一般急诊医生对照顾儿童的看法:一个定性面试研究
Regina L Toto1, Eva M Delgado1, Tara Ketterer1
1Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.
AEM education and training
|October 31, 2024
概括
紧急医生经常觉得自己没有能力照顾孩子,尤其是婴儿. 增加经验,模拟和特定轮换可以改善儿科急诊医学培训和医生信心.
科学领域:
- 儿科急救医学 儿科急救医学
- 医学教育研究 医学教育研究
- 质量健康研究 质量健康研究
背景情况:
- 紧急医生在美国紧急诊所 (ED) 中管理大多数儿科病例.
- 紧急医疗 (EM) 住院期间的儿科暴露是可变的,严重病患儿童的接触有限.
- 医生报告说,他们对儿科病情的准备不足,婴儿面临着独特的挑战.
研究的目的:
- 质量地探索紧急医生对照护儿科患者的观点.
- 了解最近的EM毕业生对儿科护理的感知挑战和教育需求.
主要方法:
- 采用了基于采访的定性研究设计.
- 与12名紧急医生进行了深入的虚拟访谈,这些医生在2015-2019年期间毕业于住院.
- 传统的内容分析被用来从转录的采访中识别主题.
主要成果:
- 三个主要主题出现了: (1) 经验和暴露对舒适性至关重要, (2) 模拟和特定轮换 (例如,儿科麻醉) 是有益的, (3) 在儿科护理中存在独特的情感挑战.
- 参与者建议增加自主权,新生儿暴露,并考虑EM儿科教育的社区设置差异.
- 医生强调需要加强准备在管理各种儿科疾病的必要性.
结论:
- 这项研究提供了对近期急诊医生照顾儿童的感知经验的洞察.
- 调查结果强调了有针对性的教育策略的重要性,以改善儿科急诊医学培训.
- 建议侧重于提高医生在管理儿科紧急情况方面的信心和能力.
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