初级保健环境中持续专业发展的模拟培训:系统回顾。

IF 1.5 Q3 PRIMARY HEALTH CARE
Lucy Bray, Tobias Browall Krogh, Doris Østergaard
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引用次数: 1

摘要

背景:鉴于转移到初级保健的任务越来越复杂,在这一背景下工作的人员需要特定学科的教育机会。基于模拟的培训(SBT)在医院环境中广泛应用,得到了广泛研究的支持。然而,人们对模拟的效用转移到初级保健方面知之甚少。本系统综述旨在确定哪些SBT方法可用于初级保健的持续专业发展,并评估其影响。方法:检索Medline、Embase、CINAHL和Web of Science数据库,通过二次检索获得补充文章。符合条件的研究采用并评估了一种基于模拟的教育干预,对象是在初级保健领域工作的完全合格的卫生保健专业人员。使用混合方法评估工具(v18)对纳入的研究进行质量评估,并对研究结果进行叙述性综合。结果:纳入49项研究,抽样4601名初级保健卫生专业人员。研究主要采用定量设计,并展示了可变质量。模拟方法包括标准化患者(n = 21)、角色扮演(n = 14)、虚拟(n = 6)、人体模型(n = 5)和混合人体模型/标准化患者(n = 3)。在Kirkpatrick水平上评估了疗效,并证明了对基于知识、技能和态度的结果的积极影响,尽管这在选定的研究中受到限制。讨论:在初级保健领域工作的卫生专业人员的教育中采用了SBT,最常见的方法是将患者标准化。模拟提供了一种可接受和有效的教育方法,展示了对各种学习目标的积极影响。需要进一步的研究来评估在组织和患者层面的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Simulation-based training for continuing professional development within a primary care context: a systematic review.

Background: Given the increasing complexity of tasks transferred to primary care, discipline-specific educational opportunities are required for those working within this context. Simulation-based training (SBT) is widely applied within a hospital setting, underpinned by extensive research. However, little is known about the transfer of simulations' utility to primary care. This systematic review sought to determine which SBT approaches are adopted for continuing professional development within primary care and appraise their impact.

Methods: Medline, Embase, CINAHL and Web of Science databases were searched, with additional articles obtained through secondary searching. Eligible studies employed and evaluated a simulation-based educational intervention for fully qualified healthcare professionals, working within primary care. Included studies were quality assessed using the Mixed Methods Appraisal Tool (v18) and their findings narratively synthesised.

Results: Forty-nine studies were included, sampling 4,601 primary care health professionals. Studies primarily adopted a quantitative design and demonstrated variable quality. Simulation approaches comprised standardised patients (n = 21), role-play (n = 14), virtual (n = 6), manikin (n = 5) and mixed manikin/standardised patients (n = 3). Efficacy was evaluated across Kirkpatrick levels and demonstrated a positive impact for knowledge-, skills- and attitude-based outcomes, though this was limited in select studies.

Discussion: SBT has been adopted in the education of the spectrum of health professionals working within primary care, with the most common approach being standardised patients. Simulation delivers an acceptable and effective educational method, demonstrating a positive impact across various learning objectives. Further research assessing the impact at an organisational- and patient-level is required.

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来源期刊
Education for Primary Care
Education for Primary Care PRIMARY HEALTH CARE-
CiteScore
2.30
自引率
15.40%
发文量
51
期刊介绍: Education for Primary Care aims to reflect the best experience, expertise and innovative ideas in the development of undergraduate, postgraduate and continuing primary care education. The journal is UK based but welcomes contributions from all over the world. Readers will benefit from the broader perspectives on educational activities provided through the contributions of all health professionals, including general practitioners, nurses, midwives, health visitors, community nurses and managers. This sharing of experiences has the potential for enhancing healthcare delivery and for promoting interprofessional working.
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