培训,经验和对高专业学员胸管插入的看法:对培训,患者安全和服务提供的影响
Ben Probyn1,2, Cyrus Daneshvar3,4, Tristan Price4
1University Hospitals Plymouth NHS Trust, Plymouth, England. bprobyn@nhs.net.
BMC medical education
|January 3, 2024
概括
没有呼吸能力的学员在较低的信心和知识下进行较少的塞尔丁格胸管插入 (CTI). 这凸显了英国医生高等专业学员面临的重大培训和患者安全挑战.
科学领域:
- 医学教育 医学教育
- 胸部外科手术 胸部外科手术
- 干预性肺病学 干预性肺病学
背景情况:
- 塞尔丁格胸管插入 (CTI) 是英国医生高等专业学员 (HST) 的关键技能.
- 影响一般学员执行CTI机会的因素需要对当前培训进行评估.
- 这项研究评估了医疗HST关于Seldinger CTI的经验,态度,培训和知识.
研究的目的:
- 评价医疗HST执行Seldinger CTI的当前经验,态度,培训和知识.
- 确定不同HST专业在CTI培训和实践中的差异.
- 突出培训缺口产生的潜在患者安全影响.
主要方法:
- 进行了对英国医疗HST与成年塞尔丁格CTI的经验进行范围审查.
- 半岛院长的HST和pleural顾问进行了区域调查 (2022年4月-7月).
- 用SPSS收集和分析了有关人口统计,态度,培训,经验和临床知识的数据.
主要成果:
- 范围审查显示程序信心低,案件选择不充分,培训人员年CTI数量有限.
- 呼吸道HST的Seldinger CTI比一般和ICM/麻醉HST的Seldinger CTI要多得多.
- 与呼吸器HST和顾问相比,非呼吸器训练员的CTI数量,信心,超声波能力和遵守国家指南的水平较低.
结论:
- 与呼吸训练员相比,非呼吸训练员表现出较低的Seldinger CTI体积,信心和知识.
- 这种差异构成了重大培训和服务挑战,并带来了潜在的患者安全问题.
- 解决这些差距对于确保在这种高敏度程序中的能力至关重要.
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