关键能力在关键护理一般医生在南非:一个德尔菲研究研究
S D Maasdorp1, F Paruk2, K de Vasconcellos3
1Division of Pulmonology and Critical Care, Department of Internal Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
概括
为在南非管理重症患者的医疗从业者确定了153个核心能力的共识清单. 这旨在改善重症监护培训和重症监护医生稀缺的患者结果.
科学领域:
- 医学教育 医学教育
- 关键护理医学 关键护理医学
- 加强卫生系统 加强卫生系统
背景情况:
- 南非面临着需要重症监护的高疾病负担,但却缺乏重症监护医生.
- 区和地区医院的医疗从业者经常管理危急病患者,只有有限的重症监护培训.
- 这种情况需要为提供重症护理的非密集型医生定义基本技能.
研究的目的:
- 确定南非公共部门医院缺乏密集医疗支持的医疗从业人员在重症监护方面的核心能力.
- 建立一个基础课程,培训在重症监护机构的医疗保健专业人员.
- 提高在资源有限的环境中关键病患者的护理质量.
主要方法:
- 制定了一份初步的重症监护能力清单.
- 采用了经过修改的Delphi过程,涉及13名国内和国际专家.
- 达成共识,最终确定了基本能力清单.
主要成果:
- 确定了153个关键重症监护能力的综合清单.
- 识别出的能力代表了非专业重症护理提供者必不可少的知识和技能.
- 这份名单是南非重症监护培训的基准.
结论:
- 识别的核心能力可以指导医疗从业人员制定有针对性的培训计划.
- 实施这些培训计划可以提高服务不足地区的重症监护服务的质量.
- 预计提高临床重症监护的全科医生的能力将改善南非患者的治疗结果.
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