Validation of a Simulation-Based Resuscitation Curriculum for Maternal Cardiac Arrest.
Validation of a Simulation-Based Resuscitation Curriculum for Maternal Cardiac Arrest.
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DOI：
10.1097/aog.0000000000005349
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发表时间：
2023-11-01
影响因子：
7.2
通讯作者：
中科院分区：
文献类型：
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作者：
评估完成基于模拟的混合学习培训课程的医疗保健参与者的知识，技能和自我效能，该课程涉及管理孕产妇医疗紧急情况和孕产妇心脏骤停（产科生命支持）。产科生命支持课程的形成性评估进行了院前队列，包括紧急医疗服务专业人员和医院为基础的队列，包括主要在医院或紧急护理环境中工作并应对孕产妇医疗紧急情况的医疗保健专业人员。培训包括自我指导的课程前工作和使用定制的低逼真度模拟器的教师主导的模拟课程。基线和课程后评估包括多项选择认知测验、自我效能问卷和组长Megacode分级评估。对Megacode评分和通过率进行连续性分析。前后的自信心评估进行了比较，一个确切的二项检验，认知评分进行了比较，广义线性混合模型。培训于2019年12月至2021年11月期间向88名参与者提供。85名参与者同意参加; 77名参与者在8次培训中完成了培训。在基线时，只有不到一半的参与者能够在专家小组确定的认知评估中获得及格分数。疗程结束后，平均认知评估评分提高了13分，从基线时的69.4%提高到疗程结束后的82.4%（95%CI 10.9 - 15.1，P <0.001）。Megacode评分平均为90.7 ± 6.4%。Megacode通过率为96.1%。参与者的自我效能有显着改善，大多数参与者（92.6%）同意或非常同意课程达到了教育目标。在完成了一个基于模拟的混合学习计划，重点是使用定制的低保真度模拟器管理产妇心脏骤停，大多数参与者实现了防御通过Megacode分数，并显着提高了他们的知识，技能和自我效能。
To assess the knowledge, skills, and self-efficacy of health care participants completing a simulation-based blended learning training curriculum on managing maternal medical emergencies and maternal cardiac arrest (Obstetric Life Support). A formative assessment of the Obstetric Life Support curriculum was performed with a prehospital cohort comprising emergency medical services professionals and a hospital-based cohort comprising health care professionals who work primarily in hospital or urgent care settings and respond to maternal medical emergencies. The training consisted of self-guided precourse work and an instructor-led simulation course using a customized low-fidelity simulator. Baseline and postcourse assessments included multiple-choice cognitive test, self-efficacy questionnaire, and graded Megacode assessment of the team leader. Megacode scores and pass rates were analyzed descriptively. Pre– and post–self-confidence assessments were compared with an exact binomial test, and cognitive scores were compared with generalized linear mixed models. The training was offered to 88 participants between December 2019 and November 2021. Eighty-five participants consented to participation; 77 participants completed the training over eight sessions. At baseline, fewer than half of participants were able to achieve a passing score on the cognitive assessment as determined by the expert panel. After the course, mean cognitive assessment scores improved by 13 points, from 69.4% at baseline to 82.4% after the course (95% CI 10.9–15.1, P<.001). Megacode scores averaged 90.7±6.4%. The Megacode pass rate was 96.1%. There were significant improvements in participant self-efficacy, and the majority of participants (92.6%) agreed or strongly agreed that the course met its educational objectives. After completing a simulation-based blended learning program focused on managing maternal cardiac arrest using a customized low-fidelity simulator, most participants achieved a defensible passing Megacode score and significantly improved their knowledge, skills, and self-efficacy.
影响因子：
2
作者：
Hardeland, Camilla;Svendsen, Edel J;Heitmann, Grethe B;Leonardsen, Ann-Chatrin L
通讯作者：
Leonardsen, Ann-Chatrin L
影响因子：
2.6
作者：
Shilkofski N;Crichlow A;Rice J;Cope L;Kyaw YM;Mon T;Kiguli S;Jung J
通讯作者：
Jung J
影响因子：
2.5
作者：
通讯作者：
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