来自现场的声音:逐步耳管理2.0的质量改进项目
Khaya Clark1,2,3, Suheily Lovelace4,5, John C Moring6
1National Center for Rehabilitative Auditory Research (NCRAR), VA Portland Health Care System, OR.
American journal of audiology
|October 8, 2024
概括
这项研究更新了使用临床医生和患者反的渐进性耳管理 (PTM) 协议. 修订后的PTM材料,包括手册和幻灯片,现在对于管理耳更为用户友好,并且在临床上更为可接受.
科学领域:
- 听力学 听力学是指听力学.
- 行为健康 行为健康
- 提高质量 提高质量
背景情况:
- 耳是一种普遍的疾病,特别是在退伍军人中,是最常见的服务相关残疾.
- 虽然没有治愈,但像渐进性耳管理 (PTM) 这样的干预措施有助于管理耳及其影响.
- 涉及听力学和行为健康服务的协议PTM于2009年得到了VA听力学领导的认可.
研究的目的:
- 根据新的临床见解和研究结果,更新和改进PTM协议.
- 收集临床医生和患者对现有的PTM材料的反.
- 根据用户的经验和建议,增强PTM协议.
主要方法:
- 一个两阶段的质量改进项目,采用融合平行混合方法设计.
- 收集了退伍军人事务 (VA) 和国防部 (DOD) 的临床医生和患者的定量和质量反.
- 第1阶段涉及PTM手册/工作簿修订的采访和调查;第2阶段试点测试了与患者一起修订的PTM PowerPoint幻灯片.
主要成果:
- 第1阶段为内容修改,格式更改和电子改编 (例如可点击索引) 提出了建议.
- 第二阶段表明,修订后的PTM PowerPoint幻灯片对技能教育有用且在临床上是可以接受的.
- 反告知了对PTM材料的必要修订.
结论:
- 研究结果正在积极用于修订和更新PTM技能教育课程材料.
- 证明了最终用户投入对于有效的临床更新和协议改进至关重要.
- 强调了改进临床协议以满足不断变化的需求的代性质.
相关概念视频
01:31Hearing
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
01:17Auditory Perception
The auditory system is essential for sound perception, utilizing various critical structures. When sound waves enter the outer ear, they travel through the ear canal and cause the eardrum to vibrate. These vibrations are then transmitted to the middle ear, where three tiny bones – the malleus, incus, and stapes – amplify the sound. This amplification is crucial, as it ensures that the sound vibrations are strong enough to be conveyed to the inner ear. These vibrations then reach the cochlea, a...
01:21Perceiving Loudness, Pitch, and Location
The human brain perceives pitch through two primary mechanisms reflected in place theory and frequency theory. Each mechanism describes how sound waves are interpreted as specific pitches by the brain, offering insights into the intricate processes of auditory perception.
Place theory, or place coding, suggests that different pitches are heard because various sound waves activate specific locations along the cochlea's basilar membrane. The brain determines the pitch of a sound by identifying...
Place theory, or place coding, suggests that different pitches are heard because various sound waves activate specific locations along the cochlea's basilar membrane. The brain determines the pitch of a sound by identifying...