一个PA/APRN大轮试点的结果:增加参与度的新模式
Elizabeth C Pinyan1, Elizabeth Tysinger, Rachel Zimmer
1Elizabeth C. Pinyan is a junior research associate in the UNC Highway Safety Research Center in Chapel Hill, N.C. She previously served as the program assistant for the Center for Advanced Practice at Atrium Health Wake Forest Baptist. Elizabeth Tysinger is an NP and educator in internal medicine in the Multi-Specialty Infusion Clinic at Atrium Health Wake Forest Baptist in Winston-Salem, N.C. Rachel Zimmer is an assistant professor in the Department of Implementation Science, Division of Public Health Sciences at Atrium Health Wake Forest Baptist. Kathleen Wetherell Griffin is a pediatric neurology NP at Atrium Health Wake Forest Baptist. Eileen Ronsheim is an orthopedic NP at Atrium Health Wake Forest Baptist. Andrea McKinnond is an assistant professor and director of clinical education in the PA program at Wake Forest University in Winston-Salem, N.C., and practices in the Department of Otolaryngology/Head and Neck Cancer at Atrium Health Wake Forest Baptist in Winston-Salem, N.C. Chisom Okoye is program coordinator of the Center for Advanced Practice at Atrium Health Wake Forest Baptist. Alisha T. DeTroye is regional director of advanced practice at Atrium Health Wake Forest Baptist and practices in hematology and oncology at Atrium Health Wake Forest Baptist. The authors have disclosed no potential conflicts of interest, financial or otherwise.
高级实践提供者 (APP) 大轮会议提高了护士麻醉师 (CRNA),NP和PA的医学知识和参与度. 这种新型模型提高了能力和患者护理结果.
科学领域:
- 医学教育 医学教育
- 医疗保健管理局的管理.
- 提供先进实践的提供者.
背景情况:
- 先进实践提供者 (APP) 需要持续的专业发展至关重要.
- 现有的教育模式可能无法完全满足各种APP角色的独特需求,包括认证注册护士麻醉师 (CRNA),执业护士 (NP) 和医生助理/助理 (PA).
- 学术医疗中心需要结构化的举措来促进参与,并与机构目标保持一致.
研究的目的:
- 描述一个新的APP大轮计划的开发,实施和影响.
- 评估教育的有效性和对临床实践和患者结果的感知影响.
- 评估该计划与学术医疗中心系统目标的协调程度.
主要方法:
- 一个由CRNA,NP和PA组成的多学科团队在2019年设计并推出了每月一次的大轮计划.
- 从2020年1月起,有34个现场会议在现场和虚拟上进行.
- 用利克特尺度问题和开放式反进行了出席后调查;分析了演讲录音以对内容进行调整.
主要成果:
- 大多数与会者报告说,他们感觉到医疗能力和表现的提高.
- 参与者预计大轮之后对患者的治疗结果会产生积极影响.
- 该计划与学术医疗中心系统目标保持一致.
结论:
- APP大轮代表了APP专业发展的新有效模式.
- 该计划成功地加强了PA,NP,认证护士助产士和CRNA之间的参与.
- 该计划促进基于证据的知识,并支持机构目标.
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