作者: Nancy M. Tofil , Jason L. Morris , Dawn Taylor Peterson , Penni Watts , Chad Epps
DOI: 10.1002/JHM.2126
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摘要: Simulation is effective at improving healthcare students' knowledge and communication. Despite increasingly interprofessional approaches to medicine, most studies demonstrate these effects in isolation. We enhanced an existing internal medicine curriculum with immersive simulations. For ten months, third-year medical students senior nursing were recruited for four, 1-hour Scenarios included myocardial infarction, pancreatitis/hyperkalemia, upper gastrointestinal bleed, chronic obstructive pulmonary disease exacerbation. After each scenario, experts nursing, simulation, adult learning facilitated a debriefing. Study measures pre- post-tests assessing self-efficacy, communication skills, understanding of profession's role. Seventy-two 30 participated. Self-efficacy scores improved both (medicine, 18.9 ± 3.3 pretest vs 23.7 ± 3.7 post-test; 19.6 ± 2.7 24.5 ± 2.5 post-test). Both groups showed improvement “confidence correct another provider collaborative manner” (Δ = .97 Δ = 1.2 nursing). Medical the close loop patient care” (Δ = .93). Nursing figure out roles” (Δ = 1.1). This study supports hypothesis that interdisciplinary simulation improves discipline's self-efficacy skills many barriers this model being sustained. Journal Hospital Medicine 2014;9:189–192. © 2014 Society