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Updated: Jun 12, 2025

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对外科重症监护研究员进行严重疾病沟通培训:试点实施研究
Nikhil R Shah1, Sarah D King1, Michael P Mendez2
1University of Michigan, Michigan Medicine, Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, Ann Arbor, Michigan 48109-4211.
Journal of surgical education
|September 20, 2024
概括
一个新的培训计划显著提高了外科重症监护 (SCC) 奖学员对严重疾病沟通的信心. 奖学员报告在讨论护理和终身目标方面提高了技能,并产生了持久的积极影响.
科学领域:
- 医学教育 医学教育
- 手术重症监护手术重症监护
- 息护理沟通 息护理沟通
背景情况:
- 在手术重症监护 (SCC) 中,有效的沟通对于手术息护理至关重要.
- 对于SCC研究员而言,存在有限的教育策略,他们经常领导临床决策和患者/家庭信任建设.
- 这项试点研究通过一项新的培训计划来弥补这一差距.
研究的目的:
- 评估新的严重疾病沟通培训对SCC研究员的影响.
- 评估研究员对沟通技能的自我感知信心的变化.
主要方法:
- 实施了为期3小时的多模式培训 (1小时教学,2小时模拟).
- 课程前和课程后的调查被用来评估自我感知的信心.
- 11名SCC研究员参加并完成了所有评估.
主要成果:
- 在接受培训后,7个信心领域中的6个有所改善,在讨论护理目标/代码状态和终身护理方面取得了统计学上显著的收益.
- 在6个月的随访中,研究人员报告了进一步的信心增长.
- 91%的人觉得在训练后进行严重疾病对话时更舒服.
结论:
- 为SCC研究员量身定制的3小时培训课程显著提高了对严重疾病沟通的直接和长期信心.
- 培训提高了研究员管理复杂护理场景和有效沟通的能力.
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