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超越检查室:向内科住院医生教授访谈护理
Matthew J Mulligan1, Amanda B Breviu2, Sarah K Hall3
1Associate Professor, Division of General Internal Medicine at the Spencer Fox Eccles School of Medicine at the University of Utah.
一个新的研讨会显著提高了内科医生住院医生的准备就诊期间的护理,解决了医疗教育的关键差距. 培训利用了决策框架和实际应用,增强了居民对在访问之间管理患者护理的信心.
科学领域:
- 医学教育 医学教育
- 内部医学 内部医学
- 患者护理管理的管理.
背景情况:
- 访问间的护理,即在患者访问之间提供的异步护理,对于全面的患者管理至关重要.
- 传统的住院课程往往缺乏有效的访客间护理策略的正式培训.
- 在准备住户有效管理访客间护理方面存在差距.
研究的目的:
- 增强居民在提供访客间护理方面的准备.
- 引入和评估一个新的医疗决策框架.
- 评估针对性介绍护理工作坊对居民信心和技能的影响.
主要方法:
- 为内部医学实习生制定了一个为期2小时的互动研讨会,介绍了访客间的护理.
- 研讨会包括关于决策框架,基于案例的场景和电子健康记录应用程序的教学会议.
- 研讨会的有效性是通过会议后的电子调查来评估的.
主要成果:
- 81%的居民完成了研讨会后的调查.
- 居民报告说,访问护理教育非常重要 (中位数=5).
- 研讨会显著提高了居民对中期护理的准备程度 (p < .001),并发现决策框架有帮助 (中位数=4).
结论:
- 一个采访护理研讨会,结合决策框架和实际应用,有效地改善了居民的感知准备.
- 这项教育干预措施解决了医疗培训中的重大差距.
- 研讨会模型可以适应其他机构和医学专业,有进一步改进和结果指标开发的潜力.
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