通过教育圆周工具增加高价值,成本意识的护理家庭圆周讨论
William Frese1,2, Jessica Ford-Davis1,2, Keith Hanson1,2
1University of Illinois, College of Medicine, Peoria, Illinois.
Hospital pediatrics
|August 12, 2024
概括
一个新的工具在以家庭为中心的回合 (FCR) 中显著改善了高价值,成本意识的护理 (HV3C) 讨论. 儿科提供者在使用基于教育和实践的HV3C圆形化工具后,在提供HV3C方面表现和能力提高.
科学领域:
- 儿科医院医学 儿科医院医学
- 改善医疗保健质量 改善医疗保健质量
- 医学教育 医学教育
背景情况:
- 以家庭为中心的回合 (FCR) 对于高价值,成本意识的护理 (HV3C) 讨论至关重要.
- 目前的研究表明,HV3C对话在FCR期间并不频繁.
- 在HV3C讨论中,需要工具来提高供应商的性能.
研究的目的:
- 评估基于教育和实践的HV3C圆形化工具是否可以提高供应商的HV3C FCR性能.
- 评估该工具对儿科医生在FCR期间HV3C讨论方面的能力的影响.
主要方法:
- 一家三级医院的医院医师教学服务部门实施了基于证据的HV3C圆形化工具和快速参考干预.
- 一个经过验证的工具测量了基线和干预后的HV3C性能.
- 匿名调查评估了提供者的能力,舒适性和工具的有用性.
主要成果:
- 解决的HV3C性能指标从3.8增加到5.8 (P < .001),其中80%显示显著改善 (P < .002).
- 这些工具对HV3C的性能产生了积极的影响,无论家庭是否存在.
- 用户报告说,这些工具很有帮助,增加了教师角色模拟和学员能力.
结论:
- 引入HV3C圆和快速参考工具被认为是有益的.
- 这些工具导致了HV3C讨论的增加,并在FCR期间改善了护理服务.
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