为繁忙的医疗保健从业人员开发共享决策知识,技能和能力的实用方法
Brant J Oliver1,2,3, Michele Fallon Ingram4, Elaine Rudell4
1Departments of Community & Family Medicine, Psychiatry, and the Dartmouth Institute for Health Policy & Clinical Practice at the Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
The Permanente journal
|July 26, 2024
概括
一个新的虚拟持续教育计划,实践方法,改善了临床医生的共享决策 (SDM) 技能和态度. 这种可访问的培训对于照顾复杂患者的繁忙从业者来说是可行的和可接受的.
科学领域:
- 医疗保健教育 医疗保健教育
- 改善临床实践的改善
- 共享决策 - - 分享决策
背景情况:
- 在临床实践中扩展共享决策 (SDM) 仍然具有挑战性,尽管经过了数十年的发展.
- 忙碌的临床医生管理复杂的,慢性疾病往往面临偏好敏感的决策.
- 为了应对这些挑战,开发了一个新的虚拟继续教育计划,即实践方法.
研究的目的:
- 描述实用方法课程的发展和初始经验.
- 为现实世界临床实践提供SDM的可访问,简单的语言培训.
- 评估该计划对临床医生的知识,技能和对SDM的态度的影响.
主要方法:
- 实用方法计划是使用基于证据的原则开发的.
- 该计划在2种慢性疾病的4个环境中进行了试点.
- 定性采访和模拟角色扮演练习评估了参与者的态度,知识和技能.
主要成果:
- 参与者在课程后表现出更好的,更现实的SDM态度和增强的知识和技能.
- 定性采访和模拟表明了这些改进.
- 项目后的重点小组表示,项目被认为是可行的,可接受的和有用的.
结论:
- 实践方法项目显示,它有可能对新手临床医生的SDM知识,技能和态度产生积极影响.
- 该计划展示了最初的可行性,实用性和适用于忙碌的执业临床医生的可接受性.
- 这次虚拟培训提供了一个可扩展的解决方案,用于在复杂的护理环境中增强SDM.
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