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设计,实施和评估乌克兰战争时期人道主义背景下的多学科医疗保健培训计划
Sean M Kivlehan1,2,3,4, Michelle Niescierenko5,6,7, Kathleen Murray5
1Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA smkivlehan@bwh.harvard.edu.
这项研究培训了乌克兰武装冲突期间的医疗保健工作者,显著提高了他们的创伤和CBRNE准备技能. 该计划通过面对面和在线培训方法展示了有效的技能转移和可扩展性.
科学领域:
- 冲突医学是一种冲突医学.
- 应对灾害的准备工作
- 医学教育 医学教育
背景情况:
- 武装冲突严重影响民用医疗保健,增加创伤护理需求,破坏劳动力的稳定.
- 俄罗斯-乌克兰战争提出了独特的挑战,包括大规模伤亡事件和化学,生物,放射性,核和爆炸物 (CBRNE) 风险.
- 建立了伙伴关系,通过乌克兰的定制培训计划来满足这些需求.
研究的目的:
- 在武装冲突期间,为乌克兰的医疗保健工作者设计,实施和评估当地优先级的培训计划.
- 提高急性创伤护理和CBRNE准备的技能.
- 评估培训干预措施的有效性和可扩展性.
主要方法:
- 七个面对面的培训课程 (例如,高级创伤生命支持,CBRNE准备) 在乌克兰七个地区进行了改编,翻译和交付.
- 培训主题基于需求评估和参与者反,适应安全和后勤限制.
- 参与者的知识和信心在培训前和培训后被评估,并进行后续调查,评估技能利用率. 基于网络的视频补充了面对面的会议.
主要成果:
- 4,368名参与者完成了164个课程,223名教练在2022年8月至2023年4月期间接受了培训.
- 在所有课程中都观察到参与者的知识和自信的显著改善.
- 83.3%的参与者在8周内使用了新获得的技能;27个伴随视频获得了超过170万次浏览.
结论:
- 在武装冲突环境中,快速开发和提供当地优先培训是可行的.
- 国内战略伙伴关系可以克服后勤,通信,设备和安全方面的挑战.
- 异步视频学习有效地补充并扩展了面对面培训计划.
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