在对患有复杂健康行为患者的持续观察期间,绘制任务复杂性的需求
Julie Broski1, Krista Eckels2, Michael Blomquist3
1Department of Surgery, University of Kansas Medical Center, Kansas City, KS, USA.
Advances in health sciences education : theory and practice
|September 14, 2024
概括
患者护理助理 (PCA) 在不断观察 (CO) 患者的行为问题时面临复杂的挑战. 有效的培训需要基于模拟的实践,反映患者和环境因素的现实世界的变化.
科学领域:
- 医疗保健教育卫生保健教育
- 患者安全 患者安全
- 定性研究方法的方法.
背景情况:
- 没有执照的患者护理助理 (PCA) 为患有复杂健康行为患者提供持续观察 (CO).
- 对CO的具体需求和挑战的理解不充分,这阻碍了有效的培训发展.
- 教学设计理论强调需要基于模拟的实践,反映非经常性任务的现实生活变化.
研究的目的:
- 识别和描述PCAs在复杂健康行为患者的CO期间遇到的各种挑战.
- 为PCA执行CO的更有效,基于模拟的培训提供信息.
- 提供任务分析以指导创建现实的培训场景.
主要方法:
- 定性描述性设计. 定性描述性设计.
- 采访了16名PCA进行CO.
- 开发一个初步框架来编码采访数据,重点关注CO任务的变化.
- 将发现分组为"患者因素"和"环境背景"领域.
主要成果:
- 确定了1066个与CO任务变化相关的陈述.
- 揭示了CO的许多反复和非反复的挑战.
- 发现CO需要多样化的技能来确保患者和工作人员的安全.
- 强调了环境和资源评估,认知反,管理新的自我伤害方法以及培训中的跨学科沟通的重要性.
结论:
- 本研究阐明了对PCA进行持续观察的任务要求.
- 结果为开发基于模拟的培训场景提供了有价值的任务分析.
- 有效的培训必须包含现实的变化性,并应对反复和非反复的挑战,以确保可转移的技能.
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