产科急诊充分管理的临床模拟培训:叙述性综述。

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Medwave Pub Date : 2023-11-03 DOI:10.5867/medwave.2023.10.2712
Najat Boucetta, Mustafa El Alaoui
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引用次数: 0

摘要

产科紧急情况是指在怀孕或分娩期间危及母亲和婴儿健康的危急情况。本研究旨在验证临床模拟训练在管理这些情况方面的有效性。我们对2008年至2022年间发表的研究进行了叙述性综述,这些研究来自Scopus、Sciencedirect、PubMed、Springer、Scielo和Google Scholar等数据库。我们仔细收集和总结了符合纳入标准的研究数据。我们的研究结果强烈强调,临床模拟是医疗专业人员培训的一种高效工具。这种培训转化为在各个方面的实质性改进,包括表现、知识、信心、满意度、态度、自我效能感、团队合作能力,以及应对产后出血、子痫、肩难产、母亲心脏骤停、脐带脱垂和剖宫产等产科危急情况所需的技能。重要的是,这种培训降低了在真实患者身上学习的固有风险,并符合最高道德标准。此外,我们的研究结果强调,产科急诊管理中的跨学科合作被证明是提供全面患者护理的有效策略。然而,必须强调的是,为了确保患者安全并促进团队合作,医疗保健专业人员必须接受充分的培训并获得适当的资格。尽管我们承认实施临床模拟培训可能需要大量成本和资源,但我们坚信,这一战略在该领域专业人员的教育中仍然具有不可估量的价值。最终,我们预计,未来的高质量研究将进一步巩固产科急诊临床模拟培训最佳实践的证据基础,从而有助于提高这一关键领域的患者结果和医疗保健的整体质量。
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Clinical simulation training for the adequate management of obstetrics emergencies: A narrative review.

Obstetric emergencies are critical situations that jeopardize the health of both the mother and the baby during pregnancy or childbirth. This study aimed to validate the effectiveness of clinical simulation training in managing these situations. We conducted a narrative review of studies published between 2008 and 2022, collected from databases including Scopus, Sciencedirect, PubMed, Springer, Scielo, and Google Scholar. Data from studies that met our inclusion criteria were meticulously gathered and summarized. Our findings strongly emphasize that clinical simulation emerges as a highly effective tool in the training of healthcare professionals. This training translates into substantial improvements in various aspects, including performance, knowledge, confidence, satisfaction, attitudes, self-efficacy, teamwork abilities, and the skills necessary to confront critical obstetric situations such as postpartum hemorrhage, eclampsia, shoulder dystocia, maternal cardiac arrest, umbilical cord prolapse, and cesarean sections. Importantly, this training reduces the inherent risks associated with learning on real patients and aligns with the highest ethical standards. Additionally, our results underscore that interdisciplinary collaboration in the management of obstetric emergencies proves to be an effective strategy for providing comprehensive patient care. However, it is crucial to highlight that, in order to ensure patient safety and promote a teamwork approach, it is imperative for healthcare professionals to receive adequate training and be duly qualified. Although we acknowledge that implementing clinical simulation training can entail significant costs and require substantial resources, we firmly believe that this strategy continues to hold immeasurable value in the education of professionals in this field. Ultimately, we anticipate that future high-quality research will further fortify the evidence base regarding best practices in clinical simulation training for obstetric emergencies, thus contributing to enhanced patient outcomes and the overall quality of healthcare in this critical domain.

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来源期刊
Medwave
Medwave MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
8.30%
发文量
50
审稿时长
12 weeks
期刊介绍: Medwave is a peer-reviewed, biomedical and public health journal. Since its foundation in 2001 (Volume 1) it has always been an online only, open access publication that does not charge subscription or reader fees. Since January 2011 (Volume 11, Number 1), all articles are peer-reviewed. Without losing sight of the importance of evidence-based approach and methodological soundness, the journal accepts for publication articles that focus on providing updates for clinical practice, review and analysis articles on topics such as ethics, public health and health policy; clinical, social and economic health determinants; clinical and health research findings from all of the major disciplines of medicine, medical science and public health. The journal does not publish basic science manuscripts or experiments conducted on animals. Until March 2013, Medwave was publishing 11-12 numbers a year. Each issue would be posted on the homepage on day 1 of each month, except for Chile’s summer holiday when the issue would cover two months. Starting from April 2013, Medwave adopted the continuous mode of publication, which means that the copyedited accepted articles are posted on the journal’s homepage as they are ready. They are then collated in the respective issue and included in the Past Issues section.
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