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在博茨瓦纳的儿科模拟基础的医院前培训课程
Nicolaus W Glomb1, Marideth C Rus2, Adeola Adekunbi Kosoko3
1University of California, San Francisco, Department of Emergency Medicine, San Francisco, CA.
Journal of education & teaching in emergency medicine
|July 19, 2023
概括
这次培训提高了低收入和中等收入国家 (LMIC) 的医院前提供者儿科复苏技能. 基于模拟的教育显著提高了重症儿科患者的评估和干预能力.
科学领域:
- 全球健康 全球健康
- 医学教育 医学教育
- 紧急医疗服务 紧急医疗服务
背景情况:
- 在低收入和中等收入国家 (LMICs),特别是撒哈拉以南非洲,医院前医疗正在增长.
- 对于这些地区的医院前提供者来说,急需专门的儿科复苏培训.
- 博茨瓦纳卫生和福利部 (MOHW) 发现其儿科紧急护理培训存在缺陷.
研究的目的:
- 设计,实施和评估基于模拟的儿科复苏课程,用于LMIC的医院前提供者.
- 改善提供者在常见的儿科紧急情况中的表现.
- 为其他资源有限的环境创建可转移的课程.
主要方法:
- 一个为期两天的课程,包括教学课程,低保真模拟场景和实践技能培训.
- 利用快速循环故意实践 (RCDP) 进行有针对性的技能改进.
- 通过书面和基于模拟的前后测试评估结果.
主要成果:
- 书面考试成绩显著改善 (75%至86%,p<0.0001).
- 基于模拟的测试得分大幅增加 (56%至78%,p<0.0001).
- 参与者的高满意度表明了对进一步培训的渴望.
结论:
- 基于模拟的培训,特别是RCDP,对于提高LMIC前医院提供者的儿科复苏技能是有效的.
- 开发的课程可以适应在其他LMIC环境中使用,并开发EMS程序.
- 培训证明了知识保留和实践技能应用的改善.
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