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如何教授ERAS协议:外科住院医生的观点和乳腺手术患者的术后实践
Kristen Jogerst1,2, Taylor M Coe2, Nikita Gupta3
1Department of Surgery, Mayo Clinic Arizona, 5777 East Mayo Blvd, Phoenix, AZ 85054 USA.
概括
外科住院医生通过非正式的观察和经验来学习乳腺外科手术增强后恢复 (ERAS) 协议,而不仅仅是正式的教育. 了解这些学习途径是改善疼痛管理和同日出院的关键.
科学领域:
- 外科教育的外科教育
- 患者恢复协议 患者恢复协议
- 疼痛管理 疼痛管理
背景情况:
- 手术后增强恢复 (ERAS) 协议旨在优化患者的康复和加快出院.
- 乳腺外科手术ERAS协议的可变实施凸显了了解居民教育和实践的需要.
研究的目的:
- 检查外科住院医生如何学习和应用乳腺外科ERAS协议.
- 调查住院人员对乳腺手术疼痛管理的概念化.
- 确定影响乳腺手术患者当天出院的因素.
主要方法:
- 进行了半结构面试,与外科住院医生进行了乳房手术后的轮换.
- 使用了采访指南,是从疼痛管理文献中改编的.
- 采用了感应编码和主题分析,使用了精致的代码书.
主要成果:
- 从12个居民采访中确定了6个关键主题.
- 居民通过模板照顾,正式教育和非正式的体验式学习来学习ERAS.
- 有效实施ERAS需要考虑非正式学习,当地文化和居民购买.
结论:
- 住院医生主要通过模仿和观察来学习乳腺外科ERAS和疼痛管理,而不是通过正式的讲座.
- 非正式的学习和以患者为中心的文化显著影响术后管理和出院决策.
- 居民支持ERAS的原则,并希望加强教育工具,以弥合ERAS"如何"和"为什么"之间的差距.
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