Relation of clinical context to accuracy of simulator-based blood pressure measurement by first-year medical students
| Autor: | Yuka Yamazaki, Kyoko Joyner, Yukie Abe, Iku Hiyamizu |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Students Medical 020205 medical informatics assessment Blood Pressure medical students Context (language use) 02 engineering and technology Manikins Taking blood pressure 03 medical and health sciences symbols.namesake 0302 clinical medicine Diabetes mellitus 0202 electrical engineering electronic engineering information engineering Humans Medicine 030212 general & internal medicine Simulation Training Simulation Original Research Measured blood pressure business.industry Blood Pressure Determination General Medicine simulation medicine.disease clinical skills Test (assessment) Cross-Sectional Studies Bonferroni correction Blood pressure Hypertension symbols Simulator-Based Blood Pressure Measurement Female Clinical Competence Analysis of variance Hypotension business Education Medical Undergraduate |
| Zdroj: | International Journal of Medical Education |
| ISSN: | 2042-6372 |
| Popis: | Objectives To explore the association between clinical contexts and accuracy of manikin blood pressure readings by first-year medical students after first Simulation-Based-Education training. Methods This cross-sectional study, in controlled simulation settings, was comprised of 121 first-year medical student participants after their first Simulation-Based-Education training. Divided into three groups (n = 39, 42 and 40), participants measured blood pressure on three simulator arms assigned different clinical contexts: healthy young male, young female with hypotension, and elderly male with hypertension and diabetes. Each group performed the same protocol on three different days. A Chi-squared test was performed for between-day and between-case differences of correct answers, and one-way ANOVA with Bonferroni post-hoc comparisons was performed for manikin-settings deviation (reported Systolic Blood Pressure (SBP) - set SBP) among cases. Results The proportion of correct answers of on Day Two was significantly lower than on the other two days (χ2(2, N = 285) = 0.34, p = .84), but roughly comparable among cases (χ2(2, N = 285) = 24.07, p < .001). The mean of the differences of (SBPreported - SBPset) of Case Two (M = -6.68, SD = 8.91) was significantly lower than Case One (M = -3.07, SD = 9.11) and Three (M = -1.63, SD = 7.76) (F (2, 274) = 8.68, p < .001). Conclusions Although no statistical associations were found between clinical contexts and student performance in blood pressure measurement, student familiarity with diseases may be associated with performance in taking blood pressure. Day Two performance underscores the need to promote student confidence in diagnostic skills. |
| Databáze: | OpenAIRE |
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