METHODS: Qualitative inductive approach using semistructured interviews that took place between October 2021 and February 2022. Data were analysed with qualitative content analysis.
METHODS: MCI scenario training involving four organisations (three emergency medical services and one search-and-rescue organisation) tasked with responding to MCIs, collectively representing four European Union countries.
METHODS: 27 MFRs (17 emergency medical services personnel and 10 search-and-rescue volunteers) were recruited to participate in the study.
RESULTS: Two categories and seven associated subcategories (shown in parentheses) were identified as influencing the learning outcomes for MFRs: Training in a context mirroring real-world incidents (conducting incident scene risk assessment, realistic representation in casualties, incorporating scenario variety into the curriculum, interagency collaboration, role alignment when training incident site management) and use of a pedagogical framework (allowing for mistakes, the importance of post-training evaluation).
CONCLUSIONS: This study reaffirms the value of traditional MCI scenario training and identifies areas for enhancement, advocating for realistic scenarios, interagency collaboration, improved incident site management skills and thorough post-training evaluation. It suggests a shift in MCI training conceptualisation and delivery. The potential of virtual reality technologies as a valuable addition to training methods is explored, with a note on the need for further research to ascertain the long-term effectiveness of these technologies. However, the selection of a training method should consider programme goals, target population and resources.
方法:使用2021年10月至2022年2月之间进行的半结构化访谈的定性归纳法。采用定性内容分析对数据进行分析。
方法:MCI情景培训涉及四个组织(三个紧急医疗服务和一个搜救组织),负责响应MCI,代表四个欧盟国家。
方法:招募了27名MFR(17名紧急医疗服务人员和10名搜救志愿者)参与研究。
结果:确定了影响MFR学习成果的两个类别和七个相关子类别(括号中显示):在反映现实世界事件的背景下进行培训(进行事件现场风险评估,伤亡的现实表现,将场景多样性纳入课程,机构间合作,培训事件现场管理时的角色调整)和教学框架的使用(允许错误,培训后评估的重要性)。
结论:这项研究重申了传统MCI情景训练的价值,并确定了需要增强的领域,倡导现实场景,机构间合作,改进事件现场管理技能和全面的培训后评估。这表明MCI培训的概念化和交付方式发生了转变。探索了虚拟现实技术作为培训方法的宝贵补充的潜力,并说明需要进一步研究以确定这些技术的长期有效性。然而,培训方法的选择应考虑计划目标,目标人口和资源。