Development of simulation education debriefing protocol with faculty guide for enhancement clinical reasoning

Development of simulation education debriefing protocol with faculty guide for enhancement clinical reasoning
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DOI:
10.1186/s12909-019-1633-8
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发表时间:
2019-06-11
影响因子:
3.6
通讯作者:
Lee, Yoonju
Lee, Yoonju
中科院分区:
医学3区
文献类型:
--
作者:
Bae, Juyeon;Lee, JuHee;Lee, Yoonju

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背景临床环境更加复杂、多样和快速变化。患者的病情是慢性和复杂的,医疗保健提供者需要临床推理的患者安全护理。培养临床推理的学习方法之一是模拟教育。本研究的目的是开发一种模拟教育述职协议,可以提高临床reasoning.MethodsThis研究进行了以下步骤。第一步,进行文献综述,以制定初步的报告方案。其次,由五位模拟学习专家对内容有效性进行评估。第三,与教育专家进行深度访谈,重新检验内容效度。最后,最终的述职协议适用于7名本科护生,以检查protocol.ResultsThe协议的可行性包括述职步骤,学习成果,临床推理属性,核心问题和指导方针。的适用性的报告协议的结果表示,参与者提到他们的推理能力得到提高,并了解整体流程的reasoning.ConclusionsThe报告协议是重要的,以教育医疗服务提供者的临床推理。它将能够有助于发展医疗保健提供者的临床能力。
BackgroundThe clinical environments are more complex, diverse and rapidly changing. Patients' conditions were chronic and complexed, healthcare providers require clinical reasoning for patient safety care. One of the learning methods to foster clinical reasoning is simulation education. The aim of this study was to develop a simulation education debriefing protocol that can improve clinical reasoning.MethodsThis study was conducted following steps. For the first step, the literature review was performed to constitute a preliminary debriefing protocol. Secondly, content validity was evaluated by five simulation learning experts. Thirdly, in-depth interview was conducted to re-examine content validity with education experts. Finally, the final debriefing protocol was applied to 7 undergraduate nursing students to examine feasibility of the protocol.ResultsThe protocol consisted of debriefing steps, learning outcome, clinical reasoning attributes, core questions and guideline for instructor. Results of applicability of debriefing protocol represented that participants mentioned their reasoning competency was improved and understood the overall flow of reasoning.ConclusionsThe debriefing protocol is important to educate healthcare providers clinical reasoning. It would be able to contribute to develop healthcare providers' clinical competencies.