基于模拟的多学科口头降级培训改善了城市急诊室的员工知识和临床环境
Gary Duncan1, Megan B Schabbing2, Brad Gable2
1OhioHealth, Columbus, OH, USA. gary.duncan@ohiohealth.com.
概括
多学科降级培训提高了急诊室工作人员对管理激动患者的信心. 这种教育也导致了临床环境的重大变化和暴力限制使用的下降趋势.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健教育 医疗保健教育
- 患者安全 患者安全
背景情况:
- 美国职业安全与健康管理局 (Occupational Safety and Health Administration) 建议应急部门的员工接受降级培训.
- 基于模拟的学习增强了工作人员的知识和激动患者的管理.
- 激动的患者在急诊室设置中提出了独特的挑战.
研究的目的:
- 评估多学科教育课程对员工知识和信心的影响.
- 评估口头缓和和暴力克制使用的变化.
- 检查教育对城市急诊室临床环境的影响.
主要方法:
- 实施了90分钟的混合教学和标准化患者接触课程,并进行了汇报.
- 参与者包括护士,患者支持助理,护理人员和保护服务官员.
- 通过标准化调查和环境变化文档收集的数据.
主要成果:
- 86%的员工完成了培训,超过90%的员工报告了改善的信心保持了6个月.
- 在干预后观察到暴力克制使用的下降趋势.
- 根据员工的反,医院的政策得到了更新,包括物理环境和沟通.
结论:
- 基于模拟的多学科教育有效地提高了员工对管理激动患者的信心.
- 教育干预对急诊室内的临床环境产生了积极的影响.
- 这种方法提高了患者的安全性和员工在紧急情况下的准备能力.
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