Effects of high-fidelity simulation education on medical students' anxiety and confidence.
Effects of high-fidelity simulation education on medical students' anxiety and confidence.
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DOI：
10.1371/journal.pone.0251078
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Jung YJ
中科院分区：
文献类型：
--
作者：
Yu JH;Chang HJ;Kim SS;Park JE;Chung WY;Lee SK;Kim M;Lee JH;Jung YJ
学生在病人护理情况下的焦虑和信心等心理因素很重要，因为这会影响实际的临床表现。刚开始临床实践的学生缺乏临床知识，技能熟练程度和患者沟通技巧，因此他们对临床环境感到焦虑和缺乏信心。在安全的环境中进行实践，如模拟教育，可以帮助学生在病人护理方面表现得更加稳定和胜任。本研究旨在探讨高仿真体验对医学生焦虑及自信心的影响。这项研究于2020年在Ajou大学医学院招募了37名5年级学生。进行了两次模拟训练，并进行了调查，以测量学生的焦虑和信心水平之前和之后的每一个模拟。根据研究数据，进行配对t检验，以比较模拟前后的这些变量，以及这是否是他们的第一次或第二次模拟经验。学生有一个显着较低的焦虑水平和显着较高的水平的信心后，模拟比之前。此外，在一次模拟体验之后，与没有模拟体验的学生相比，学生在第二次模拟之前的焦虑程度更低，信心更强。我们证实，医学生需要反复接触模拟教育的经验，以有一种心理稳定的感觉，并在临床环境中胜任提供医疗。医学生在医院临床实习期间没有足够的机会与病人见面，这是一个现实的限制。因此，为了培养优秀的医生，学生应该有更多的机会体验模拟教育，这样他们就可以体验真实世界的医疗条件。
Psychological factors such as anxiety and confidence that students have in the patient care situation are important in that this affects the actual clinical performance. Students who are just starting clinical practice have a lack of clinical knowledge, skill proficiency, and patient communication skills, so they experience anxiety and lack of confidence in clinical setting. Practice in a safe environment, such as simulation education, can help students perform more settled and competently in patient care. The purpose of this study was to analyze the effect of high-fidelity simulation experience on anxiety and confidence in medical students. This study enrolled 37 5th-year students at Ajou University School of Medicine in 2020. Two simulation trainings were implemented, and a survey was conducted to measure students’ level of anxiety and confidence before and after each simulation. Based on the research data, a paired t-test was conducted to compare these variables before and after the simulation, and whether this was their first or second simulation experience. Students had a significantly lower level of anxiety and a significantly higher level of confidence after the simulation than before. In addition, after one simulation experience, students had less anxiety and more confidence before the second simulation compared to those without simulation experience. We confirmed that medical students need to be repeatedly exposed to simulation education experiences in order to have a sense of psychological stability and to competently deliver medical treatment in a clinical setting. There is a practical limitation in that medical students do not have enough opportunities to meet the patients during clinical practice in hospitals. Therefore, in order to produce excellent doctors, students should have the expanded opportunities to experience simulation education so they can experience real-world medical conditions.
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