Comparison of the use of manikins and simulated patients in a multidisciplinary in situ medical simulation program for healthcare professionals in the United Kingdom
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: Simulation training is increasingly popular in healthcare education, and often relies on specially designed manikins. However, it is also possible to work with actors, or simulated patients (SPs), which may provide a greater sense of realism. This study aimed to compare these 2 approaches, to ascertain which makes healthcare professionals feel most comfortable, which leads to the greatest improvement in confidence, and which is most beneficial to learning. Methods: This study was embedded in a pre-existing multidisciplinary in situ simulation program. A multidisciplinary group of learners from a range of backgrounds—including nurses, doctors, and other allied health professionals—were asked to complete a questionnaire about their learning preferences. We collected 204 responses from 40 simulation sessions over 4 months, from September to December 2019. Of these 204 responses, 123 described using an SP and 81 described using a manikin. Results: We found that 58% of respondents believed they would feel more comfortable working with an actor, while 17% would feel more comfortable using a manikin. Learners who used both modalities reported a significant increase in confidence (P<0.0001 for both). Participants felt that both modalities were beneficial to learning, but SPs provided significantly more benefits to learning than manikins (P<0.0001). The most common reason favoring SP-based simulation was the greater realism. Conclusion: In scenarios that could reasonably be provided using either modality, we suggest that educators should give greater consideration to using SP-based simulation.
Abstract
Purpose: Simulation training is increasingly popular in healthcare education, and often relies on specially designed manikins. However, it is also possible to work with actors, or simulated patients (SPs), which may provide a greater sense of realism. This study aimed to compare these 2 approaches, to ascertain which makes healthcare professionals feel most comfortable, which leads to the greatest improvement in confidence, and which is most beneficial to learning. Methods: This study was embedded in a pre-existing multidisciplinary in situ simulation program. A multidisciplinary group of learners from a range of backgrounds—including nurses, doctors, and other allied health professionals—were asked to complete a questionnaire about their learning preferences. We collected 204 responses from 40 simulation sessions over 4 months, from September to December 2019. Of these 204 responses, 123 described using an SP and 81 described using a manikin. Results: We found that 58% of respondents believed they would feel more comfortable working with an actor, while 17% would feel more comfortable using a manikin. Learners who used both modalities reported a significant increase in confidence (P<0.0001 for both). Participants felt that both modalities were beneficial to learning, but SPs provided significantly more benefits to learning than manikins (P<0.0001). The most common reason favoring SP-based simulation was the greater realism. Conclusion: In scenarios that could reasonably be provided using either modality, we suggest that educators should give greater consideration to using SP-based simulation.
참고문헌 (10)
- Lapkin S, "The effectiveness of using human patient simulation manikins in the teaching of clinical reasoning skills to undergraduate nursing students : a systematic review", JBI Libr Syst Rev, 8, pp.661~694 (2010)[DOI]
- Wisborg T, "Mannequin or standardized patient: participants’ assessment of two training modalities in trauma team simulation", Scand J Trauma Resusc Emerg Med, 17, pp.59~ (2009)[DOI]
- Beaird G, "The use of video recording and standardized patient feedback to improve communication performance in undergraduate nursing students", Clin Simul Nurs, 13, pp.176~185 (2017)[DOI]
- Herbstreit F, "Impact of standardized patients on the training of medical students to manage emergencies", Medicine (Baltimore), 96, pp.e5933~ (2017)[DOI]
- Coffey F, "Simulated patients versus manikins in acute-care scenarios", Clin Teach, 13, pp.257~261 (2016)[DOI]
- Crofts JF, "Patient-actor perception of care: a comparison of obstetric emergency training using manikins and patient-actors", Qual Saf Health Care, 17, pp.20~24 (2008)[DOI]
- Alsaad AA, "Assessing the performance and satisfaction of medical residents utilizing standardized patient versus mannequin-simulated training", Adv Med Educ Pract, 8, pp.481~486 (2017)[DOI]
- Faul F, "G*Power 3 : a flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behav Res Methods, 39, pp.175~191 (2007)[DOI]
- Turner S, "Psychological safe environment: a concept analysis", Clin Simul Nurs, 18, pp.47~55 (2018)[DOI]
- Lewis KL, "The Association of Standardized Patient Educators(ASPE)Standards of Best Practice(SOBP)", Adv Simul(Lond), 2, pp.10~ (2017)[DOI]