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Video-based feedback as a method for training rural healthcare workers to manage medical emergencies: a pilot study

机译:基于视频的反馈作为培训农村医护人员处理紧急医疗事件的方法:一项试点研究

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Video-based feedback has been shown to aid knowledge retention, skills learning and improve team functionality. We explored the use of video-based feedback and low fidelity simulation for training rural healthcare workers along the Thailand-Myanmar border and Papua New Guinea (PNG) to manage medical emergencies effectively. Twenty-four study participants were recruited from three Shoklo Malaria Research Unit clinics along the Thailand-Myanmar border and eight participants from Kudjip Nazarene Hospital, PNG. The teams were recorded on video managing a simulated medical emergency scenario and the video was used to aid feedback and assess performance using Observed Structured Clinical Examination (OSCE) scoring and Team Emergency Assessment Measure (TEAM) questionnaire. The process was repeated post-feedback at both sites and at 6?weeks at the Thailand-Myanmar border site. Thailand-Myanmar border participants’ individual confidence levels and baseline knowledge (using OSCE scoring) were assessed before team assessment and feedback at week 1 and repeated post-feedback and at 6?weeks. Focus group discussions (FGD) were held at each Thailand-Myanmar border clinic at week 1 (8 participants at each clinic). Individual paired tests of OSCE scores showed significant improvement post-feedback at week 1 (p?
机译:基于视频的反馈已显示出有助于知识保留,技能学习和改善团队功能的能力。我们探索了使用基于视频的反馈和低保真度模拟来培训泰国-缅甸边境和巴布亚新几内亚(PNG)沿线的农村医护人员以有效管理紧急医疗事件的方法。 24名研究参与者是从泰缅边境的三所Shoklo疟疾研究部门诊所招募的,八名参与者是从巴布亚新几内亚库吉普·纳扎林医院(Kudjip Nazarene Hospital)招募的。将这些团队记录在管理模拟的医疗紧急情况的视频上,并使用观察的结构化临床考试(OSCE)评分和团队应急评估措施(TEAM)问卷将视频用于帮助反馈和评估绩效。在两个地点以及泰国与缅甸边境地点的6周时都重复进行此过程。在第1周进行小组评估和反馈之前,并在反馈后和第6周重复评估泰国-缅甸边境参与者的个人信心水平和基线知识(使用OSCE评分)。第一周,在泰国-缅甸边境诊所举行了焦点小组讨论(FGD)(每个诊所有8名参与者)。与基线OSCE得分相比,单独的OSCE得分配对测试显示在第1周(p 0.001)和第6周(p 0.001)的反馈后显着改善。与第1周(p?=?0.068)和第6周(p?=?0.109)的基线相比,团队OSCE得分有增加的趋势,尽管并不显着。泰国-缅甸边境TEAM得分显示出反馈后的改善,主要是在领导,团队合作和任务管理上,持续到第6周。PNG显示主要是团队合作和任务管理上的改进。在这两个站点上,团队对非技术性能的总体评价都得到了改善,在泰国和缅甸边境站点的第6周,反馈得到了改善。在训练后的第1周,泰国-缅甸边境参与者的自评自信心得分较基线有显着提高(p?=?0.020),而在随访6周时高于基线,但无统计学意义(p?=?0.471)。 )。 FGD透露,大多数参与者认为观看他们的表演的视频记录和基于视频的反馈对他们的学习贡献最大。借助视频反馈,在东南亚和南太平洋的两个资源匮乏的医疗机构中,用于管理医疗紧急情况的临床知识,信心和团队合作质量得到​​了提高。

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