模拟患者对基于模拟患者的模拟会话的体验:一项定性研究

Goh Lay-Khim, Yee Bit-Lian
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Manual transcribing and coding technique was used for data analysis, while Qualitative Data Analysis (QDA) was used for data management and additional analysis. Results: Three main themes and eleven sub-themes have emerged. The first theme was Effective learning session, with the sub-themes of Student learning attitude, Treated as real patient, Standardization among lecturer, Appropriate respond to student and Focused learning outcome; second theme was Motivation, with the sub-themes of Respect, Feedback, and Caring; the third theme was Preparation prior to class, with the sub-themes of Clear instruction, Role-play, and Script. Conclusions: SPs perceived that lecturers should pay attention to the students’ learning outcome and fully utilize SPs for teaching. Besides that, SPs wished to be treated as a real patient due to the lecturer who treated the SPs as they are real patient gave students a mind-set that the learners were actually dealing with a patient with real conditions. 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引用次数: 12

摘要

背景:模拟患者(SP)被定义为一个非专业人员,模拟以描绘患有健康相关疾病的患者的角色。国际医科大学(IMU)已经使用SP超过10年了,然而,SP在基于SP的模拟会话方面的经验尚待探索,本研究的目的是探索SP在基于SP-的模拟会话中的经验。方法:共招募6名参与者进行重点小组访谈,包容性标准为至少参加一次基于SP的模拟会议。面试官使用了一系列引导性问题来探索基于SP的模拟会议的积极和消极体验。将手动和计算机软件程序相结合用于数据管理和分析。人工转录和编码技术用于数据分析,而定性数据分析(QDA)用于数据管理和附加分析。结果:出现了三个主主题和十一个子主题。第一个主题是有效的学习环节,分主题为学生的学习态度、真正的病人对待、讲师之间的规范、对学生的适当回应和专注的学习结果;第二个主题是动机,分主题为尊重、反馈和关爱;第三个主题是课前准备,分为清晰的指导、角色扮演和脚本。结论:SP认为讲师应关注学生的学习成果,充分利用SP进行教学。除此之外,SP希望被视为真正的患者,因为将SP视为真正患者的讲师给了学生一种心态,即学习者实际上是在与有真实情况的患者打交道。SP认为讲师的另一个角色在实际课程之前已经为SP做好了充分准备。SP表示,认真对待课程的学生、课前准备充分的学生、课程期间的积极参与以及积极主动的态度鼓励学生真实地刻画角色。当SP的角色是记忆场景所需的一系列信息时,在心理上为描绘某些情绪和身体症状做好准备。讲师、SP以及学生影响一个成功的基于SP的模拟课程。
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Simulated Patients’ Experience towards Simulated Patient-Based Simulation Session: A Qualitative Study
Background: Simulated Patient (SP) is defined as a layperson that simulates to portray the role of a patient with health-related conditions. International Medical University (IMU) has been utilizing SP for more than 10 years, however, the SP's experience toward the SP-based simulation session yet to be explored, the aim of the study was to explore the SP's experience toward the SP-based simulation session. Methods: Total of 6 participants recruited for a focused group interview, with the inclusive criteria of participated at least an SP-based simulation session. The interviewer used a list of guide question to explore both the positive and negative experience of the SP-based simulation session. A combination of manual and computer software Program was used for data management and analysis. Manual transcribing and coding technique was used for data analysis, while Qualitative Data Analysis (QDA) was used for data management and additional analysis. Results: Three main themes and eleven sub-themes have emerged. The first theme was Effective learning session, with the sub-themes of Student learning attitude, Treated as real patient, Standardization among lecturer, Appropriate respond to student and Focused learning outcome; second theme was Motivation, with the sub-themes of Respect, Feedback, and Caring; the third theme was Preparation prior to class, with the sub-themes of Clear instruction, Role-play, and Script. Conclusions: SPs perceived that lecturers should pay attention to the students’ learning outcome and fully utilize SPs for teaching. Besides that, SPs wished to be treated as a real patient due to the lecturer who treated the SPs as they are real patient gave students a mind-set that the learners were actually dealing with a patient with real conditions. SPs supposed that another role of the lecturer was well-prepared the SPs prior to the actual sessions. SPs expressed that students who took the session seriously, well-preparation before the classes, active participation during the sessions and proactive attitude encouraged realistic portrayal of the character. While SP role was memorizing a series of information needed for the scenario, prepare mentally for portrayal certain emotional as well as physical symptoms. Lecturer, SP as well as student influence a successful SP-based simulation session.
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