Role effectiveness and skill application of simulated participants in medical scenario simulation- based teaching
- Chinese Journal of Medical Education Research Vol. 24, Issue 6, Pages: 771-776(2025)
- 作者机构：
1.华中科技大学同济医学院附属同济医院麻醉与疼痛科教研室/老年麻醉与围术期脑健康湖北省重点实验室/武汉市老年麻醉临床医学研究中心，武汉 430030
2.湖北中医药大学基础医学院生理学教研室，武汉 430065
- 作者简介：
Wan Li, Email: wanli0604@163.com
- 基金信息：The Teaching Research Project of Huazhong University of Science and Technology(2020ZEKZ018);Project from Center for Faculty Development of Huazhong University of Science and Technology(2021JSJCPX002)
DOI：10.3760/cma.j.cn116021-20240611-02048
CLC： R-05Received：11 June 2024，
Published：20 June 2025
- 稿件说明：
移动端阅览
姚文龙, 李立, 肖静, 等. 医学情境模拟教学中模拟参与者的角色效能与技巧运用[J]. 中华医学教育探索杂志, 2025, 24(6): 771-776.
Yao Wenlong, Li Li, Xiao Jing, et al. Role effectiveness and skill application of simulated participants in medical scenario simulation- based teaching[J]. Chinese journal of medical education research, 2025, 24(6): 771-776.
姚文龙, 李立, 肖静, 等. 医学情境模拟教学中模拟参与者的角色效能与技巧运用[J]. 中华医学教育探索杂志, 2025, 24(6): 771-776. DOI： 10.3760/cma.j.cn116021-20240611-02048.
Yao Wenlong, Li Li, Xiao Jing, et al. Role effectiveness and skill application of simulated participants in medical scenario simulation- based teaching[J]. Chinese journal of medical education research, 2025, 24(6): 771-776. DOI： 10.3760/cma.j.cn116021-20240611-02048.
摘要
目的
2
本研究探讨模拟参与者在医学情境模拟课程案例运行中的作用，为医学情境模拟课程的规范化建设提供参考。
方法
2
现场观摩2022至2023学年开展的30场关于围术期危机事件的情境模拟教学，观察记录模拟参与者在案例运行中的表现及其推动案例运行的技巧使用情况，课程结束后关于案例运行情况对学员、模拟参与者、导师进行调查分析。
结果
2
在30场关于围术期危机事件的情境模拟案例运行中，模拟参与者所扮演的角色包括手术医生、麻醉护士、巡回护士、标准化病人等，有2名模拟参与者的案例占80.00%，有3名的占20.00%。模拟参与者在帮助学员快速融入场景、控制案例运行方向方面表现优异，优良率为90.00%~100.00%，但在推动案例运行进度、应对场上发生的意外情况方面存在一定的差异，优良率为50.00%~60.00%。模拟参与者可通过暗示、提示和指示等技巧来推动案例的顺利运行，案例运行的流畅度与模拟参与者技巧的运用密切相关，技巧掌握娴熟的模拟参与者能显著提高教学效果。课后调查学员普遍认为模拟参与者在案例运行中起到了积极作用，模拟参与者和导师均认为在模拟教学前需加强沟通。
结论
2
模拟参与者对于引导学员、推动案例运行、顺利实现教学目标具有重要作用，导师不仅在教案编写环节需考虑模拟参与者的脚本设计，而且在教学实施环节应重视对模拟参与者的培训与交流。
Abstract
Objective
2
To investigate the roles of simulated participants in the facilitation of medical scenarios simulation-based course and to provide a reference for the standardized construction of medical scenarios simulation-based course.
Methods
2
Thirty scenario simulation-based teaching sessions on perioperative crisis events conducted during the 2022-2023 academic year were observed on-site. The performance of simulated participants in facilitating case execution and the skills used in facilitation were observed and recorded. At the end of the course
surveys regarding facilitation were administered to students
simulated participants
and instructors for analysis.
Results
2
In the facilitation of 30 scenario simulation-based teaching sessions on perioperative crisis events
the roles of simulated participants included surgeon
anesthesia nurse
circuit nurse
and standardized patient. Two simulated participants accounted for 80.00% and three participants for 20.00% of the total sessions. The simulated participants performed excellently in helping the learners quickly integrate into the scenario and controlling the direction of the case
with an excellence rate of 90.00%-100.00%. However
they had some variations in driving the progress of the case and responding to unexpected situations
with an excellence rate of 50.00%-60.00%. The facilitation skills used by simulated participants included hinting
prompting
and instructing. The performance of facilitation was closely related to the use of skills by the simulated participants. Simulated participants with proficient skill usage significantly enhanced teaching effectiveness. Post-session surveys revealed that learners generally perceived simulated participants as having a positive impact on facilitation
and both simulated participants and instructors emphasized the need for strengthened communication prior to simulation-based teaching.
Conclusions
2
The simulated participants played important roles in guiding learners
advancing case progression
and achieving teaching objectives. Instructors should not only consider the scripting of simulated participants during lesson planning but also prioritize their training and communication during course implementation.
关键词
Keywords
references
Levine AI , DeMaria Jr S , Schwartz AD , et al . The comprehensive textbook of healthcare simulation [M ] . New York : Springer , 2013 .
Fleming M , McMullen M , Beesley T , et al . Simulation-based evaluation of anaesthesia residents: optimising resource use in a competency-based assessment framework [J ] . BMJ Simul Technol Enhanc Learn , 2020 , 6 ( 6 ): 339 - 343 . DOI: 10.1136/bmjstel-2019-000504 http://dx.doi.org/10.1136/bmjstel-2019-000504 .
Warren JN , Luctkar-Flude M , Godfrey C , et al . A systematic review of the effectiveness of simulation-based education on satisfaction and learning outcomes in nurse practitioner programs [J ] . Nurse Educ Today , 2016 , 46 : 99 - 108 . DOI: 10.1016/j.nedt.2016.08.023 http://dx.doi.org/10.1016/j.nedt.2016.08.023 .
Salzman DH , Watts H , Williamson K , et al . A multicenter collaboration for simulation-based assessment of ACGME milestones in emergency medicine [J ] . Simul Healthc , 2018 , 13 ( 5 ): 348 - 355 . DOI: 10.1097/SIH.0000000000000291 http://dx.doi.org/10.1097/SIH.0000000000000291 .
姜孟涵 ， 阚东方 ， 林翠霞 ， 等 . 医护合作高仿真模拟训练课程的设计与实施 [J ] . 护理学杂志 ， 2023 ， 38 （ 15 ）： 9 - 13 .
蒋慧中 ， 张旭乡 ， 张健 ， 等 . 模拟培训课程在眼科住院医师规范化培训中的应用研究 [J ] . 北京医学 ， 2022 ， 44 （ 6 ）： 568 - 570 . DOI: 10.15932/j.0253-9713.2022.06.023 http://dx.doi.org/10.15932/j.0253-9713.2022.06.023 .
Kemper T , van Haperen M , Eberl S , et al . Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses [J ] . Simul Healthc , 2023 , 18 ( 6 ): 367 - 374 . DOI: 10.1097/SIH.0000000000000715 http://dx.doi.org/10.1097/SIH.0000000000000715 .
Motola I , Devine LA , Chung HS , et al . Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82 [J ] . Med Teach , 2013 , 35 ( 10 ): e1511 - e1530 . DOI: 10.3109/0142159X.2013.818632 http://dx.doi.org/10.3109/0142159X.2013.818632 .
Hernandez J , Frallicciardi A , Nadir NA , et al . Development of a simulation scenario evaluation tool (SSET): modified Delphi study [J ] . BMJ Simul Technol Enhanc Learn , 2020 , 6 ( 6 ): 344 - 350 . DOI: 10.1136/bmjstel-2019-000521 http://dx.doi.org/10.1136/bmjstel-2019-000521 .
Lioce L . Healthcare simulation dictionary [M ] . 2nd. Rockvill : Agency for Healthcare Research and Quality , 2020 .
Benishek LE , Lazzara EH , Gaught WL , et al . The template of events for applied and critical healthcare simulation (TEACH sim): a tool for systematic simulation scenario design [J ] . Simul Healthc , 2015 , 10 ( 1 ): 21 - 30 . DOI: 10.1097/SIH.0000000000000058 http://dx.doi.org/10.1097/SIH.0000000000000058 .
Olvera-Cortés HE , Hernández-Gutiérrez LS , Scherer-Castanedo E , et al . Who can debriefing assessment for simulation in healthcare? different perspectives on teledebriefing assessments [J ] . Sim Healthcare , 2022 , 17 ( 5 ): 308 - 312 . DOI: 10.1097/sih.0000000000000642 http://dx.doi.org/10.1097/sih.0000000000000642 .
王伟平 ， 邓秋迎 ， 凌传仁 ， 等 . 刻意练习联合强化培训在规培护士心肺复苏教学中的效果评价 [J ] . 中华医学教育探索杂志 ， 2024 ， 23 （ 1 ）： 123 - 127 . DOI: 10.3760/cma.j.cn116021-20230523-01599 http://dx.doi.org/10.3760/cma.j.cn116021-20230523-01599 .
Gazoni FM , Amato PE , Malik ZM , et al . The impact of perioperative catastrophes on anesthesiologists: results of a national survey [J ] . Anesth Analg , 2012 , 114 ( 3 ): 596 - 603 . DOI: 10.1213/ANE.0b013e318227524e http://dx.doi.org/10.1213/ANE.0b013e318227524e .
Vage A , Spence AD , Gormley GJ , et al . Untapped resource: the simulation-based healthcare environment as a means to study human stress [J ] . Ulster Med J , 2024 , 92 ( 3 ): 157 - 166 .
LeBlanc VR . The effects of acute stress on performance: implications for health professions education [J ] . Acad Med , 2009 , 84 ( 10 Suppl ): S25 - S33 . DOI: 10.1097/ACM.0b013e3181b37b8f http://dx.doi.org/10.1097/ACM.0b013e3181b37b8f .
Ness D , Calabrese P . Stress effects on multiple memory system interactions [J ] . Neural Plast , 2016 , 2016 : 4932128 . DOI: 10.1155/2016/4932128 http://dx.doi.org/10.1155/2016/4932128 .
Harvey A , Nathens AB , Bandiera G , et al . Threat and challenge: cognitive appraisal and stress responses in simulated trauma resuscitations [J ] . Med Educ , 2010 , 44 ( 6 ): 587 - 594 . DOI: 10.1111/j.1365-2923.2010.03634.x http://dx.doi.org/10.1111/j.1365-2923.2010.03634.x .
Dieckmann P , Krage R . Simulation and psychology: creating, recognizing and using learning opportunities [J ] . Curr Opin Anaesthesiol , 2013 , 26 ( 6 ): 714 - 720 . DOI: 10.1097/ACO.0000000000000018 http://dx.doi.org/10.1097/ACO.0000000000000018 .
Gutierrez G , Lunsky IO , Van Heer S , et al . Cognitive load theory in action: e-learning modules improve performance in simulation-based education. A pilot study [J ] . CJEM , 2023 , 25 ( 11 ): 893 - 901 . DOI: 10.1007/s43678-023-00586-z http://dx.doi.org/10.1007/s43678-023-00586-z .
Naismith LM , Cheung JJH , Ringsted C , et al . Limitations of subjective cognitive load measures in simulation-based procedural training [J ] . Med Educ , 2015 , 49 ( 8 ): 805 - 814 . DOI: 10.1111/medu.12732 http://dx.doi.org/10.1111/medu.12732 .
0
Views
2
下载量
0
CSCD
- L-PDFDownload
- WORDDownload
- Meta-XMLDownload
- BibTeXDownload
- EndnoteDownload
- RefMan Download
- NoteExpressDownload
- NoteFirstDownload
Publicity Resources
Related Articles
Related Author
Related Institution
- Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19
京公网安备11010802024621 - It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
- Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.
