Medical student-led simulation in COVID-19 crisis.
Medical student-led simulation in COVID-19 crisis.
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医学生主导的COVID-19危机模拟。
DOI：
10.1111/tct.13308
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发表时间：
2021-06
期刊：
影响因子：
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通讯作者：
Armitage AJ
中科院分区：
文献类型：
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作者：
Ekert JO;Luchesa Smith A;Ramsey CL;Robinson N;Love J;Gothard P;Armitage AJ
模拟训练是提高医护人员信心的有效工具。在最近的COVID-19疫情期间，大量员工需要重新培训以应对不熟悉的情况。我们提出了一套医学生主导的临床模拟会议，并评估其对（i）重新部署的医护人员管理COVID-19患者的信心和（ii）医学生作为教育工作者的信心的影响。为期半天的模拟培训课程包括三个与COVID-19相关的临床情景，由高年级医学生设计，并在重新部署到COVID-19病房之前，向约150名医护人员提供了六个重复课程。我们向最后一组的36名参与者分发了一份匿名的模拟前后问卷，以探索他们的经验。使用Wilcoxon符号秩检验分析置信度评分。教学交付后，医学生完成了一份问卷调查，评估他们的个人经验的设计和交付的练习。数据可用于35/36名参与者。受访者表示，在培训后，他们对管理COVID-19患者的各个方面都有了更大的信心，包括分诊、复杂出院、识别恶化、启动基本生命支持、管理症状和建议就诊政策（p < 0.001）; 97%的受访者认为培训有用。医学生的反应的主题分析表明，互惠互利。这项研究表明，模拟培训的优势，帮助建立工作人员的信心，在一个快速变化的情况下，并强调了医学生在支持医院的应对疫情的价值。我们建议进一步研究学生主导的模拟练习，包括长期随访。
Simulation training is an effective tool for improving confidence in healthcare workers. During the recent COVID‐19 pandemic, large numbers of staff required re‐training to manage unfamiliar situations. We present a set of medical student‐led clinical simulation sessions and evaluate their effects on (i) confidence among redeployed healthcare workers managing COVID‐19 patients and (ii) medical students’ confidence as educators. Half‐day simulation training sessions consisting of three COVID‐related clinical scenarios were devised by senior medical students and delivered to a group of approximately 150 healthcare workers over six repeated sessions prior to redeployment to COVID‐19 wards. We distributed an anonymous pre‐ and post‐simulation questionnaire to 36 participants in the final group exploring their experiences. The confidence scores were analysed using the Wilcoxon signed‐rank test. Following the delivery of teaching, medical students completed a questionnaire assessing their personal experiences of designing and delivering the exercises. Data are available for 35/36 participants approached. Respondents reported being significantly more confident after the training in all aspects of managing COVID‐19 patients, including triage, complex discharge, recognising deterioration, initiating basic life support, managing symptoms and advising on visiting policies (p < 0.001); 97% of respondents rated the training as useful. Thematic analysis of medical students’ responses demonstrated mutual benefit. This study demonstrates the strengths of simulation training in helping to build staff confidence in a rapidly evolving situation and highlights the value of medical students in supporting a hospital’s response to an outbreak. We recommend further studies of student‐led simulation exercises, including longer‐term follow‐up.