factors skills, as well as collecting qualitative feedback on their experience of the course and intention to apply the learning. Participants were asked to complete a pre-course and post-course questionnaire rating their knowledge, confidence and skills related to working with patients with eating disorders. Paired samples The course was effective at improving participants’ knowledge, confidence and skills in working with CYP with ED. The participants found the course useful for their clinical practice. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
研究表明,儿童和青少年的饮食失调(ED)呈上升趋势[1]。一项研究发现,1980年至2000年间,10-14岁少女神经性厌食症的发病率增加了50%[2]。另一项研究报告称,1999年至2006年间,12岁及以下儿童因饮食失调而住院的人数增加了119%[3]。这些统计数字突出表明,迫切需要改进对年轻人饮食失调的预防、早期干预和治疗。这个为期一天的互动模拟培训课程旨在提高医生、精神科医生、注册护士、身体健康护士、营养师、全科医生和家庭治疗师的知识、信心和技能,他们正在与患有饮食失调的儿童和青少年(CYP)一起工作。这个为期1天的模拟课程是在线提供的。本课程的重点是评估和管理有ED的CYP,了解专业人士在不同环境下参与CYP和ED所面临的挑战,思考家庭系统和更广泛系统中的动态,并更好地理解能力,同意和其他难题。课程包括由训练有素的演员扮演的模拟场景,以支持有效沟通技巧的发展,并采用莫兹利汇报模型,以反馈参与者的贡献,帮助他们从经验中积极和建设性地学习。参与者完成了课程前和课程后的问卷调查,以衡量他们对课程特定技能和人为因素技能的信心,并收集他们对课程体验和应用学习意图的定性反馈。参与者被要求完成课前和课后的问卷调查,评估他们与饮食失调患者工作相关的知识、信心和技能。该课程有效地提高了参与者与CYP和ED合作的知识、信心和技能。参与者发现该课程对他们的临床实践很有用。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
{"title":"A1 Interactive simulation training course for professionals working with children and adolescents with eating disorders","authors":"Naila Saleem, Megan Fisher, Jess Griffiths, Selena Galloway, Cristina Jianu, Marta Ortega Vega","doi":"10.54531/rsww3376","DOIUrl":"https://doi.org/10.54531/rsww3376","url":null,"abstract":"Research suggests that eating disorders (ED) in children and adolescents are on the rise [1]. One study found that the incidence of anorexia nervosa in young girls aged 10–14 years increased by 50% between 1980 and 2000 [2]. Another study reported a 119% increase in the number of hospitalizations for eating disorders in children aged 12 and under between 1999 and 2006 [3]. These statistics highlight the urgent need for improved prevention, early intervention and treatment of eating disorders in young people. This 1-day interactive simulation training course is designed to enhance the knowledge, confidence and skills of medical doctors, psychiatrists, RMNs, physical health nurses, dieticians, general practitioners and family therapists who are working with children and young people (CYP) with eating disorders. This 1-day simulation course was delivered online. The course focuses on the assessment and management of CYP with ED, understanding the challenges faced by professionals in engaging CYP with ED in different settings, thinking about dynamics within family systems and in wider systems, and gaining a better understanding of capacity, consent and other conundrums. The course includes simulated scenarios played by trained actors to support the development of effective communication skills and Maudsley debrief model is employed to give participants feedback on their contributions and assist them in learning positively and constructively from their experience. Participants completed a pre- and post-course questionnaire measuring their confidence in course-specific skills and human factors skills, as well as collecting qualitative feedback on their experience of the course and intention to apply the learning. Participants were asked to complete a pre-course and post-course questionnaire rating their knowledge, confidence and skills related to working with patients with eating disorders. Paired samples The course was effective at improving participants’ knowledge, confidence and skills in working with CYP with ED. The participants found the course useful for their clinical practice. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.","PeriodicalId":93766,"journal":{"name":"International journal of healthcare simulation : advances in theory and practice","volume":"9 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135869774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A14 Does everyone see it the same? An evaluation of the alignment of perceived benefits of virtual simulation between undergraduate pharmacy students, faculty and stakeholders 每个人的看法都一样吗?对本科药学学生、教师和利益相关者之间虚拟模拟的感知利益的评估
Jonathan Davies
In the aftermath of the COVID-19 pandemic, where access to traditional simulation environments and experiences was necessarily restricted, increasing focus has been placed on the use of technology in simulation. The use of virtual patient simulations has been shown in literature to increase interest as well as provide opportunities to practice clinical reasoning [1]. Opportunities to develop clinical reasoning are of notable importance in undergraduate pharmacy education currently owing to ongoing changes in pharmacy education, where newly qualified pharmacists will be annotated as independent prescribers from 2026 [2]. Evidence on the extent to which views on the perceived uses and benefits of virtual simulation align between different user groups is limited. In a UK university, a programme of virtual simulation has been utilized since 2020 as a part of the undergraduate pharmacy curriculum. A mixed-methods study was run which aimed to evaluate the alignment of views of students, faculty and stakeholders (who were individuals involved in the design or implementation of virtual simulation products) on the potential uses, intended learning outcomes, and perceived benefits and weaknesses of virtual simulation. Following approval by the school research ethics committee, an electronic questionnaire was sent to final-year undergraduate pharmacy students who had experienced a programme of virtual simulation including a mixture of qualitative and quantitative questions relating to student perceptions of the use of virtual simulation in the curriculum. Semi-structured interviews were conducted with faculty members and stakeholders exploring their views on virtual simulation. Quantitative data were analysed by simple descriptive statistics, and a critical review of free-text responses was performed through grounded theory to identify emergent key themes. A total of 25 responses to student questionnaires were received. A total of seven interviews were performed, including three members of academic staff familiar with virtual simulation and four stakeholders responsible for the design or implementation of virtual simulation products. Students most commonly believed that virtual simulation could benefit their development of consultation skills, clinical history taking and physical assessment. Significant alignment between the perceptions of stakeholders and students on the uses and benefits of virtual simulation was demonstrated, but faculty members articulated a more limited list of perceived uses and benefits. The views of final-year undergraduate pharmacy students aligned strongly with stakeholders involved in the design or implementation of virtual simulation. The more limited views of faculty may represent a barrier to the full implementation of virtual simulation. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applica
在2019冠状病毒病大流行之后,传统模拟环境和经验的使用必然受到限制,因此越来越重视在模拟中使用技术。文献显示,使用虚拟病人模拟可以增加兴趣,并提供实践临床推理的机会[10]。由于目前药学教育的不断变化,发展临床推理的机会在本科药学教育中非常重要,从2026年开始,新合格的药剂师将被注释为独立的开处方者。关于不同用户群体对虚拟模拟的感知用途和益处的看法在多大程度上一致的证据是有限的。在英国一所大学,自2020年以来,虚拟模拟课程已被用作本科药学课程的一部分。进行了一项混合方法研究,旨在评估学生、教师和利益相关者(参与虚拟仿真产品设计或实施的个人)对虚拟仿真的潜在用途、预期学习成果以及感知到的优点和缺点的看法。在得到学校研究伦理委员会的批准后,一份电子问卷被发给了经历过虚拟模拟课程的药学本科生,其中包括与学生对课程中使用虚拟模拟的看法有关的定性和定量问题。与教师和利益相关者进行了半结构化访谈,探讨他们对虚拟仿真的看法。定量数据通过简单的描述性统计进行分析,并通过扎根理论对自由文本回应进行批判性审查,以确定紧急的关键主题。我们共收到25份学生问卷的回复。共进行了七次访谈,其中包括三名熟悉虚拟仿真的学术人员和四名负责虚拟仿真产品设计或实施的利益相关者。学生普遍认为虚拟模拟有助于他们的咨询技能、临床病史和身体评估的发展。演示了利益相关者和学生对虚拟模拟的使用和好处的看法之间的显著一致性,但教师们明确了一个更有限的感知使用和好处列表。最后一年本科药学学生的观点与参与虚拟模拟设计或实施的利益相关者强烈一致。教师的观点较为有限,这可能是虚拟仿真全面实施的障碍。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
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引用次数: 0
A21 The use of simulated learning in prequalifying physiotherapy education: a scoping review 模拟学习在资格预审物理治疗教育中的应用:范围综述
Jonathan Room, Robyn Stiger
Simulation-based learning is an increasingly popular pedagogical approach. In some areas of physiotherapy, it is better been documented, for example, cardiorespiratory physiotherapy [1]. However, its use in other physiotherapy-related settings is less clear. Therefore, the aim of this project was to review the literature on simulation-based learning in prequalifying physiotherapy education, in order to explore where studies have taken place, which physiotherapy settings it is used in and indication of its effectiveness in teaching. This study was carried out based on the scoping review methodology outlined by Arksey and O’Malley [2]. The following databases were searched: AMED, BNI, CINAHL, Embase, Emcare, HMIC, Medline and PsychInfo, using specific search terms, to find studies involving the use of simulation in a prequalifying physiotherapy setting. Returned papers were screened using inclusion and exclusion criteria by two reviewers. The database search results were recorded and managed using Rayyan™ [3]. The database search retrieved 280 papers. Following the removal of duplicates, screening titles and abstracts and then screening full-text papers, 39 papers were included. The included studies were conducted in USA ( This scoping review identified a growing body of evidence supporting simulation-based learning in prequalifying physiotherapy education. However, to date, its use in pedagogical research has tended to focus on the cardiorespiratory setting, and it has often been researched as a tool to explore or enhance interprofessional collaboration. Whilst both of these areas are of value to the profession, there is scope to explore the use of simulation-based learning in settings such as musculoskeletal teaching. Further work on its use and value in the teaching of discrete complex tasks, in addition to collaborative practice, such as team working, de-escalation and communication is also needed. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
基于模拟的学习是一种日益流行的教学方法。在一些物理治疗领域,它得到了更好的记录,例如心肺物理治疗[1]。然而,它在其他物理治疗相关环境中的应用尚不清楚。因此,本项目的目的是回顾关于预审资格物理治疗教育中基于模拟的学习的文献,以探索在哪里进行了研究,在哪些物理治疗环境中使用了模拟学习,以及它在教学中的有效性。本研究基于Arksey和O 'Malley[2]概述的范围审查方法进行。使用特定检索词检索以下数据库:AMED, BNI, CINAHL, Embase, Emcare, HMIC, Medline和PsychInfo,以查找在资格预审物理治疗设置中使用模拟的研究。退回的论文由两名审稿人按照纳入和排除标准进行筛选。使用Rayyan™记录和管理数据库搜索结果[3]。数据库检索检索到280篇论文。在删除重复、筛选标题和摘要,然后筛选全文论文后,纳入了39篇论文。纳入的研究是在美国进行的(这一范围审查确定了越来越多的证据支持在资格预审物理治疗教育中基于模拟的学习。然而,到目前为止,它在教学研究中的应用往往侧重于心肺环境,并且经常被研究作为探索或加强专业间合作的工具。虽然这两个领域都对专业有价值,但在肌肉骨骼教学等环境中探索基于模拟的学习的使用是有余地的。除了协作实践(如团队合作、降级和沟通)之外,还需要进一步研究其在离散复杂任务教学中的使用和价值。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
{"title":"A21 The use of simulated learning in prequalifying physiotherapy education: a scoping review","authors":"Jonathan Room, Robyn Stiger","doi":"10.54531/hvpn9537","DOIUrl":"https://doi.org/10.54531/hvpn9537","url":null,"abstract":"Simulation-based learning is an increasingly popular pedagogical approach. In some areas of physiotherapy, it is better been documented, for example, cardiorespiratory physiotherapy [1]. However, its use in other physiotherapy-related settings is less clear. Therefore, the aim of this project was to review the literature on simulation-based learning in prequalifying physiotherapy education, in order to explore where studies have taken place, which physiotherapy settings it is used in and indication of its effectiveness in teaching. This study was carried out based on the scoping review methodology outlined by Arksey and O’Malley [2]. The following databases were searched: AMED, BNI, CINAHL, Embase, Emcare, HMIC, Medline and PsychInfo, using specific search terms, to find studies involving the use of simulation in a prequalifying physiotherapy setting. Returned papers were screened using inclusion and exclusion criteria by two reviewers. The database search results were recorded and managed using Rayyan™ [3]. The database search retrieved 280 papers. Following the removal of duplicates, screening titles and abstracts and then screening full-text papers, 39 papers were included. The included studies were conducted in USA ( This scoping review identified a growing body of evidence supporting simulation-based learning in prequalifying physiotherapy education. However, to date, its use in pedagogical research has tended to focus on the cardiorespiratory setting, and it has often been researched as a tool to explore or enhance interprofessional collaboration. Whilst both of these areas are of value to the profession, there is scope to explore the use of simulation-based learning in settings such as musculoskeletal teaching. Further work on its use and value in the teaching of discrete complex tasks, in addition to collaborative practice, such as team working, de-escalation and communication is also needed. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.","PeriodicalId":93766,"journal":{"name":"International journal of healthcare simulation : advances in theory and practice","volume":"1 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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International journal of healthcare simulation : advances in theory and practice
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