Ma'aikata dole ne su mallaki kwarewar asibiti don dacewa da dacewa, amincin Clinical da guji aiwatar da kurakurai. Takaitaccen ilimin likitancin asibiti yana haɓaka ƙwarewar haƙuri da jinkirin kulawa ko magani, musamman ma sassan gaggawa da gaggawa. Horar da aka tattara kayan simulation yana amfani da tattaunawa mai zurfi na tunani game da wani siminti a matsayin hanyar da ta ba da izini don haɓaka ƙwarewar asibiti yayin riƙe lafiyar mai haƙuri. Koyaya, saboda yanayin da yawa na dalilai na asibiti, yiwuwar haɗarin ɗaukar hankali, da kuma mahalarta-bincike (mahalarta) na bincike na asibiti, yana da mahimmanci a Yi la'akari da gwaninta, iyawar iyawa, abubuwan da suka shafi kwarara da kuma rikice-rikicen bayanai, da kuma rikitarwa don inganta dalilin asibiti mai nunawa ta hanyar yin wasan kwaikwayon a matsayin hanyar mai ba da izini. Manufarmu ita ce bayyana ci gaban wani samfurin da aka koyi na nuni mai mahimmanci wanda ke ɗaukar abubuwa da yawa waɗanda ke ɗaukar mahimman abubuwan daidaitawa na asibiti.
Kungiyar Ma'aikata ta Tsararraki (N = 18), da suka kunshi likitocin, ma'aikatan ciniki, masu bincike, da kuma wakilan masu haƙuri koyi don tantancewa. Groupungiyar aiki mai amfani da tsararraki ta haɓaka ƙirar ta hanyar ka'idoji da tsari mai nuna ra'ayi da kuma binciken peer mai yawa. A layi daya hadewar bincike na da / debe an yi imanin cewa an yi imani da Bloom na Bloom da Ingantaccen Dalilin Mahalarta asibitin yayin da suke cikin ayyukan simulation. An yi amfani da ingancin bayanan abun ciki (CVI) da kuma hanyoyin abun ciki na kayan ciki don kafa ingantacciyar fuska da ingantacciyar hanyar samfurin.
Wani samfurin da aka dace da ƙirar ƙirar magana ta musamman da aka haɓaka kuma an gwada shi. Misalin yana goyan bayan misalai da jagorar rubutun. Fuskar fuska da ingancin abun ciki na samfurin an tantance kuma an tabbatar.
An kirkiro sabon ƙirar ƙirar haɗin gwiwa cikin asusun da ƙwarewar ƙirar ƙirar samfuri daban-daban, kwarara da girma na bayani, da kuma rikice-rikice na ƙwararrun lamuran. Ana tunanin waɗannan abubuwan don inganta dalilin asibiti lokacin da yake halartar ayyukan siminti na rukuni.
Dalilin asibiti yana la'akari da tushen aikin asibiti a cikin kulawar likita [1, 2] da muhimmin abu ne na cancantar asibiti [1, 3, 4]. Tsarin nunawa ne wanda masu aikin yi amfani da su da aiwatar da hadin gwiwa da aiwatar da abin da ya dace ga kowace halin asibiti da suka sadu [5, 6]. An bayyana dalilin asibiti a matsayin tsari mai rikitarwa wanda ke amfani da dabarun tunani na yau da kullun don tara bayanai game da haƙuri, da kuma tantance ƙimar wannan bayanin, kuma ƙimar ƙimar wannan bayanin [7, 8]. Ya dogara da ikon tara alamu, tsari na tsari, kuma fahimtar matsalar haƙuri don ɗaukar madaidaicin aikin don mai haƙuri mai kyau a lokacin da ya dace [9, 10].
Dukkanin masu samar da kiwon lafiya suna fuskantar bukatar yin hukunci mai tsauri a cikin yanayin babban rashin tabbas [11]. A cikin mahimmancin kulawa da kulawa da gaggawa, yanayin asibiti da abubuwan gaggawa da kuma shiga tsakani da tsoma baki don ceton rayuka kuma tabbatar da amincin haƙuri [12]. Talauci na Clinical Dalidi da cancanta a cikin kulawa mai mahimmanci suna da alaƙa da yawan adadin kurakurai na asibiti, jinkiri don kulawa ko magani [14] da haɗarin aminci [14,15,16]. Don guje wa kurakurai masu amfani, dole ne su cancanta kuma suna da ƙwarewar dalilai na asibiti don yin ayyukan da suka dace da dacewa [16, 17, 18]. Da rashin tunani na tunani ne (hankali) tsari tsari shine tsari mai sauri da ƙwararrun ƙwararrun ƙwararru. Da bambanci, mai ma'ana (hypothetico-cresspy) Ayyuka masu ma'ana ba su da hankali sosai, da gangan ake amfani da shi da ƙarancin masu ƙwarewa [2, 19, 20]. Bayar da mahimman yanayin asibitin da yiwuwar haɗarin kuskuren aiwatar da kurakurai [14,15,16], Ilimin Sigarwa (sbe) sau da yawa ana amfani da su ne don samar da mahimmancin cancanta da ƙwarewar asibiti. Tsaro muhalli da bayyanar da yanayin kalubale da yawa yayin da ke riƙe da amincin haƙuri [21, 22, 23].
Al'umma don siminti a cikin kiwon lafiya (SSH) na bayyana siminti a matsayin "fasaha ce wacce mutane ke fuskantar wakilan tsarin rayuwa, horarwa, kimantawa, gwadawa, ko samun fahimtar da tsarin mutane ko hali. " [23] Abin da aka tsara tsarin kwaikwayon kwaikwayon yana ba mahalarta da nutsar da kansu a yanayin da suka dace da tashin hankali na asibiti [21,22] kuma kuyi dalilin hadarin asibiti [21,22] kuma kuyi dalilin hadarin asibiti SBE Hairen Field Fisheres na kwarewa, fallasa daliban zuwa ga kwarewar asibiti da ba za su ji a cikin saitunan kulawa da haƙuri ba [24, 29]. Wannan mummunan barazanar ne, abin zargi-free, kulawa, lafiya, yanayin koyo mai rauni. Yana inganta ci gaban ilimi, ƙwarewar asibiti, iyawa na asibiti, mai tunani mai zurfi da dalilan asibiti [22,29,30,11] Kuma don haka inganta iyawar likita [22,29,30 . , 30, 32].
Don tallafawa haɓaka haɓakar asibiti da ƙwarewar yanke shawara ta hanyar sbe, samfuri, da tsarin tsarin dakar mutum [24, 33, 35]. Post-simulation reflective learning conversations (RLC) were used as a debriefing technique to help participants reflect, explain actions, and harness the power of peer support and groupthink in the context of teamwork [ 32 , 33 , 36 ]. Amfani da RLCs rukuni yana ɗaukar haɗarin haɗari na rashin daidaituwa, musamman dangane da bambance-bambancen da bambancin mahalarta. Model ɗin tsari na dual ya bayyana yanayin yanayin ilimin asibiti da bambance-bambance a cikin samarwa na manyan masu bincike (hyummatu) matakai da tunani don amfani da ayyukan bincike marasa bincike [34, 37]. ]. Wadannan hanyoyin aiwatar da tunani na Dual sun hada da kalubalen adaffadan ayyuka zuwa yanayi daban-daban, kuma ba a sani ba kuma ba na bincike ba lokacin da akwai manyan mahalarta da akeyi a cikin rukunin da suka yi. Studentsungiyoyin manyan makaranta da ƙananan ɗaliban makarantar sakandare da matakan kwarewa suna shiga cikin yanayin simintar na yanayin rikitarwa [34, 37]. Matsayi na lissafi yana da alaƙa da haɗarin haɗarin rashin daidaituwa game da ilimin asibitoci Dalili da kuma ɗaukar hoto da kuma matakan ƙarfafawa [38]. Yana da mahimmanci a lura cewa duk da cewa duk da cewa akwai samfuran debrief mai amfani da RLC, babu ɗayan waɗannan samfuran da aka tsara don ƙwarewar dalilai na asibiti, la'akari da ƙwarewa game da bayani, da kuma Mayar da abubuwa masu rikitarwa [38]. ]. , 39]. Duk wannan suna buƙatar haɓaka ƙirar ƙirar da ke ɗaukar cikakkun gudummawa da abubuwan da ke haifar da haɓaka RLC na asibiti, yayin haɗa da Post-siminti RLC a matsayin hanyar bayar da rahoto. Mun bayyana tsari na asali da kuma nuna tsari na haɗin gwiwar da haɓakar zane-zane da kuma haɓaka RLC. An inganta samfurin don inganta ƙwarewar asibiti yayin shiga cikin SBE, la'akari da abubuwa masu yawa don samun ci gaban asibiti.
Model na RLC Post-siminti ya haifar da haɗin gwiwa bisa tsarin da ake dasu da kuma dalilai na asibiti, ilimi mai niyya, ilimi da kuma sattulation. Don haɓaka ƙirar, haɗin gwiwar aiki na aiki (n = 18) an kafa shi, ƙwanƙwasawa guda 10, da wakilan marasa ƙarfi na matakai daban-daban. Unitungiyar kulawa ɗaya mai zurfi, mataimakan bincike na biyu da babban jami'in 2 masu niyya. An tsara wannan sabuwar hanyar haɗin haɗin kai ta ta hanyar haɗin gwiwar da masu shiga cikin masu ruwa da kuma ƙwarewar Lafiya, kamar yadda marasa lafiya [40,41,42]. Ciki har da wakilai masu haƙuri a cikin tsarin tsakaitaccen tsari na iya ƙara darajar darajar, a matsayin babban burin shirin shine inganta kulawa da aminci [43].
Kungiyar aiki ta gudanar da bitar shida na awa shida don haɓaka tsarin, tafiyar matakai da abun ciki na samfurin. Taron bita ya hada da tattaunawa, aiki da kuma siminti. Abubuwa na ƙirar sun dogara ne akan kewayon albarkatun shaida, ƙira, ka'idodi da tsarin samar da tsari. Waɗannan sun hada da: ka'idar ilmantarwa [44], ra'ayin asibiti na al'ada [10], binciken godiya (AI), da kuma rahoton da Plus / Delta]. An inganta tsarin tare da ingantaccen tsarin aikin likita na Internationalesungiyar Internationesungiyar Internationesungiyar Internationesungiyar Internationesungiyar Kasa da Ilimin Motsa jiki [36] kuma an haɗa shi da misalai don ƙirƙirar ƙirar bayani don ƙirƙirar ƙirar bayani. An kirkiro samfurin a cikin matakai huɗu: shiri don tattaunawa mai nunawa na gaba bayan simulation, ƙaddamar da tattaunawa mai zurfi na koyo, mai bincike da debiling (Hoto na 1). Bayanin kowane matakin an tattauna a ƙasa.
Shirye-shiryen shirye-shirye na samfurin an tsara shi ne ga ilimin halayyar dan adam don mataki na gaba da kuma ƙara musu aiki da saka hannun jari yayin tabbatar da amincin tunani [36, 47]. Wannan matakin ya hada da gabatarwar zuwa ga manufa da manufofin; lokacin da aka sa ran RLC; tsammanin mai gudanarwa da mahalarta yayin RLC; saitin shafin da kuma saitin siminti; Tabbatar da sirri a cikin yanayin ilmantarwa, da kuma inganta amincin tunani. An dauki amsoshin wakilin da ke biye daga rukunin Ma'aikata na Tsararraki a yayin tsarin ci gaban lokaci-lokaci na samfurin RLC. Mai halartar 7: "A matsayina na mai aikin kulawa na kulawa, idan na kasance cikin siminti ba tare da mahallin tsofaffi da tsofaffi ba, sai dai na ji cewa amincin tunani na mutunta. Kuma zan guji shiga tattaunawa bayan maimaitawa. "Za a kiyaye shi kuma babu sakamako." Mai halarta 4: "Na yi imani cewa yin mai da hankali da kafa dokokin ƙasa da wuri kan zai taimaka wa ɗaliban bayan taron. Shiga cikin ayyukan tattaunawa cikin tattaunawa mai kyau. "
Matsayi na farko na tsarin RLC ya haɗa da bincika yadda mahalarta mahalarta da gano abubuwan da ke haifar da abubuwan da suka dace da kwarewar mahalarta, amma ba bincike ba. An kirkiro ƙirar a wannan matakin don ƙarfafa 'yan takarar don kasancewa da kansu don su zama kai da kansu, da kuma tunani shirya don zurfin bincike da zurfin tunani [24, 36]. Manufar shine don rage haɗarin da aka sani game da hankali [48], musamman ga wadanda suke da ƙwarewa na kwarewa kuma basu da kwarewar asibiti da ta gabata tare da fasaha / magana [49]. Tambaye mahalarta su taƙaita bayyana kwatancen da aka saba kuma suna taimaka wa mai gudanarwa zai taimaka wa mai gudanarwa ta asali da gaba daya ta ci gaba da ci gaba da kara. Bugu da kari, gayyatar mahalarta a wannan matakin don raba tunaninsu a yanayin da ake amfani dasu zai taimaka musu wajen shawo kan koyo na tunanin [24, 36]. Magana al'amuran motsin rai zasu taimaka wa mai gudanarwa RLC ta fahimci yadda irin mahalarta ke shafar mutum da aikin rukuni, kuma wannan za a iya magance hakan a lokacin tunani / bincike. Hanyar da Plus / Delta an gina ta cikin wannan tsarin na samfurin azaman shirye-shiryen shirya da kuma yanke hukunci don tunani / bincike na zamani [46]. Ta amfani da kusancin Prive / Delta, duka mahalarta da ɗalibai na iya aiwatarwa / jerin abubuwan da suke gani, waɗanda za a iya tattauna batun ta hanyar tunani yayin ƙirar [46]. Wannan zai taimaka wa mahalarta taron metacognovogistive ta hanyar niyya da kuma manyan damar ilmantarwa don inganta dalilai na asibiti [24, 48, 49]. An dauki amsoshi masu zuwa daga rukunin Ma'aikata na Tsararraki a lokacin ci gaban tsarin RLC. Mai halartar 2: "Ina tsammanin a matsayin mai haƙuri wanda a baya aka shigar da shi ga ICU, muna buƙatar la'akari da ji da motsin ɗaliban da suka dace. Na ɗaga wannan batun saboda a lokacin shigar da na lura da manyan matakan damuwa da damuwa, musamman a tsakanin masu koyar da masu fasaha. da kuma yanayin gaggawa. Wannan samfurin dole ne la'akari da damuwa da motsin zuciyar motsin zuciyar da ke hade da simulating kwarewar. " Mai halartar 16: "A gare ni a matsayin malami, na sami muhimmanci sosai don amfani da da Plus / Delta don haka ana ƙarfafa ɗaliban da suka ambata kyawawan abubuwa kuma suna buƙatar da suka fuskanta yayin yanayin kwaikwayon. Yankuna don cigaba. "
Kodayake matakan da suka gabata na ƙirar suna da mahimmanci, tsarin bincike / yanayi shine mafi mahimmanci ga haɓaka ayyukan asibiti. An tsara shi don samar da bincike na ci gaba / haɗin haɗi da zurfin bincike dangane da ƙwarewar asibiti, ƙwarewar, da kuma tasiri ga batutuwa gyara; Tsari na rlc da tsari; Adadin bayanin da aka bayar don gujewa ɗaukar nauyin fahimta; ingantaccen amfani da tambayoyi masu nunawa. Hanyoyi don cimma matsin mai koyo da aiki mai aiki. A wannan gaba, kwarewar asibiti da masaniya game da bangarorin kwaikwayo guda uku don saukar da matakan daban-daban na ƙwarewa, na biyu: ƙwarewar da ta gabata game da ilimin motsa jiki, na biyu: ƙwarewar da ta gabata, masifu da fasaha / babu. Bayyanar da ta gabata don yin amfani da batutuwa. Na uku: ƙwarewar kwararru na asibiti, ilimi da fasaha. Kwararre / bayyanar da ta gabata don yin amfani da batutuwa. An yi rarrabuwa don ɗaukar bukatun mutane da abubuwa daban-daban da kuma matakan iyawa a cikin wannan rukuni, don haka ya daidaita da halin da ake nufi da nazarin da ba na iya amfani da ƙwarewar da ba na bincike ba [19, 20, 34]. , 37]. Tsarin RLC ya tsara kewaye da tsarin karatun asibiti [10], tsarin ƙirar ƙirar [47], da kuma ka'idar ilmantarwa ta kai [50]. Ana samun wannan ta hanyar matakai da yawa: Fassara, rarrabuwa, sadarwa, indewa da kira.
Don nisantar ɗaukar nauyi, inganta tsarin magana mai zurfi da dama tare da isasshen lokaci da dama ga mahalarta ya yi tunani, da kuma haɗa kai don cimma nasarar amincewa da kai. Za a yi tunani a cikin RNC a cikin RNC a cikin Ufopidation, tabbatarwa, dandali, ka'idar amfani da madaidaiciya [48]. Samun tsari na tattaunawa da kuma bada isasshen lokaci don tunani, la'akari da mahalarta kayan kwalliya, musamman a cikin matakan da suka shafi abubuwan da suka gabata, bayyananne da matakan mahalarta. Bayan abin da ya faru. Hanyar tambaya mai nunawa ta dogara ne da ƙirar Bloom [51] da kuma bincike mai godiya (AI), wanda mai gudanarwa mai alama yana kusancin batun a cikin mataki-mataki-mataki, solla, da kuma ma'ana. Yi tambayoyi, fara da tambayoyi na ilimi. da kuma magance dabaru da batutuwan da suka danganci tunani. Wannan dabara ta nuna zai inganta ingancin dalilai na asibiti ta hanyar karfafa aiki mai karfi da tunani mai zurfi tare da karancin hadarin daukar hankali. An dauki amsoshin wakilai masu zuwa daga rukunin Ma'aikata na tsararraki a yayin bincike / lokaci mai amfani da ci gaban tsarin RLC. Mahalarta 13: "Don guje wa ɗaukar nauyi, muna bukatar muyi la'akari da adadin da kuma kwararar bayanai game da batun lokacin da za a iya yin tunani da farawa tare da kayan yau da kullun . Ilimi. Bayan haka yana fara tattaunawa da fasaha, sannan motsawa zuwa matakan ilimi da ƙwarewa don cimma nasarar Metacognition. " Mai halartar 9: "Ina imanin da gaske cewa hanyoyin tambayar ta amfani da binciken mai godiya (AI) da tambaya mai nunawa ta amfani da haɗarin koyo yayin rage yiwuwar haɗarin ɗaukar nauyi." Lokaci na debriefing na ƙirar da nufin taƙaita abubuwan ilmantawar da aka tashi a lokacin RLC kuma tabbatar cewa an gano manufofin ilmantarwa. Mahalarta 8: "Yana da muhimmanci sosai cewa duka biyu masu koyo da mai gudanarwa sun yarda da mahimman mahimman dabaru da mahimmin fannoni don la'akari lokacin da suke tafiya yayin tafiya cikin aiki."
An samu amincewar ɗabi'a a karkashin Lissafin Prorcol (MrC-01-22-117) da (HSK / PGR / UH / 04728). An gwada ƙirar a cikin ƙwararrun masu ƙwararru uku don kimanta amfani da amfani da kayan masarufi. Hakikanin ingancin samfurin an tantance shi ta hanyar ƙirar haɗin kai (N = 18) da masana nazarin ilimi (n = 6) don gyara batutuwan da suka shafi bayyanar, nahawu, da aiwatarwa. Bayan da babban inganci, ingantacciyar masani ta yanke hukunci (N = 6) wanda Cibiyar Shaida ta Amurka ta amince da ita, da (n = 6) wanda yake da yawan ilimi sama da 10 da Kwarewar koyarwa. Kwarewar aiki ya gudanar da kimantawa ta hanyar kwarewar ilimi (n = 6). Gwaninta na kwarewa. Ingancin abun ciki an ƙaddara ta amfani da tsarin ingancin abun ciki (CVR) da kuma ƙayyadadden bayanan abun ciki (CVI). An yi amfani da madaidaicin hanyar [52] don kimanta Cvi, da kuma hanyar Waltz da baza'azar Cvr. Ayyukan CVR suna da mahimmanci, da amfani, amma ba lallai ba ne ko zaɓi. An zira kwallaye CVI akan sikelin maki huɗu bisa mahimmancin mahimmanci, sauƙi, da kuma tsabta, tare da 1 = ba wanda ya dace, = = dacewa da 4 = dacewa sosai. Bayan tabbatar tabbatar da fuskar fuska da ingantaccen abun ciki, ban da aikin m bitsu, daidaituwa da daidaituwa an gudanar da zaman kawancen ra'ayi waɗanda zasu yi amfani da samfurin.
Kungiyar aikin ta sami damar haɓaka kuma ta gwada samfurin Post-samfurin don inganta ƙwarewar asibiti yayin kasancewa cikin kabilun kulawa (lambobi 1, 2, da 3). CVR = 1.00, CVI = 1.00, nuna fuskar da ta dace da ingancin abun ciki [52, 53].
An ƙirƙiri ƙirar don ƙungiyar sbe, inda al'amuran masu ban sha'awa da ƙalubale suna da ƙalubale iri ɗaya ko daban-daban na ƙwarewa, ilimi da kuma babba. Tsarin binciken RLC ya ci gaba bisa ga ka'idojin bincike na Inacls [36] kuma ya kasance mai kusanci da kai, wanda ya hada da wasu misalai 1, 2 da 3). An inganta samfurin da kuma raba cikin matakai huɗu don saduwa da ƙa'idodi masu mahimmanci: farawa da bayani, bijirewa, da ƙare tare da bayani da taƙaitawa. Don guje wa yiwuwar haɗarin rashin fahimta, kowane mataki na ƙirar an tsara shi azaman abin da aka buƙata don mataki na gaba [34].
Ana yin tasirin da jituwa da mahimman abubuwan da aka dace da su a cikin shiga cikin RLC ba a taɓa yin karatu ba [38]. Yin la'akari da mahimman ayyukan madauki da kuma fahimtar ka'idar sawa [34, 37], yana da mahimmanci a bincika cewa halartar ƙungiyoyi daban-daban da kuma iyawar mahalarta a wannan rukunin simulation ɗaya ne mai ƙalubale. Maraakarwa da haɓaka bayani, gudawa da tsarin koyo, kazalika da kuma sakandare na sakandare da kuma manyan makarantu na sakandare da kuma manyan makarantu da kuma manyan makarantu da kuma manyan makarantu da kuma manyan makarantu [18, 38, 46, 46, 46]. An dauki wadannan dalilai yayin da ke haɓaka samfurin RLC don guje wa yanayin rashin daidaituwa da / ko kuma za a yi tunani mai zurfi na asibiti [18, 38]. Yana da mahimmanci yin la'akari da cewa gudanar da RLC tare da matakan girma da kuma ƙwarewa daban-daban yana haifar da sakamako mai zurfi a tsakanin manyan mahalarta. Wannan na faruwa ne saboda mahalarta masu ci gaba suna iya gujewa koyon mahalarta, wanda yake mai mahimmanci ga ƙwararrun mahalarta don cimma nasarar aiwatar da tunani da kuma yin tunani mai zurfi [38, 47]. An tsara tsarin RLC don shiga manyan mutane da Junior da jinsi ta hanyar binciken godiya da kuma kusancin Delta [45, 46, 56, 56, 56, 56, 56, 56, 56, 56, 56, 56, 56, 56, 56, 56, 56, 56, 56, 56, 51]. Amfani da waɗannan hanyoyin, ra'ayoyin manyan mahalarta da ƙarami da ikon ƙwarewa za a gabatar da abu ta hanyar matsakaiciyar masu matsawa da masu tsafta da kuma masu daidaitawa [45, 51]. Baya ga shigar da mahalarta taron, mai gudanarwa mai saukar da martani yana ƙara shigarwar da tabbatar da kowane lokaci mai koyo don inganta dalilin asibiti [10].
Bayanin Kwarewa da Tsarin Koli ta amfani da tsarin RLC an yi magana ta hanyar tsari da tsari mai tsari. Wannan don taimaka wa masu gudanarwa na debilorief. Mai bincike zai iya fara tattaunawa mai niyyar da duk mahalarta ta shiga, kuma ya kai ga wani matsayi dabam dabam da kuma iyawar tattaunawa kafin motsawa zuwa na gaba [38]. Yin amfani da wannan hanyar za ta taimaka kwangila da masu dacewa da su ba da gudummawar su / abubuwan lura, za a tantance mahalarta da ƙwarewar da ba su da mahimmanci [38]. Koyaya, don cimma burin wannan burin, malamai dole ne su fuskanci kalubalen tattaunawa da bayar da dama ga manyan mahalarta. To this end, the model survey methodology was purposefully developed using Bloom's taxonomic model, which combines evaluative survey and additive/delta method [45, 46, 51]. Yin amfani da waɗannan dabaru da fara da ilimi da fahimtar masu mai da hankali / wanda ya yiwa mai gudanarwa zai matsa zuwa matakin karatun kimantawa, bayan da mai gudanarwa zai motsa zuwa babban matakin kimantawa / tattaunawa A cikin abin da ɓangarorin biyu dole ne su ba da tsofaffi da mahalarta mahalarta suna da damar yin daidai da kwarewar da suka gabata da gogewa da kwarewar asibiti ko yanayin da aka saba. Wannan hanyar za ta taimaka ƙasa da ƙwarewar da suka ƙware da fa'ida daga mahalarta da ƙwararrun mahalarta da kuma shigar da ƙwararrun mai gudanarwa. A gefe guda, an tsara ƙirar ba kawai don ƙwarewar mahalarta ba tare da mahalarta mahalarta daban-daban, har ma don mahalarta ƙungiyar da ake so, har ma don matakan SBE. An tsara tsarin don sauƙaƙe motsi da keɓaɓɓiyar ƙungiyar daga ilimi da fahimta don samun kimantawa don samun koli na koyo. Tsarin ƙirar da matalauta an tsara su don dacewa da rukuni na ƙirar daban-daban da kuma matakan mahalli da matakan gwaninta.
Bugu da kari, kodayake sbe a cikin kiwon lafiya a hade tare da RLC da ake amfani da su don samar da dalilai masu mahimmanci da haɗarin haɗarin ɗaukar nauyi, musamman A lokacin da mahalarta suka hada da simulated simulated sosai hadaddun, da rashin lafiyar marasa lafiya da ke zartar da kai tsaye da m yanke shawara [2,18,38,48]. Har zuwa wannan, yana da mahimmanci a bincika halin duka biyu gogaggen da kuma ƙarancin abubuwan tunani na lokaci-lokaci lokacin shiga cikin sber da kuma sa hannu a cikin sber, kuma waɗanda ke cikin halayyar dangantakar shaida da ke bazu duka tsofaffi da ƙarami Dalibai don yin rayuwa cikin ayyukan ilmantarwa. Don haka, an tsara samfurin ta wannan hanyar, ba tare da la'akari da hadaddun shari'ar da aka gabatar ba, mai gudanarwa dole ne ya fara rufe shi sannan a hankali kuma ya inganta ta sauƙaƙe bincike. kira da fahimta. kimar kimantawa. Wannan zai taimaka wa matasa matasa su gina da kuma inganta abin da suka koya, kuma taimakawa tsofaffi ɗalibai ba su da juna da kuma inganta sabon ilimi. Wannan zai biya bukatun don aiwatar da dalilin, la'akari da kwarewar da ta gabata, kuma suna da tsarin gaba ɗaya da ke nuna tsarin aiki na makarantar sakandare da nakasassu, don haka tabbatar da ingantawa na asibiti.
Bugu da ƙari, masana sankara / bashin na iya samun wahalar gano kwarewar debulation na tantancewa. Amfani da sabbin rubutun da aka sani da shi yana tasiri wajen inganta siye da halaye masu gudanarwa idan ba su amfani da rubutun [54]. Yanayin Yanayi shine ingantaccen kayan aiki wanda zai iya sauƙaƙe aikin malamai da kuma inganta ƙwarewar debripiple, musamman ga malamai waɗanda har yanzu suna ci gaba da ƙwarewar debriefing [55]. cimma amfanin amfani da haɓaka ƙirar abokantaka mai amfani. (Hoto na 2 da Hoto na 3).
A layi daya hadewar Plus / Delta, Binciken Binciken Bincike, kuma ba a yiwa hanyar binciken bincike na Bloom a halin yanzu ana bincika siyarwa da tsarin bincike da samfuri na tunani. Haɗin waɗannan hanyoyin suna ba da fifikon kirkirar tsarin RLC, wanda waɗannan hanyoyin an haɗa su cikin tsari guda don samun ingantawa da dalilai na asibiti da kuma manne. Masu koyar da likitocin na iya amfana da kungiyar sawun siki ta amfani da tsarin rlc don inganta da haɓaka mahalarta taron 'yan halarta. Yanayin yanayin samfurin na iya taimaka wa masu ilmantarwa na masu nunawa mai nunawa mai nunawa da kuma karfafa kwarewar su su zama masu karfin gwiwa kuma sun cancanta da masu halarci.
Zobe na iya haɗawa da abubuwa daban-daban da dabaru da yawa, ciki har da ba iyakantacce ga Manequin-tushen aiki, daidaitattun marasa lafiya, kamuwa da marasa lafiya. La'akari da cewa rahoto yana daya daga cikin mahimman ka'idodi, ana iya amfani da tsarin RLC a matsayin tsarin bayar da rahoto yayin amfani da waɗannan hanyoyin. Haka kuma, kodayake an kirkiro ƙirar don aikin kula da kula, yana da yuwuwar amfani da shi a cikin ayyukan bincike na gaba don gwada ƙirar RLC don ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC don Ilimin RLC.
Haɓaka da kimantawa na tsarin RLC na Post-siminti don kulawa mai kulawa a cikin raka'a mai kulawa da SBE. Ana ba da shawarar kimantawa nan gaba / Ingantaccen samfurin ana bada shawarar ƙara yawan mahimmancin ƙirar don amfani da shi wajen amfani da hakkin kula da sauran horo na kiwon lafiya da kuma sbe.
Kungiyar aiki ta bunkasa ta bunkasa ta hanyar hadin gwiwar aiki ya dogara da ka'idar da ra'ayi. Don haɓaka inganci da kuma mahimmancin ƙirar, ana amfani da amfani da matakan dogaro da matakan matsin lamba don karatun matsin lamba na iya la'akari a nan gaba.
Don rage girman kurakurai, dole ne su mallaki ƙwarewar asibiti don tabbatar da ingantaccen yanke shawara mai dacewa. Amfani da Sbe RLC a matsayin dabarar dala ta bunkasa yana inganta ci gaban ilimi da ƙwarewar aiki dole don haɓaka dalilai na asibiti. Koyaya, yanayin yanayin ilimin lissafi na asibiti, mai alaƙa da gwaninta na gaba, girma da kuma kwarewar yanayin rlc na samfurin-siminti, da kuma abubuwan da ake amfani da su na iya rayuwa kuma an aiwatar da shi yadda ya kamata. dabaru. Yin watsi da waɗannan abubuwan na iya haifar da rashin daidaituwa na asibiti da kuma yawan asibiti. An kirkiro tsarin RLC don magance waɗannan abubuwan don inganta dalilai na asibiti yayin gudanar da ayyukan siminti na rukuni. Don cimma wannan burin, ƙirar lokaci guda tana haɗa da bincike / latsa kimantawa da kuma amfani da tazara ta Bloom.
Abubuwan da aka yi amfani da bayanan da aka yi amfani da su a lokacin binciken na yanzu suna samuwa daga marubucin da ya dace akan buƙatun da ya dace.
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Lokaci: Jan-08-2024