目的 探讨基于反思性实践理论的深度讨论(debriefing)在助产模拟训练中的应用效果。方法 应用模拟教学框架,结合助产士核心能力要求,构建和实施助产模拟教学课程。在深度讨论环节采用基于反思性实践理论的深度讨论四步法。选择在2016年12月至2017年3月期间参与助产模拟教学的学员69人和导师12人作为研究对象,在培训结束后调查导师教学体验,并采用医疗情景模拟深度讨论评估量表调查学员和导师对深度讨论教学效果的评价。结果 导师认为“引导深度讨论”环节难度最大,掌握程度最低;学员的平均评分高于6.8分,接近“非常有效”水平;导师评分低于学员,其中“激发学员深层次讨论和引导自我反思”评分最低。结论 基于反思性实践理论的深度讨论四步法在助产模拟教学中的应用具有良好的效果。“引导深度讨论”是助产模拟教学的难点,而如何“激发学员深层次讨论和引导自我反思”是“引导深度讨论”环节的难点。
Objective To evaluate the effectiveness of the reflective practice theory based debriefing in high-fidelity simulation in the midwifery continuing education program.Methods A midwifery simulation training program was constructed and conducted with the simulation training structure, combined with the core capability requirement for midwifery nurses. 69 trainees and 12 instructors enrolled in the midwifery continuing education program from December 2016 to March 2017, were selected as studyObjectives to investigate the training experiences. The Debriefing Assessment for Simulation in Healthcare (DASH) was used to evaluate the effect of debriefing from trainees and instructors after the simulation training.Results In the instructors’ view, debriefing was the most difficult part of the process of simulation. The average DASH-scores evaluated by the trainees were above 6.8; The average DASH-scores evaluated by the instructors were lower than trainees, and the score of “Provokes engaging discussions” was the lowest.Conclusions The debriefing based on the reflective practice theory can make positive effect in midwifery simulation training.
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