视频教程,以赋予患病儿童的护理人员权力,减少医疗保健的利用:一个随机临床试验
Liv Borch-Johnsen1,2, Caroline Gren1, Stine Lund3,4
1Department of Pediatrics and Adolescent Medicine, Copenhagen University Hospital-Amager and Hvidovre, Copenhagen, Denmark.
JAMA network open
|October 12, 2023
概括
针对急性疾病儿童的护理人员的视频教程显著提高了自我效能,减少了医疗保健的使用. 这赋予了家长权力,并可能减少医院访问,改善对生病儿童的护理.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗信息学 医疗信息学
- 护理人员教育 护理人员教育
背景情况:
- 幼儿经常患病,造成护理人员的痛苦,导致医疗保健服务的使用.
- 有效的护理人员支持对于管理儿童疾病和优化医疗保健资源分配至关重要.
研究的目的:
- 评估视频教程的有效性和安全性,以提高护理人员在治疗急性疾病儿童的自我有效性.
- 确定视频教程是否减少了对医疗辅助电话咨询和医院评估的需求.
主要方法:
- 一项随机临床试验,涉及4686名护理人员和儿童 (年龄为0.5-11.9岁),他们联系了一个非营业时间的医疗救援电话.
- 干预组接受了关于管理常见儿童症状和寻求医疗帮助的视频教程;对照组接受了标准的电话分拣.
- 主要结局是护理人员的自我有效性,次要结局包括满意度,儿童状况和72小时的医疗保健利用率.
主要成果:
- 接受视频教程的护理人员报告了显著更高的自我效能 (80%与76%相比;P=.04).
- 干预组在随访期间的电话分拣次数显著减少 (887对2374).
- 每项协议分析表明,视频教程组的医院评估较少 (27%对35%).
结论:
- 视频教程有效且安全地提高护理人员的自我效能,并减少电话分拣使用.
- 提供视频资源可以赋予护理人员权力,这可能导致急性疾病儿童的医院访问减少.
- 这种方法突显了数字健康信息在提高护理人员信心和简化医疗保健利用方面的潜力.
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