医学技能模拟训练的临床效果转化研究热点及趋势分析

姚舜; 唐雅彬; 易晨越; 肖遥

doi:10.3760/cma.j.cn116021‐20210408‐01408

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医学技能模拟训练的临床效果转化研究热点及趋势分析

教育研究 | 更新时间：2023-10-12

- 医学技能模拟训练的临床效果转化研究热点及趋势分析
- The hotspots and trend analysis of clinical effect transformation of medical skill simulation training
- 中华医学教育探索杂志 2023年22卷第9期页码：1308-1314
- 作者机构：
  
  1.南方医科大学第二临床医学院，广州　510282
  2.南方医科大学珠江医院临床技能中心，广州　510282
  3.复旦大学附属华山医院神经外科，上海　200040
- 作者简介：
  
  肖遥，Email：xygz1992@126.com
- 基金信息：
  
  国际医学模拟教育协会新手基金（#54671）
- DOI：10.3760/cma.j.cn116021‐20210408‐01408
  中图分类号： R4
- 纸质出版日期：2023-09-20，
  
  收稿日期：2021-04-08，
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姚舜, 唐雅彬, 易晨越, 等. 医学技能模拟训练的临床效果转化研究热点及趋势分析[J]. 中华医学教育探索杂志, 2023, 22(9): 1308-1314.

Yao Shun, Tang Yabin, Yi Chenyue, et al. The hotspots and trend analysis of clinical effect transformation of medical skill simulation training[J]. Chinese Journal of Medical Education Research, 2023,22(9):1308-1314.
姚舜, 唐雅彬, 易晨越, 等. 医学技能模拟训练的临床效果转化研究热点及趋势分析[J]. 中华医学教育探索杂志, 2023, 22(9): 1308-1314. DOI： 10.3760/cma.j.cn116021.

Yao Shun, Tang Yabin, Yi Chenyue, et al. The hotspots and trend analysis of clinical effect transformation of medical skill simulation training[J]. Chinese Journal of Medical Education Research, 2023,22(9):1308-1314. DOI： 10.3760/cma.j.cn116021‐20210408‐01408.

摘要

目的

探究当前医学模拟教育中模拟技能训练向实际临床操作能力转化研究的热点和发展趋势，并进行可视化文献计量分析。

方法

以2006至2020年Web of Science核心合集数据库中收录的783篇与模拟技能训练向临床能力转化相关的文献为数据来源，利用CiteSpaceV（5.7.R5）进行可视化处理和分析，以揭示转化效果及未来的研究方向。

结果

发文量和引文量均随年份呈幂指数增长趋势；美国、加拿大是该领域的主要研究力量，多伦多大学医学中心贡献了最多的研究；美国西北大学的McGaghie教授是发文量最多的作者。文献共被引聚类分析发现，模拟技能训练转化包括操作技能与非操作技能两个方面；高频被引文献揭示了该领域及研究的知识基础与研究前沿主要为虚拟现实模拟器的改进，儿科、护理、急诊学科模拟训练的临床应用结果，以及随机对照临床试验的设计。

结论

国际上针对模拟技能训练的临床效果转化研究正在快速发展。以内镜技术、腔镜等微创外科技术为代表的操作性技能的转化为研究热点方向，以交流技能、团队合作为主的非操作性技能及小儿急救技能、虚拟现实技术模拟效果为研究前沿。虽然多数技能模拟训练研究数量少，效果并不明确，但未来仍需更多随机对照研究确定模拟训练向临床能力转化的有效性。

Abstract

Objective

To explore the research hotspots and development trends of the transformation of virtual skill training to practical clinical ability in current medical simulation education

and to conduct visual bibliometric analysis.

Methods

Taking 783 pieces of literature related to the transformation of simulation skill training to clinical competence collected from the Web of Science core collection database from 2006 to 2020 as data sources

CiteSpace V was used for visualization processing and analysis

so as to reveal the transformation effect and future research direction.

Results

The number of published papers and citations increased exponentially with each year. The United States and Canada were the main research forces

the University of Toronto Medical Center contributed the largest number of research

and Professor McGaghie of Northwestern University was the author with the most published articles. According to the literature co⁃citation cluster analysis

it is found that the transformation of simulation skill training includes both operation and non⁃operation skills. High⁃frequency cited references reflect the knowledge base of this field and research to a certain extent. Research frontiers include the improvement of virtual reality simulators

clinical outcomes of simulated training in pediatrics

nursing

and emergency disciplines

and the design of randomized controlled clinical trials.

Conclusion

The research on the clinical effect verification of simulation skill training is developing rapidly in the world. The research on medical skills' transformation represented by minimal invasive surgery such as endoscopy is a hot topic. Non⁃operational skills including communication skills

teamwork

pediatric emergency skills

and virtual reality technology simulation effects are the research frontiers. The number of researches on the effect of simulation training is small and the effect is unclear. In the future

more randomized controlled studies are still needed to determine the effectiveness of the transformation of simulation training to clinical competence.

关键词

CiteSpace模拟训练临床技能可视化分析

Keywords

CiteSpaceSimulation trainingClinical skillVisual analysis

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