摘要
目的本研究探讨模拟参与者在医学情境模拟课程案例运行中的作用,为医学情境模拟课程的规范化建设提供参考。方法现场观摩2022至2023学年开展的30场关于围术期危机事件的情境模拟教学,观察记录模拟参与者在案例运行中的表现及其推动案例运行的技巧使用情况,课程结束后关于案例运行情况对学员、模拟参与者、导师进行调查分析。结果在30场关于围术期危机事件的情境模拟案例运行中,模拟参与者所扮演的角色包括手术医生、麻醉护士、巡回护士、标准化病人等,有2名模拟参与者的案例占80.00%,有3名的占20.00%。模拟参与者在帮助学员快速融入场景、控制案例运行方向方面表现优异,优良率为90.00%~100.00%,但在推动案例运行进度、应对场上发生的意外情况方面存在一定的差异,优良率为50.00%~60.00%。模拟参与者可通过暗示、提示和指示等技巧来推动案例的顺利运行,案例运行的流畅度与模拟参与者技巧的运用密切相关,技巧掌握娴熟的模拟参与者能显著提高教学效果。课后调查学员普遍认为模拟参与者在案例运行中起到了积极作用,模拟参与者和导师均认为在模拟教学前需加强沟通。结论模拟参与者对于引导学员、推动案例运行、顺利实现教学目标具有重要作用,导师不仅在教案编写环节需考虑模拟参与者的脚本设计,而且在教学实施环节应重视对模拟参与者的培训与交流。
Objective:To investigate the roles of simulated participants in the facilitation of medical scenarios simulation-based course and to provide a reference for the standardized construction of medical scenarios simulation-based course.Methods:Thirty scenario simulation-based teaching sessions on perioperative crisis events conducted during the 2022-2023 academic year were observed on-site.The performance of simulated participants in facilitating case execution and the skills used in facilitation were observed and recorded.At the end of the course,surveys regarding facilitation were administered to students,simulated participants,and instructors for analysis.Results:In the facilitation of 30 scenario simulation-based teaching sessions on perioperative crisis events,the roles of simulated participants included surgeon,anesthesia nurse,circuit nurse,and standardized patient.Two simulated participants accounted for 80.00%and three participants for 20.00%of the total sessions.The simulated participants performed excellently in helping the learners quickly integrate into the scenario and controlling the direction of the case,with an excellence rate of 90.00%-100.00%.However,they had some variations in driving the progress of the case and responding to unexpected situations,with an excellence rate of 50.00%-60.00%.The facilitation skills used by simulated participants included hinting,prompting,and instructing.The performance of facilitation was closely related to the use of skills by the simulated participants.Simulated participants with proficient skill usage significantly enhanced teaching effectiveness.Post-session surveys revealed that learners generally perceived simulated participants as having a positive impact on facilitation,and both simulated participants and instructors emphasized the need for strengthened communication prior to simulation-based teaching.Conclusions:The simulated participants played important roles in guiding learners,advancing case progression,and achieving teaching objectives.Instructors should not only consider the scripting of simulated participants during lesson planning but also prioritize their training and communication during course implementation.
作者
姚文龙
李立
肖静
周志强
祝畅
万里
Yao Wenlong;Li Li;Xiao Jing;Zhou Zhiqiang;Zhu Chang;Wan Li(Department of Anesthesiology and Pain Medicine,Hubei Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health,Wuhan Clinical Research Center for Geriatric Anesthesia,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Physiology,School of Basic Medical Sciences,Hubei University of Chinese Medicine,Wuhan 430065,China)
出处
《中华医学教育探索杂志》
2025年第6期771-776,共6页
Chinese Journal of Medical Education Research
基金
华中科技大学教学研究项目(2020ZEKZ018)
华中科技大学教师教学发展中心项目(2021JSJCPX002)。
关键词
情境模拟课程
模拟参与者
案例运行
Scenario simulation-based course
Simulated participant
Facilitation
