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儿科气管切除教育计划结构,障碍和支持:对儿童医院的全国调查
Darlene E Acorda1,2, Julie Van Orne3
1Department of Undergraduate Studies, Cizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
概括
对有气管切除术的儿童的护理人员教育在各医院之间有很大差异. 需要标准化的指导方针和退院后的支持,以确保这些儿科患者的安全家庭护理.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 呼吸系统护理 呼吸系统护理
- 医学教育 医学教育
背景情况:
- 气管切除术儿童的安全出院需要全面的护理人员培训气管切除术管理和紧急程序.
- 住院儿科单位在准备家庭出院方面发挥着至关重要的作用,但气管切除术护理的教育标准在各机构之间是不一致的.
研究的目的:
- 描述美国儿童医院儿童入院气管切除教育计划的现状.
- 识别教育策略,课程结构和支持系统的变化.
主要方法:
- 通过在2022年5月至7月间向儿童医院代表分发的在线调查,进行了一项横截面研究.
- 这项42项调查评估了教学策略,教育时间,运营支持和计划结构,随后进行了描述性统计分析和对开放式答案的专题审查.
主要成果:
- 有37个机构参与,其中26个是独立的儿童医院.
- 所有被调查的项目包括床边检查,入室时间和紧急模拟 (心肺复苏,低保真模拟).
- 在教育和支持类型的顺序中观察到显著的差异;许多计划缺乏退院后的随访,并依赖重新录取率进行评估. 出院的主要障碍包括缺乏私人护理,家庭的可用性和不愿意参与.
结论:
- 计划结构和支持的变化凸显了对儿科气管切除术患者出院教育和出院后后续治疗的进一步研究的需要.
- 建议为气管切除教育制定国家指导方针,并建立标准化质量指标,以改善当前和未来的计划.
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