主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (7): 979-984.doi: 10.3969/j.issn.1672-1756.2020.07.005

• 特别策划·护理教育改革与实践 • 上一篇    下一篇

模拟医学融合平台建设在医护一体化培训中的应用与评价

嘉志雄 赵贤哲 田杏音 朱颖洁 曹志恺 吕建平   

  1. 华南理工大学附属第二医院神经外科,510180 广州市(嘉志雄,田杏音,朱颖洁,曹志恺,吕建平);吴阶平医学基金会模拟医学部(嘉志雄,吕建平);广东省妇幼保健院超声诊断科(赵贤哲)
  • 出版日期:2020-07-15 发布日期:2020-07-15
  • 通讯作者: 吕建平,博士,主任医师,吴阶平医学基金会模拟医学部主任委员,E-mail:ljpwhx@163.com
  • 作者简介:嘉志雄,硕士,主治医师,吴阶平医学基金会模拟医学部委员
  • 基金资助:
    吴阶平医学基金会临床科研专项资助基金课题(320.6750.18338);广州市卫生和计划生育科技项目(20181A010014)

Application and evaluation of building Healthcare Simulation platform in integrated healthcare training

JIA Zhixiong, ZHAO Xianzhe, TIAN Xingyin, ZHU Yingjie, CAO Zhikai, LYU Jianping   

  1. Neurosurgery Department, Second Affiliated Hospital of South China University of Technology, Guangzhou, 510180, China
  • Online:2020-07-15 Published:2020-07-15
  • Contact: E-mail:ljpwhx@163.com

摘要: 目的:评价基于模拟医学理论和实践体系的融合平台建设在医护一体化培训模式中的应用效果。方法:根据模拟医学系统整合的基本原理,选取脑血管病危重症医护一体化管理服务为目标场景,构建涵盖提供全流程培训和运行评价的模拟医学融合平台,以Salas原则和TeamSTEPPS核心能力为导向设计内容和评估构建的科学性,应用迷你临床演练评估、临床操作直接观察评估、标准化病人和参与者360°评价等方法评价培训效果,应用Miller效度框架评价平台运行效果。结果:模拟医学融合平台构建了切合实际关注点的培训、评估和实际运行效果评价体系,表现出与实际临床实践较好的一致性;培训后参与者在流程化管理、风险预警、专业技能、沟通、团队合作等方面体现的能力均有所提升(P<0.05)。结论:基于模拟医学理论和实践体系的融合平台建设为医护一体化管理模式提供了良好的培训方案、研究工具和评估体系,对推进该管理模式在以患者为中心的整体诊疗中的应用有重要价值和意义。

关键词: 模拟医学;医护一体化;医疗质量

Abstract: Objective: To evaluate the application effects of the integration platform construction based on the simulation medical theory and practice system in the integrated healthcare training mode. Methods: Based on the basic principles of system integration of Healthcare Simulation, the integrated healthcare service of cerebrovascular disease was selected as the target scene. Healthcare Simulation integration platform covering the whole process training and operation evaluation was constructed. Guided by the Salas principle and the core competence of TeamSTEPPS, the content and evaluation were designed and constructed scientifically. Mini-CEX, DOPS,SP and participants' 360° evaluation tool were used to evaluate the training effect. Miller validity framework was used to explore the operation effect of the platform. Results: The Healthcare Simulation integration platform had built a training, evaluation and actual operation effect evaluation system which fit in with practical concerns that was showing good consistency with the actual clinical practice. After the training, the participants' abilities in process management, risk early warning, professional skills, communication, team cooperation were improved (P<0.05). Conclusion: The construction of the integration platform based on the theory and practice system of Healthcare Simulation provides good training programs, research tools and evaluation systems, and it is of great value and significance to promote the management mode in the overall patient-centered diagnosis and treatment.

Key words: Healthcare Simulation; integrated healthcare; medical quality

中图分类号: 

  • R47