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向非专业人员教授高质量儿童基本生命支持:虚拟模拟游戏的开发与评估

Teaching high quality paediatric basic life support to laypeople: The development and evaluation of a virtual simulation game.

作者信息

Boggs Samantha, McNally James Dayre, O'Hearn Katie, Del Bel Michael, Armstrong Jennifer, Newhook Dennis, Lobos Anna-Theresa

机构信息

Department of Paediatrics, Division of Paediatric Critical Care, CHEO, 401 Smyth Rd, Ottawa, Ontario K1H 8L1, Canada.

Department of Paediatrics, Division of Paediatric Critical Care, McMaster University, 1280 Main Street West, HSC 3E20, Hamilton, Ontario L8S 4K1, Canada.

出版信息

Resusc Plus. 2024 Dec 19;21:100824. doi: 10.1016/j.resplu.2024.100824. eCollection 2025 Jan.

Abstract

BACKGROUND

Self-directed training has been recognized as a reasonable alternative to traditional instructor-led formats to teach laypeople Basic Life Support (BLS). Virtual tools can facilitate high-quality self-directed resuscitation education; however, their role in teaching paediatric BLS remains unclear due to limited empiric evaluation and suboptimal design of existing tools.

AIM

We describe the development and evaluation of a virtual simulation game (VSG) designed to teach high-quality paediatric BLS using a self-directed, online format with integrated deliberate practice and feedback.

METHODS

We conducted a pilot prospective single-arm cohort study examining the VSG's impact on laypeople's paediatric BLS self-efficacy, attitudes, and knowledge as well as learner reactions. Data was collected using online surveys immediately after VSG completion and was analysed using descriptive statistics.

RESULTS

Fifty-five participants (median age 32 years, 76% female, 11% active certification in paediatric BLS) evaluated the VSG. Participants reported high self-efficacy, willingness to perform paediatric BLS, and high perceived knowledge after VSG completion. Fifty (91%) achieved a passing score (≥13/15) on the paediatric BLS knowledge assessment. Learner reactions were favourable with 98% of participants agreeing that VSG educational content was clear and helpful. Mean System Usability Scale score was 81.1 (standard deviation 12.6) with a Net Promoter Score of 32 indicating high levels of usability and likelihood to recommend to others.

CONCLUSIONS

The VSG was well-received by laypeople with positive effects observed on paediatric BLS self-efficacy, attitudes, and knowledge. Future studies should examine the impact of VSGs on skill performance through standalone or blended learning approaches.

摘要

背景

自我指导培训已被视为一种合理的替代传统教师主导形式的方法,用于向非专业人员传授基础生命支持(BLS)。虚拟工具可以促进高质量的自我指导复苏教育;然而,由于现有工具的实证评估有限且设计欠佳,它们在儿科BLS教学中的作用仍不明确。

目的

我们描述了一种虚拟模拟游戏(VSG)的开发与评估,该游戏旨在使用具有综合刻意练习和反馈的自我指导在线形式来教授高质量的儿科BLS。

方法

我们进行了一项前瞻性单臂队列试点研究,考察VSG对非专业人员的儿科BLS自我效能、态度和知识以及学习者反应的影响。在VSG完成后立即通过在线调查收集数据,并使用描述性统计进行分析。

结果

55名参与者(中位年龄32岁,76%为女性,11%拥有儿科BLS有效证书)对VSG进行了评估。参与者报告称在VSG完成后自我效能高、愿意实施儿科BLS且感知知识水平高。50名(91%)参与者在儿科BLS知识评估中达到及格分数(≥13/15)。学习者反应良好,98%的参与者同意VSG教育内容清晰且有帮助。平均系统可用性量表得分为81.1(标准差12.6),净推荐值为32,表明可用性水平高且很有可能向他人推荐。

结论

非专业人员对VSG评价良好,在儿科BLS自我效能、态度和知识方面观察到了积极效果。未来的研究应通过独立学习或混合学习方法来考察VSG对技能表现的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68f5/11728990/471b02ddce01/ga1.jpg

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