照顾有医疗复杂性的儿童:临床,以患者为中心的课程
Brittany Lattanza1, Divya Lakhaney2, Theresa Scott3
1Fellow, Department of Pediatric Nephrology, Icahn School of Medicine at Mount Sinai.
MedEdPORTAL : the journal of teaching and learning resources
|January 31, 2024
概括
一个新的以患者为中心的课程显著提高了医疗保健学员在管理医疗复杂性儿童 (CMC) 中的自我有效性. 这种交互式方法提高了营养和疼痛管理方面的技能,超过了标准培训.
科学领域:
- 医学教育 医学教育
- 儿科护理 儿科护理
- 患者为中心的学习
背景情况:
- 照顾有医疗复杂性 (CMC) 的儿童需要专门的专业知识,但培训计划缺乏标准化的课程.
- 需要和资源的机构差异有助于CMC缺乏统一的教育方法.
研究的目的:
- 开发和评估一个以患者为中心的,互动的课程,为儿科住院医生和医学学生在管理儿童的医疗复杂性 (CMC).
- 评估课程对学习者在关键领域,如养/营养和疼痛/易怒管理的自我效能的影响.
主要方法:
- 在12个月的时间里,在一个城市的三级医院实施了一项以养/营养和疼痛/易怒为重点的交互式课程.
- 学习者被分为接受CMC课程的干预组和接受无关培训的控制组.
- 追溯的前后自我评估被用来衡量参与者的自我效能变化.
主要成果:
- 干预组在所有八个学习目标的自我效能方面都取得了显著的改善,特别是在养/营养方面.
- 与对照组相比,干预组在所有测量目标的自我有效性方面表现得更好.
- 总共完成了72,78和42次调查,分别是食/营养,疼痛/易怒和控制会议.
结论:
- 专注于患者的课程有效地提高了医疗保健学习者在照顾有医疗复杂性 (CMC) 的儿童方面的自我效能.
- 这种适应性强,实践性的课程为改善各种机构环境中的CMC教育提供了实用模型.
- 这些发现支持整合专业课程,以满足有医疗复杂性的儿童的独特需求.
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