From Bricks to Buildings Adapting the Medical Research Council Framework to Develop Programs of Research in Simulation Education and Training for the Health Professions
From Bricks to Buildings Adapting the Medical Research Council Framework to Develop Programs of Research in Simulation Education and Training for the Health Professions
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DOI：
10.1097/sih.0000000000000039
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发表时间：
2014-08-01
影响因子：
2.4
通讯作者：
Dubrowski, Adam
中科院分区：
文献类型：
--
作者：
Hail, Faizal A.;Da Silva, Celina;Dubrowski, Adam
摘要声明：目前，医疗保健模拟研究主要是在逐个研究的基础上进行的。虽然这种“基于项目”的研究产生了大量的证据，但它可能是混乱和矛盾的。走向持续的，主题的，以理论为基础的研究计划是必要的，以推进该领域的知识。认识到，模拟是一个复杂的干预，我们提出了一个框架，开发基于模拟的教育研究计划改编自医学研究理事会（MRC）的指导。该框架要求采用迭代方法来开发、改进、评估和实施模拟干预措施。调整后的框架指南强调：（1）识别理论和现有证据;（2）建模和试点干预措施，以澄清有效成分，并确定联系背景，干预和结果的机制;（3）在实验室和现实环境中评估干预过程和结果。拟议的框架将帮助模拟研究人员开发更强大的干预措施，优化基于模拟的教育，并促进我们对模拟教学法的理解。
The Summary Statement: Presently, health care simulation research is largely conducted on a study-by-study basis. Although such "project-based" research generates a plethora of evidence, it can be chaotic and contradictory. A move toward sustained, thematic, theory-based programs of research is necessary to advance knowledge in the field. Recognizing, that simulation is a complex intervention, we present a framework for developing research programs in simulation-based education adapted from the Medical Research Council (MRC) guidance. This framework calls for an iterative approach to developing, refining, evaluating, and implementing simulation interventions. The adapted framework guidance emphasizes: (1) identification of theory and existing evidence; (2) modeling and piloting interventions to clarify active ingredients and identify mechanisms linking the context, intervention, and outcomes; and (3) evaluation of intervention processes and outcomes in both the laboratory and real-world setting. The proposed framework will aid simulation researchers in developing more robust interventions that optimize simulation-based education and advance our understanding of simulation pedagogy.