初级保健医师的持续专业发展:对肺部点护理超声波课程的前后研究
Itamar Ben Shitrit1,2, Moshe Shmueli3,4, Karny Ilan5
1Joyce and Irving Goldman Medical School, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel. itamab@post.bgu.ac.il.
BMC medical education
|September 10, 2024
概括
专注的肺部治疗点超声波 (POCUS) 培训显著提高了初级保健医生的技能和对农村环境的信心. 该计划提高了熟练度和舒适度,导致POCUS在服务不足的地区的实施增加.
科学领域:
- 医学教育 医学教育
- 护理中心超声波检查
- 主要护理实践的初级护理实践
背景情况:
- 护理点超声波 (POCUS) 的采用在初级保健中越来越多.
- 后勤和地理障碍阻碍了POCUS在偏远地区获得技能.
- 关于POCUS在初级保健中的有效性和实施的证据有限.
研究的目的:
- 开发和评估一个肺部POCUS课程,用于农村,服务不足的以色列南部的初级保健医生 (PCP).
- 评估培训对PCP肺部POCUS技能,知识和信心的影响.
- 测量PCP培训后的肺POCUS的实施和使用情况.
主要方法:
- 设计了一个为期两天的课程,结合了面对面和远程自学.
- 该课程包括讲座,预评估,实践培训和研讨会后的会议.
- 通过实践技能评估和关于感知和使用的前/后问卷来衡量学习成果.
主要成果:
- 医生对肺部POCUS实践技能的熟练程度从6%增加到76% (p < 0.001).
- 识别正常与异常肺视图的准确性从54%提高到74% (p < 0.001).
- 使用肺超声波的舒适度从10%上升到54% (p < 0.001),每周使用增加到50%.
结论:
- 一个专注的肺POCUS培训计划显著提高PCP技能和信心.
- 培训有效地解决了农村和服务不足地区的技能获取挑战.
- 该课程促进了肺部POCUS在初级保健机构的改进实施和利用.
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