Mental Imagery to Enhance Procedural Skills in Peripheral Venous Catheterization: A Randomized Simulation Study in Medical Students.

IF 3.5 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Perspectives on Medical Education Pub Date : 2026-02-18 eCollection Date: 2026-01-01 DOI:10.5334/pme.2069
Nicolas Boulet, Hugo Nairv, Myriam Mezzarobba, Laysa Saadi, Denis Morin, Claire Roger
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引用次数: 0

Abstract

Introduction: Procedural skill acquisition is fundamental to medical education, yet training opportunities are increasingly constrained. Mental imagery, a cognitive rehearsal method shown to enhance psychomotor performance in various domains, has gained attention in medical training as a low-cost, safe tool to improve technical proficiency. Evidence remains limited and heterogeneous. Specifically, its application to peripheral venous catheter (PVC) insertion, a frequent and essential clinical procedure, has scarcely been studied.

Methods: In this single-center, open-label, randomized controlled simulation trial, fifth-year medical students from Nîmes University Medical School were randomized to either a mental imagery or control group prior to a simulated PVC insertion on a mannequin. Primary outcome was uncomplicated first-puncture success rate. Secondary outcomes included variations in adapted Mental Imagery Questionnaire (MIQ) score, number of punctures, and procedural complications.

Results: Sixty-four students were included (33 in the mental imagery group, 31 in the control group). Baseline characteristics were similar, although the control group had greater prior experience with PVC insertion. The first-attempt success rate was significantly higher in the mental imagery group (76% versus 52%, p = 0.04). Complications occurred less frequently in the mental imagery group (0% versus 12.9%, p < 0.05). The median improvement in the adapted MIQ score was significantly greater in the mental imagery group (+17 [+12, +22] versus +11 [+8, +18]; p = 0.004), indicating enhanced mental readiness and procedural confidence.

Conclusion: Mental imagery is an effective, safe, low-cost strategy that significantly enhances simulation-based procedural performance and learner confidence in PVC insertion.

心理意象提高外周静脉置管术的程序技能:一项医科学生的随机模拟研究。
导读:程序性技能的习得是医学教育的基础,但培训机会越来越有限。心理意象作为一种低成本、安全的提高技术熟练程度的工具,在医学训练中得到了广泛的关注。证据仍然有限且不一致。具体地说,它在外周静脉导管(PVC)插入中的应用,这是一种常见的和必不可少的临床手术,几乎没有研究。方法:在这项单中心、开放标签、随机对照模拟试验中,n mes大学医学院的五年级医学生被随机分为心理意象组或对照组,然后在人体模型上植入模拟PVC。主要终点为简单的首次穿刺成功率。次要结果包括适应性心理意象问卷(MIQ)评分、穿刺次数和手术并发症的变化。结果:共纳入64名学生,其中心理意象组33名,对照组31名。基线特征相似,尽管对照组有更多的PVC插入经验。心理意象组的第一次尝试成功率明显更高(76%对52%,p = 0.04)。心理意象组并发症发生率较低(0% vs 12.9%, p < 0.05)。心理意象组适应MIQ得分的中位改善显著高于心理意象组(+17[+12,+22]对+11 [+8,+18];p = 0.004),表明心理准备和程序信心增强。结论:心理意象是一种有效、安全、低成本的策略,可显著提高基于模拟的PVC插入术的操作表现和学习者的信心。
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来源期刊
CiteScore
5.70
自引率
8.30%
发文量
31
审稿时长
28 weeks
期刊介绍: Perspectives on Medical Education mission is support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Official journal of the The Netherlands Association of Medical Education (NVMO). Perspectives on Medical Education is a non-profit Open Access journal with no charges for authors to submit or publish an article, and the full text of all articles is freely available immediately upon publication, thanks to the sponsorship of The Netherlands Association for Medical Education. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary. The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members. The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission. Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary. The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members. The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission.
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