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在两个双沿海医学 - 儿科住院计划中试点实施护理课程的过渡
Shannon Kim1, Sarah Mennito2, Lori Wan3
1Department of Pediatrics, University of California San Diego, San Diego, USA.
Cureus
|November 6, 2023
概括
一个新的课程改善了青少年转向成人医学的护理过渡 (TOC) 的居民知识. 早期职业生涯的住院人员和那些在交替诊所的住院人员从这种标准化的培训中受益最多.
科学领域:
- 医学教育 医学教育
- 青少年医学 青少年医学
- 初级护理培训培训初级护理培训
背景情况:
- 对于从儿科转向成人医学的青少年来说,在护理过渡 (TOC) 中不一致的培训是初级保健住院计划中公认的差距.
- 一个新的课程,基于 Got 过渡的六个核心元素,被开发来解决这个问题.
- 该课程在两个学术医学 - 儿科 (Med-Peds) 住院项目中进行了试点.
研究的目的:
- 增强有关青少年患者TOC过程的居民知识.
- 为了提高居民的舒适度和讨论TOC的技能.
- 收集有关课程改进和未来实施的反.
主要方法:
- 在2020-2021年期间,在两个机构进行了两次教育课程,分别有26名和22名居民参与了第一和第二届会议.
- 采用了混合方法的方法,包括教学演示,小组活动和一位嘉宾演讲者.
- 电子调查 (会议前,会议后,保留) 评估了与TOC相关的居民知识,舒适度和自我报告的技能.
主要成果:
- 在课程干预后,TOC的总体居民知识增加了19% (p<0.001).
- 一年级居民在知识和实施技能方面取得了最大的进步.
- 替代医学和儿科诊所的住院医生表现出比联合Med-Peds诊所 (p=0.001) 的住院医生显著提高了知识水平.
- 开始和继续TOC讨论的舒适性在第一次会议后得到了改善,尽管知识保留在统计学上并不显著.
结论:
- 一个标准化的TOC课程有效地提高了居民的知识,并且可以在不同机构中轻松实施.
- 该课程特别有利于早期职业生涯的住院医生和那些在交替临床环境中接受培训的人.
- 这种标准化的方法提供了一个可扩展的解决方案,以提高初级保健医院的TOC培训.
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