高血压急救团队学习 基于团队学习
Khoa Nguyen1, Jordan Gawon Shin2, Jessica Andrusaitis1
1University of California, Irvine, Department of Emergency Medicine, Orange, CA.
概括
这种以团队为基础的学习活动教育医疗专业人员识别和管理高血压紧急情况. 它涵盖了诊断,治疗和处置在急诊室呈现高血压的患者.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 医学教育 医学教育
背景情况:
- 高血压影响了近一半的美国成年人,是心血管疾病的主要原因.
- 高血压紧急情况,以严重的血压升高与器官功能障碍为特征,需要紧急诊断和治疗.
- 管理高血压及其紧急情况对于预防发病率和死亡率至关重要.
研究的目的:
- 为了教育住院医生和医学学生对高血压紧急情况的识别,检查,管理和处置.
- 提高学习者区分无症状高血压和高血压紧急情况的能力.
- 增强对终端器官损伤的理解,以及针对闪发性肺,大动脉剖析和内出血等疾病的特定治疗算法.
主要方法:
- 团队学习 (TBL) 活动,包括个人准备评估测试 (iRAT),组准备评估测试 (gRAT) 和组申请练习 (GAE).
- 利用四个临床案例来模拟现实世界的场景.
- 包括来自学习者和教师的口头反.
主要成果:
- 学习者发现TBL案例具有教育意义,相关性,并对他们的培训有用.
- 人们认为TBL比传统的讲座更有趣.
- 虽然诊断通常是准确的,但与高级学习者相比,实习生和初级住院人员在药理干预方面遇到了更多的困难.
结论:
- 基于团队的学习是审查和理解高血压管理的有效方法.
- TBL有效地解决了ED中高血压的诊断和管理的复杂性.
- 对初级学习者来说,进一步关注药理干预可能是有益的.
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