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在两个重症监护病房进行专业间儿科机械通风教育计划的试点研究
Pazun Mehrzai1, Thormen Höfeler1, Chinedu Ulrich Ebenebe1
1Department of Neonatology and Pediatric Intensive Care Medicine, University Children's Hospital, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Hamburg, 20246, Germany.
BMC medical education
|August 28, 2023
概括
一项教育计划显著提高了儿科重症监护人员的儿科机械通风知识和技能. 这导致人们更好地遵守肺部保护性通风策略,并改善了患者的治疗结果.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 医学教育 医学教育
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 重症儿童的机械通风存在风险,因为可能存在设置问题,遵守肺部保护策略和监测.
- 提高员工在儿科机械通风方面的知识和技能对于患者的安全至关重要.
研究的目的:
- 增强医疗保健团队在儿科机械通风方面的理论知识和实践技能.
- 为了提高儿童重症监护病房中对已确定的机械通风治疗目标的遵守.
主要方法:
- 在2019年8月至2021年7月期间,新生儿和儿科重症监护室实施了一项教育倡议.
- 跨专业人员 (护士和医生) 在干预前后使用理论 (TT) 和实践技能测试 (PST) 进行评估.
- 教育包包括视频自我训练,检查清单和口袋卡,随机审计呼吸机设置.
主要成果:
- 在员工的理论知识 (80%至86%) 和实践技能 (73%至95%) 均有显著的改善.
- 参与者的自信度增加,遵守机械通风治疗目标从87.8%大幅上升到94.5%.
- 该教育包有效地提高了儿童机械通风方面的员工表现.
结论:
- 一个全面的儿科机械通风教育包是有效的提高跨专业的员工能力.
- 儿科重症监护人员的知识,技能和信心的增强导致了对通风儿童治疗目标的遵守.
- 这一举措证明了优化儿童重症监护机构机械通风护理的成功策略.
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