在急诊室的自杀患者团队学习活动
Caroline Stoddard Astemborski1, Sara Dimeo2
1Prisma Health Upstate, University of South Carolina School of Medicine Greenville, Department of Emergency Medicine, Greenville, SC.
Journal of education & teaching in emergency medicine
|July 19, 2023
概括
紧急医生可以通过基于团队的学习 (TBL) 改善对自杀患者的护理. 这项教育活动增强了在急诊室 (ED) 管理抑郁症和自杀念头的知识和临床实践.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
背景情况:
- 心理健康投诉占紧急诊所 (ED) 访问的12.5%.
- 患有抑郁症状的患者从ED出院后面临自杀行为高风险.
- 在紧急医疗中,对自杀倾向患者的有效评估和处置至关重要.
研究的目的:
- 准备急诊医生和医学学生评估,识别和处置自杀患者.
- 增强参与者对自杀风险因素和紧急医生角色的理解.
- 为评估患有精神病紧急情况的患者和制定安全出院计划提供一个框架.
主要方法:
- 一个基于团队的学习 (TBL) 活动,包括学习者负责的内容 (LRC),个人 (iRAT) 和团体 (gRAT) 准备评估,以及小组申请练习 (GAE).
- 活动后的调查使用利克特尺度来评估相关性,知识获取,临床实践改进,参与和交付.
- 通过参与者调查收集数据,回复率为33%.
主要成果:
- 所有参与者都同意或强烈同意,TBL课程提高了他们的知识 (平均4.6/5) 并与临床实践相关 (平均4.6/5).
- 学习者认为在管理ED中自杀患者时,有显著的好处.
- 反建议更早提供LRC,以加强准备.
结论:
- 该TBL会议有效地提高了参与者的知识和对管理ED中自杀患者的信心.
- 教育方法为复杂的高风险患者提供了有价值的诊断途径和治疗算法.
- 关于内容交付时间的参与者反表明了持续改进.
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