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在肺部和关键护理奖学金计划中评估呼吸道课程
Ikuyo Imayama1, Kevin P Haas1, Ashley Binder1
1Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine.
ATS scholar
|October 7, 2024
概括
肺部和重症监护医学研究员在完成新的呼吸道课程后,在内管道输管方面表现出更好的知识和保持了实践技能. 该计划提高了对这种高风险手术的能力,甚至在培训后一年.
科学领域:
- 医学教育 医学教育
- 肺部和重症监护医学 肺部和重症监护医学
- 航空航道管理的管理.
背景情况:
- 内腔管道输入 (EI) 是重症监护室 (ICU) 的高风险手术,经常由肺部和重症监护医疗 (PCCM) 提供者进行.
- 对于PCCM研究员来说,EI的能力是强制性的,但学习经验在培训计划之间有很大差异.
- 需求评估显示,缺乏正式的课程是EI熟练程度的障碍,许多学员觉得自己没有准备好独立实践.
研究的目的:
- 评估新开发的,为PCCM研究员提供全面的气道课程的有效性.
- 评估课程对知识获取,1年知识保留以及内内管管道实践技能的影响.
主要方法:
- 一组PCCM研究员参加了一个课程,该课程结合了教学讲座和基于模拟的教育.
- 通过26个问题调查评估知识,该调查在课程参与之前,立即之后和1年后进行.
- 实践技能通过在课程完成1年后进行的考试来评估.
主要成果:
- 一项需求评估表明,56%的毕业奖学金获得者认为自己熟练掌握EI,而11%的人认为自己没有准备.
- 知识调查得分从课程前到课程后显著改善,并在1年后续维持 (P <0.05).
- 一年后的实践考试表明,在关键的EI组件中保留了技能,包括喉腔镜和通风.
结论:
- 开发的呼吸道课程有效地增强了PCCM研究员对内内管管道的知识,并在1年后保持这些知识.
- 课程后一年的实践技能评估突出了保留的熟练程度的领域,并确定了可能需要进一步改进的技能.
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