交换教育干预:一个范围审查,重点关注持续改进
Lee Ann Riesenberg1, Joshua J Davis2, Elle Kaplan3
1Anesthesiology and Perioperative Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL.
概括
有效的患者移交教育需要多模式干预和强化. 研究表明,当教育策略是全面的,包括随访时,交付技能和患者结果的持续改善.
科学领域:
- 医疗保健教育 医疗保健教育
- 患者安全 患者安全
- 医疗交接 医疗交接
背景情况:
- 交接对于患者信息和医疗保健专业人员之间的护理转移至关重要.
- 教育干预越来越多地被纳入交付改进策略中.
- 了解这些干预措施对持续变化的影响至关重要.
研究的目的:
- 描述将教育作为干预措施纳入的移交研究.
- 探索教育干预措施在维持患者移交方面的改善中的作用.
主要方法:
- 之前发表的系统审查的范围审查和对5个数据库的系统搜索 (2006年1月至2020年6月).
- 由训练有素,独立的审查员进行数据提取.
- 确定了74个相关文章,分析了干预组件和报告的结果.
主要成果:
- 大多数研究 (70%) 发表于2015年以后,并在美国 (76%) 进行.
- 常见的干预措施包括指导 (99%),技能实践 (66%),记忆辅助 (89%) 和强化 (43%).
- 报告行为变化 (17%-68%) 和患者结果 (11%-18%) 的显着增加. 十二项研究表明持续的变化 (≥6个月的随访与统计学上显著的改善).
- 持续变化与多模式教育干预和强化使用有关 (75%在持续研究中与37%在非持续研究中).
结论:
- 未来的移交教育应该以教育理论为指导,包括需求评估和可衡量的目标.
- 带有强化学习的多模式教育干预是持续交付改进的关键.
- 未来的研究应该测量行为变化和患者的结果,包括长期跟踪 (>6个月),并遵守教育报告准则.
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