Tıp Fakültesi Son Sınıf Öğrencilerinin Hastane Öncesi ve Acil Servislerde Travmalı Hastaya Yaklaşımının Senaryo Temelli Simülasyonla Değerlendirilmesi

Abstract

Gülbaş, H., Evaluation of Senior Medical Students’ Approaches to Trauma Patients in Prehospital and Emergency Services Using Scenario Based Simulation. Hacettepe University Institute of Health Sciences Simulation Program in Health Sciences Master’s Thesis, Ankara,2022. This study was conducted as a mixed method research, in which qualitative and quantitative data used together in order to evaluate the competencies of 6th grade interns in prehospital and emergency department in trauma patient management with simulation-based scenarios. In the study carried out at Uludag University Faculty of Medicine Good Practices and Simulation Training Center between April 12 - July 08, 2021, scenario-based simulation was applied to 9 control and 9 study group students for quantitative data on the management of a multiple trauma case in the prehospital and emergency department and applications were evaluated with control lists. Before the evaluation, the study group was informed with a presentation and video related to management of trauma patients in the pre-hospital and in the emergency room, then scenario-based simulations including the management of the trauma patient in the pre-hospital and in the emergency room were done, and debrief sessions were held. In addition, the Modified Simulation Efficiency Tool was applied to the study group students. For qualitative data, focus group interviews were conducted with 8 control group, 6 study group students and 3 emergency service staff. In the study, the trauma patient scenario simulations managed in the emergency department were found to be more successful than the trauma patient scenario simulations managed in the prehospital. A statistically significant difference was determined between the groups according to the simulation evaluation of trauma patients managed in the pre-hospital and emergency services (p<0.05). According to the focus group interviews, it was determined that the students of both groups did not consider themselves sufficient in the management of prehospital-based trauma patients. As a result of the observations of the Emergency Service employees, it was determined that both groups were noticeably self-confident during the internship. As conclusion, it is recommended to add a course related to the trauma patient management to the curriculum and apply scenario-based simulation within the scope of the course so as to increase the self-efficiency of the students in the management of the trauma patient pre-hospital and in the emergency room. Keywords: Emergency department, prehospital, intern, self-sufficiency, simulation, trauma management