新生儿输管培训的方法:一个范围审查
Jasmine Antoine1, Brian Dunn2, Mia McLanders3
1Mater Mothers' Hospital, Mater Research and The University of Queensland, Australia.
Resuscitation plus
|October 8, 2024
概括
提高新生儿输管技巧需要教育,基于模拟的培训 (SBT) 和监督的结合. 目前关于技能保留和转移到临床环境的证据有限,强调需要进一步研究,特别是在非技术技能方面.
科学领域:
- 医学教育 医学教育
- 儿科重症监护 儿科重症监护
- 在医疗保健中的模拟.
背景情况:
- 新生儿输管是关键的,复杂的技能,临床医生照顾新生儿.
- 初级临床医生的低成功率需要改进培训方法.
- 有效的技能获取,保留和转移对于患者安全至关重要.
研究的目的:
- 审查和评估新生儿输管治疗的培训方法.
- 评估培训研究中技术和非技术技能的结果措施.
- 确定用于新生儿输管治疗的最佳培训方法.
主要方法:
- 使用PRISMA-ScR方法的系统审查.
- 搜索数据库从创立到2024年8月,对医疗从业人员,护士和护士从业人员进行研究.
- 包括26项涉及1449名参与者的研究,绘制有关培训特征和结果的数据.
主要成果:
- 使用了多种不同的培训方法,教育和基于模拟的培训 (SBT) 是最常见的.
- 一些研究表明,技术技能在教育后和SBT后得到改善.
- 仅有有限的证据表明,技能从模拟转移到临床环境或在初始培训之外保留技能.
- 没有研究涉及非技术技能培训成果.
结论:
- 没有一种单一的训练方法为最佳的新生儿输管训练提供了高确定性证据.
- 建议提供教育,SBT和监督的培训包.
- 在非技术技能培训,技能保留和可转移到不同临床环境方面存在重大知识差距.
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