初级保健提供者在公共卫生保健环境中对创伤信息护理的知识,感知和实践
Emma C Lathan1, Tamara Haynes, Ryan Langhinrichsen-Rohling
1Departments of Psychiatry and Behavioral Sciences (Drs Lathan, Haynes, and Powers and Mr Langhinrichsen-Rohling), General Medicine and Geriatrics (Drs Haynes and Sonu) and General Pediatrics and Adolescent Medicine (Dr Sonu), School of Medicine, Emory University, Atlanta, Georgia.
初级保健提供者往往缺乏创伤信息化护理 (TIC) 培训. 全系统的信息通信技术培训是改善初级保健机构创伤信息化实践和知识的受欢迎策略.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 许多初级保健提供者 (PCP) 服务于高创伤暴露率的患者,但缺乏专门的创伤信息化护理 (TIC) 培训.
- 这种差距可能会阻碍有效的患者护理,并导致不良的健康结果.
- 了解PCP当前的培训,知识和实践对于实施有效的ICT至关重要.
研究的目的:
- 评估PCP中ICT培训的基准水平.
- 评估PCP与ICT相关的知识,感知和实践.
- 检查ICT培训对PCP知识,实践和福祉的影响.
主要方法:
- 在一个大型的城市公共医院对67名PCP进行了横截面在线调查.
- 收集的数据包括TIC培训状态,创伤知识,对TIC的看法,报告的做法,倦怠和二次创伤性压力.
- 基于ICT培训状态,使用统计分析来比较结果.
主要成果:
- 只有不到一半 (43.3%) 的PCP报告了事先的ICT培训.
- 医疗人员表现出足够的创伤知识 (76.5%正确) 和对ICT的良好看法 (89.7%支持).
- 大多数PCP (86.6%) 使用了一些创伤信息的实践,但只有47.8%的患者经常进行创伤查. 那些接受了ICT培训的人表现出更好的知识和实践.
结论:
- 全系统的信息通信技术培训是一个受欢迎和有效的策略,以加强初级保健中的创伤信息化护理.
- 培训似乎可以提高知识和实践,尽管与查和认知的关联需要进一步调查.
- 信息通信技术培训与倦怠无关,但与较高的二次创伤性压力有关,这表明需要与培训一起提供支持.
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