A113一门试点课程,在基于模拟的教育中,将心理安全、文明和人为因素的好处结合在结构化汇报模式中

Radha Brown, Rajesh Lall, Laura Askins
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摘要

基于模拟的教育(SBE)是医疗保健领域的主要教学方法之一。汇报是有效的模拟医学教育的基石。汇报被认为是从模拟中学习的重要部分,也是将所学知识转移到其他情况中的重要部分[1]。来自四个模拟教师发展日的反馈表明,汇报员缺乏解决冲突或使用文明原则来加强汇报的信心。包括文明和人为因素的结构化汇报的教学是在组织内灌输信心和患者安全的基础[2]。在述职过程中引入了运用心理安全的人因原理,目的是提高述职员的技能。汇报有各种各样的模型,但重点是提供三阶段对话结构。该课程涵盖了人的因素原则以及使用三阶段对话结构和互动研讨会的汇报技术。我们聘请了一位专业的人为因素/文明讲师、模拟主管和模拟讲师来讲授这门课程。在课程结束时,参与者必须进行汇报,以巩固他们在支持性环境中的学习,并使用结构化问卷(见评估主题回答)立即进行评估。此外,在一项试点研究中,随机选择五名参加过课程的参与者在课程结束后24小时进行面对面访谈。他们问了三个开放式问题。这些问题集中在心理安全和人为因素的应用是否提高了他们的述职技巧以及对进一步课程发展的建议。结果突出了纳入人因原则的价值。两种评价方法均为阳性。与会者评论了他们模拟培训的增值,并希望将这些原则改编为结构化课程。承认这一事实,即招募的样本很小,可能没有统计学意义,未来的研究将包括更大的样本量。目前,这是英格兰东北部唯一一家提供独立汇报课程的机构。针对从事SBE的教育工作者的课程需求非常大,强调汇报以巩固学习者的经验。本课程旨在提供给东北地区及其他地区的所有教育工作者。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A113 A pilot course amalgamating the benefits of psychological safety, civility, and human factors in a structured debriefing model in simulation-based education
Simulation-based education (SBE) is one of the leading teaching methods in healthcare. Debriefing is the cornerstone of effective simulation-based medical education. Debriefing is considered vital part to learning from simulation, and for the transfer of learning so that it can be applied to other situations [1]. Feedback from four simulation faculty development days identified that debriefers lacked the confidence to address conflict or use the principles of civility to enhance their debriefs. Teaching which has structured debrief covering civility and human factors are the cornerstone to deliver sessions that instil confidence and patient safety within the organization [2]. Human factor principles that employ psychological safety were introduced in the debriefing course with the purpose of upskilling the debriefers. There are various models of debriefing however, the focus was to provide the three-phase conversation structure. The course covered human factor principles alongside debriefing techniques using the three-phase conversation structure and interactive workshops. We enlisted the services of a specialist human factor/civility lecturer, simulation lead and a simulation lecturer to deliver the course. At the end of the course, the participants had to undertake a debrief to consolidate their learning in a supportive environment and immediate evaluation was obtained using a structured questionnaire (see Evaluation themed responses Additionally, a pilot study of five participants who had attended the course were randomly selected for a face-to-face interview twenty-four hours after the course. Three open-ended questions were asked. These focussed on whether the application of psychological safety and human factors enhanced their debriefing skills and suggestions for further course development. The results highlighted the value of the inclusion of human factor principles. Both evaluation methods were positive. Attendees commented on the value-added to their simulation training and wanted these principles to be adapted as a structured course. Acknowledging the fact that the sample recruited was small and may not be statistically significant, a future study will include a bigger sample size. Currently, this is the only organization within the North-East of England that offers standalone debriefing course. There was an overwhelming demand for a course aimed at educators who are engaged in SBE with emphasis on debriefing to consolidate learners’ experience. This course is intended to be delivered to all educators across the North-East region and beyond. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
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