醫學模擬教育－實踐篇

Medical Simulation Education- Essentials of Clinical Teaching

吳人傑(Jen-Chieh Wu) ； 郭淑瑜(Shu-Yu Kuo)

《新臺北護理期刊》 20卷1期 (2018/03) Pp. 1-9

https://doi.org/10.6540/NTJN.2018.1.001

摘要

在臨床現場情境，醫護人員必需在有效時間內提供病患安全優質照護乃是重要任務，這經常是畢業新手的適應挑戰，即使資深醫療人員亦須相當歷練始能漸入佳境熟能生巧。模擬教學是近年來新興醫學教育模式，提供有效拉近理論教學與臨床實踐之距離，藉由高擬真臨床情境讓學員在安全學習環境反覆練習，並激發學員的學習動機與提升其臨床信心。本文乃是透過教學實例介紹打造模擬課程與引導模擬課程運行等具體方略，提供醫學模擬教育的實戰情境，以協助學校畢業生或臨床新進人員能夠勝任高端專業工作，並確保患者安全照護，希冀提供在學校或臨床推動模擬教育之參考。

關鍵字

模擬教育 ； 臨床情境 ； 醫學教育 ； 高擬真模擬 ； 護理教育

並列摘要

It is critical for health professionals to provide patient safety and quality of care using priority efficient strategies in clinical settings. Both the new graduates and experienced staffs often face a great deal of adaptation challenges during the transition from novice to experts. Simulation education is an effective process in closing the gap between theoretical learning and clinical practice. By using high-fidelity clinical scenario, the learners are able to replicate clinical skills and process in a safe environment. The learning motivation as well as self-efficacy will be enhanced. Essentials of simulation education, including development of curriculum and implementation of simulation course will be discussed using clinical examples. The practical simulation education strategies will enable both school and clinical educators to develop an effective simulation education for students or newly professional staffs for achieving optimal clinical care.

並列關鍵字

Simulation education ； clinical scenario ； medical education ； high-fidelity simulation ； nurse education

參考文獻

Abatzis, V. T., & Littlewood, K. E. (2015). Debriefing in Simulation and Beyond. International Anesthesiology Clinics, 53(4), 151-162. doi:10.1097/aia.0000000000000070

INACSL Standards Committee (2016b). INACSL Standards of Best Practice: SimulationSM Debriefing. Clinical Simulation in Nursing, 12, S21-S25. doi:https://doi.org/10.1016/i.ecns.2016.09.008

INACSL Standards Committee (2016c). INACSL Standards of Best Practice: SimulationSM Facilitation. Clinical Simulation in Nursing, 12, S16-S20. doi:https://doi.org/10.1016/i. ecns.2016.09.007

INACSL Standards Committee (2016d). INACSL Standards of Best Practice: SimulationSM Simulation Design. Clinical Simulation in Nursing, 12, S5-S12. doi:https:// doi.org/10.1016/i.ecns.2016.09.005

Aggarwal, R., Mytton, O. T., Derbrew, M., Hananel, D., Heydenburg, M., Issenberg, B., .Soper, N. (2010). Training and simulation for patient safety. Quality and safety in Health care, 19(Suppl 2), i34-i43