实施一个间隔学习计划,以教育CRNA在刀-BougieCricothyrotomy程序的紧急前部的部接入
Antoinette T Padula1, Joy Elwell2, Maria Madonick3
1is an Assistant Professor of Nurse Anesthesia at Columbia University School of Nursing, New York, New York; and a CRNA Managing Partner at Modern Anesthesia Care Solutions, PLLC, Oxford, Connecticut.
AANA journal
|April 2, 2024
概括
一个为期3周的间隔学习计划显著提高了认证注册护士麻醉师 (CRNA) 在无法输管,无法氧化 (CICO) 事件期间进行紧急部前部接入 (EFONA) 的知识和信心.
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 紧急医疗 紧急医疗
背景情况:
- 认证注册护士麻醉师 (CRNA) 管理呼吸道,但可能需要加强紧急部前部接入 (EFONA) 的培训.
- 困难的气道场景,特别是无法输管,无法氧化 (CICO) 事件,需要像EFONA这样的高级技能.
研究的目的:
- 为了提高CRNA的知识和信心,在CICO活动中为EFONA进行刀-bougiecricothyrotomy.
- 评估EFONA技能间隔学习教育干预措施的有效性.
主要方法:
- 一个为期3周的间隔学习计划,包括在线调查,教育视频和与甲状腺切割培训师的实践练习.
- 13名CRNA参与了社区医院的干预.
- 统计分析包括威尔科克森的标志性排名测试和配对的t测试,以评估知识,信心和技能的变化.
主要成果:
- 间隔学习计划导致CRNA对EFONA的知识大幅增加.
- 参与者对为EFONA进行刀-bougiecricothyrotomy的信心显著提高.
- 在干预后,CRNA在执行EFONA方面的技能明显得到了提高.
结论:
- 3周间隔的学习干预有效地提高了CRNA在紧急部前部接入方面的熟练程度.
- 实施间隔学习计划可以优化关键气道管理的提供者技能.
- 在EFONA中提高CRNA技能有助于改善CICO活动期间的患者安全和结果.
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