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Does the unexpected death of the manikin in a simulation maintain the participants’ perceived self-efficacy? An observational prospective study with medical students

机译:模拟中人体模型的意外死亡是否能保持参与者的自我效能感?与医学生的观察性前瞻性研究

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Background The death of a simulated patient is controversial. Some educators feel that having a manikin die is prejudicial to learning; others feel it is a way of better preparing students for these situations. Perceived self-efficacy (PSE) reflects a person’s perception of their ability to carry out a task. A high PSE is necessary to manage a task efficiently. In this study, we measured the impact of the death of a simulated patient on medical students’ perceived self-efficacy concerning their ability to cope with a situation of cardiac arrest. Methods We carried out a single-centre, observational, prospective study. In group 1 ( n =?27), pre-graduate medical students were warned of the possible death of the manikin; group 2 students were not warned ( n =?29). The students’ PSE was measured at the end of the simulated situation and after the debriefing. Results The PSE of the two groups was similar before the debriefing ( p =?0.41). It had significantly progressed at the end of the debriefing ( p p =?0.382). Conclusions The simulated death of the manikin did not have a negative impact on the students’ PSE, whether or not they had been warned of the possible occurrence of such an event. Our study helps defend the position which supports the inclusion of unexpected death of the manikin in a simulation setting.
机译:背景模拟患者的死亡是有争议的。一些教育者认为,死于人体模型对学习不利。其他人则认为这是更好地为学生准备这些情况的一种方法。自我效能感(PSE)反映了一个人对其执行任务的能力的感知。高PSE是有效管理任务所必需的。在这项研究中,我们测量了模拟患者的死亡对医科学生关于他们应对心脏骤停状况的能力的感知自我效能的影响。方法我们进行了单中心,观察性和前瞻性研究。在第1组中(n =?27),警告医学研究生对人体模型可能死亡。第2组学生未收到警告(n =?29)。在模拟情况结束时和汇报情况后测量学生的PSE。结果汇报前两组的PSE相似(p =?0.41)。汇报结束后,病情显着进展(p p =?0.382)。结论人体模型的模拟死亡不会对学生的PSE产生负面影响,无论他们是否已被警告可能发生此类事件。我们的研究有助于捍卫支持人体模型意外死亡的位置。

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