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在脆弱,受冲突影响或脆弱环境中的紧急感染预防和控制培训:范围审查
Julii Brainard1, Isabel Catalina Swindells2, Joanna Wild3
1Norwich Medical School University of East, Anglia Norwich, UK. j.brainard@uea.ac.uk.
BMC health services research
|August 16, 2024
概括
对脆弱环境的有效感染预防和控制 (IPC) 培训方法尚不清楚. 虽然许多培训格式可以提高员工的知识,但由于研究设计的局限性,缺乏具体方法的明确证据.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健培训 医疗保健培训
背景情况:
- 最佳的感染预防和控制 (IPC) 培训方法是不确定的,特别是在易受伤害的或资源稀缺的环境中,在传染病威胁期间.
- 确定有效的IPC培训对于保护高风险环境中的医疗保健工作者和患者至关重要.
研究的目的:
- 进行范围审查,总结有关IPC培训方案的培训模式,可复制性和有效性的信息.
- 确定符合条件的环境,包括受冲突影响或低收入国家,用于IPC培训计划评估.
主要方法:
- 对多个研究设计进行了范围审查,重点是IPC培训计划.
- 在LILACS和Scopus中进行了搜索,使用双查和数据提取对感染威胁,培训结果,需求评估和教学方式进行了搜索.
- 一个定制的质量评估工具评估了可复制性和偏差的研究,以告知未来的培训计划开发.
主要成果:
- 包括29项研究,主要是前后设计 (n=27),只有两个试验.
- 培训信息的可复制性很低 (平均得分为3.7/6).
- 大多数研究报告了显著的结果改善,但占主导地位的前后设计限制了偏差评估,表明任何培训的潜在出版偏差或一般益处.
结论:
- 各种培训格式可以提高工人的知识,技能和IPC实践.
- 缺乏详细的描述,报告不成功的培训,以及有限的使用低偏差的研究设计阻碍了具体方法的最终证据.
- 需要精心设计的实验,包括随机对照试验的"睡眠"协议,以有效评估特定的IPC培训方法.
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