沉浸式教学在安宁疗护从业人员培训中的应用

Application of immersive teaching in the training of hospice care practitioners

目的探讨沉浸式教学在安宁疗护从业人员培训中的效果。方法选择2021年5月至2023年11月在北京老年医院参加安宁疗护培训的48名从业人员作为研究对象,按照抽签法分为干预组(n=24)和对照组(n=24)。对照组采用传统教学模式进行培训,干预组采用传统教学模式联合沉浸式教学模式进行培训。比较两组培训人员的综合成绩(理论笔试成绩与实践操作成绩)并评价教学效果。结果干预后,两组培训人员理论笔试成绩与实践操作成绩均高于本组干预前,差异有统计学意义(P<0.05);干预后,干预组实践操作成绩高于对照组,差异有统计学意义(P<0.05)。两组理论笔试成绩比较,差异无统计学意义(P>0.05)。干预组问卷调查显示,87.5%以上的培训人员认为,沉浸式教学模式可以开阔思路、提高临床诊治能力、提高情景应变能力、提高临床推理能力、增强医患沟通能力。干预组培训人员认为在开阔思路、提高情景应变能力、提高临床推理能力、增强医患沟通能力方面优于对照组,差异有统计学意义(P<0.05)。干预组对教学模式(包括授课方式、带教态度、教学内容安排、教材编写、教学时间安排、专业提升)的满意度高于对照组,差异有统计学意义(P<0.05)。结论将沉浸式教学模式运用到安宁疗护从业人员的培训中,可提升安宁疗护从业人员的操作能力,开阔临床诊疗思路,增强医患沟通能力,提高安宁疗护从业人员的满意度,值得推广。

Objective To explore the effect of immersive teaching in the training of hospice care practitioners.Methods A total of 48 practitioners who participated in hospice care training in Beijing Geriatric Hospital from May 2021 to November 2023 were selected as the study subjects and divided into the intervention group(n=24)and the control group(n=24)according to the lottery method.The control group was trained with traditional teaching mode,and the intervention group was trained with traditional teaching mode combined with immersive teaching mode.The comprehensive results(theoretical written test results and practical operation results)of the two groups of trainers were compared and the teaching effect was evaluated.Results After the intervention,the theoretical written test scores and practical operation scores of the trainees in the two groups were higher than before the intervention,and the differences were statistically significant(P<0.05).After intervention,the practical performance of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference between the two groups in the theoretical written test score(P>0.05).The questionnaire survey of the intervention group showed that more than 87.5%of the trainers believed that immersive teaching mode could broaden their thinking,improve clinical diagnosis and treatment ability,improve situational response ability,improve clinical reasoning ability,and enhance doctor-patient communication ability.The trainers in the intervention group were superior to the control group in broadening their thinking,improving situational response ability,improving clinical reasoning ability and enhancing doctor-patient communication ability,and the differences were statistically significant(P<0.05).The satisfaction of the intervention group on the teaching mode(including teaching method,teaching attitude,teaching content arrangement,textbook preparation,teaching time arrangement and professional improvement)were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of immersive teaching mode in the training of hospice care practitioners can improve the operational ability of hospice care practitioners,broaden the clinical diagnosis and treatment ideas,enhance the doctor-patient communication ability,and improve the satisfaction of hospice practitioners,which is worth promoting.