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准备临床前医学学生进行例行代码状态讨论:混合方法研究
Katherine A Rowe1, Kei Ouchi2, Maura Kennedy3
1Department of Surgery (K.A.R.), Massachusetts General Hospital, Boston, MA, USA.
Journal of pain and symptom management
|October 20, 2023
概括
一个新的研讨会有效地培训了医学学生进行代码状态讨论 (CSD),提高了他们的信心和知识. 这种临床前培训为学生准备在临床工作期间以患者为中心的护理.
科学领域:
- 医学教育 医学教育
- 抚慰性护理是一种缓解性护理.
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 医学学生需要在讨论患者的护理目标方面具备能力.
- 在临床职员之前,经常缺乏进行例行代码状态讨论 (CSD) 的正式培训.
研究的目的:
- 解决培训缺口,通过开发和评估一个课程,为临床前医学学生在日常的CSDs.
- 提高学生准备与患者讨论代码状态.
主要方法:
- 使用Kern的课程设计的六个步骤设计了一个交互式研讨会.
- 临床前医学学生 (n=135) 参加了研讨会.
- 一种混合方法的方法,使用前后调查分析知识和舒适度.
主要成果:
- 学生显著增加了他们可以在研讨会后命名的代码状态选项的数量 (1.3到4.3,P<0.01).
- 舒适度有所提高",有点"或"非常舒适"从19%上升到64% (P < 0.01).
- 不适感显著下降 (53%至18%,P<0.01),尽管对知识和沟通的担忧仍然存在.
结论:
- 关于CSD的临床前研讨会可以整合到医学教育课程中.
- 培训增强了学生的信心和知识,为以人为中心的护理做好了准备.
- 这种干预措施支持开发有效患者沟通的基本技能.
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