经手术共享决策 - 我们如何培训临床医生?
Anne-Marie Bougeard1, Ashwati Nair2, Ramai Santhirapala3
1ST7 Anaesthesia, University Hospitals Plymouth, UK.
PEC innovation
|July 7, 2023
概括
这项研究适应了英国麻醉师进行高风险手术的共享决策 (SDM) 研讨会. 培训提高了SDM意识和技能,增强了复杂的患者讨论.
科学领域:
- 在外科手术期间的医学.
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 对于复杂,高风险的手术决策至关重要,将护理与患者价值观保持一致.
- 英国麻醉师需要在SDM加强培训,以进行有效的手术前咨询.
- 现有培训缺口存在于术后护理提供者,特别是麻醉师在领导角色.
研究的目的:
- 适应并为英国医疗保健专业人员提供一个专门的SDM研讨会.
- 评估SDM培训的有效性和用户满意度.
- 确定需要改进的领域和未来传播SDM培训.
主要方法:
- 将一个通用的SDM研讨会适应于高风险手术决策的具体背景.
- 在两年内向英国医疗保健专业人员提供适应的研讨会.
- 对参与者的反进行主题分析,以评估研讨会的接待和确定增强机会.
主要成果:
- 调整后的SDM研讨会得到了积极的接待,与会者的满意度很高.
- 培训的关键要素包括视频演示,角色扮演和小组讨论.
- 反强调了对多学科培训和使用患者决策辅助器的需求.
结论:
- 试点培训表明,参与者对SDM意识,技能和反思实践的感知有所改善.
- 这种新的培训模式解决了医生,特别是麻醉师在促进复杂的外科讨论方面的关键需求.
- 适应的研讨会提供了一个有价值的资源,以提高SDM在外科设置.
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