识别和管理关键条件的能力:跨专业培训干预措施的影响
Ia Santesson1,2, Carl Otto Schell1,3,4, Petronella Bjurling-Sjöberg5,6,7
1Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, 631 88, Sweden.
BMC medical education
|May 28, 2024
概括
一个跨专业培训计划 (proACT) 提高了医疗保健专业人员管理严重疾病的能力,随着时间的推移而产生持续的影响. 然而,它并没有直接改善工作场所条件,支持安全护理.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健专业培训 医疗保健专业培训
- 患者安全 患者安全
背景情况:
- 全球严重疾病负担需要改善医疗保健系统战略.
- 在为病情恶化的患者提供必要的紧急和重症护理方面存在挑战.
- 确保危急病患者安全护理的最佳策略尚未得到充分理解.
研究的目的:
- 探索识别和管理关键条件的能力.
- 评估跨专业培训干预 (proACT) 对这种能力的短期和长期影响.
- 评估培训对医疗保健专业人员能力的影响.
主要方法:
- 在瑞典的一个地区对538名护士和医生进行了横截面调查.
- 在99名proACT课程参与者的纵向队列研究中.
- 自由文本答案的描述性,比较统计和定性内容分析.
主要成果:
- proACT的干预措施显著提高了个体医疗保健专业人员的能力,并产生了持续的影响.
- 经过培训的员工覆盖率从13.2%增加到26.5%,但没有发现与改善工作场所安全护理条件的相关性.
- 虽然协作和工作场所的气候是积极的,但提高能力和人员配置对于更安全的护理至关重要.
结论:
- 证实了一般医院病房重症监护的现有问题.
- 支持proACT培训干预提高了识别和管理关键条件的能力.
- 强调需要扩大员工参与培训的范围,并进一步研究培训对重症患者工作场所条件的影响.
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