开发和验证一个ICU Delirium Playbook的开发和验证,用于提供者教育
Hirsh Makhija1, Janelle M Fine1, Daniel Pollack2,3
1Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
Critical care explorations
|July 17, 2023
概括
这项研究创建了ICU Delirium Playbook,这是一个数字工具,旨在改善重症监护室 (ICU) 提供者对痴呆症检测和预防的教育,显示了显著的知识改进.
科学领域:
- 关键护理医学 关键护理医学
- 医学教育 医学教育
- 老年医学 老年医学
背景情况:
- 临界护理指南建议检测和预防妄想.
- 对ICU提供者进行有效的妄想教育存在重大差距.
- 这种知识与实践的差距阻碍了ICU中最佳的患者护理.
研究的目的:
- 开发和验证一个数字教育工具",ICU Delirium Playbook".
- 通过ICU的混评估方法 (CAM-ICU) 教育ICU提供者如何检测妄想.
- 通过标准化的教育,改善妄想预防策略.
主要方法:
- 一个跨学科的团队开发了数字"ICU Delirium Playbook",基于一系列视频和测试题.
- 狂妄症专家评估了内容的有效性.
- 面部有效性由ICU护士通过焦点小组和采访来评估.
主要成果:
- 这项由44个问题组成的测试显示出了优异的内容有效性 (S-CVI=0.93).
- 参与者在使用Playbook后,测试成绩显著改善 (74%至86%,p=0.0009).
- 焦点小组的反表明,游戏手册简洁,有用,相关,并准备好部署.
结论:
- ICU Delirium Playbook是一个新的,异步的数字教育工具.
- 它旨在规范ICU中的妄想检测和预防实践.
- 经过严格的验证后,该程序可用于广泛实施.
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