在医学教育中教导综合老年评估 (CGA):一个范围审查
Regina Roller-Wirnsberger1, Carolin Herzog2, Sonja Lindner-Rabl2
1Department of Internal Medicine, Research Unit Services for Old Age and Lifelong Health, Medical University of Graz, Graz, Austria. aging-ukim@medunigraz.at.
European geriatric medicine
|March 7, 2025
概括
本综述综合了关于医生在综合老年评估 (CGA) 方面的培训证据. 调查结果显示,教育形式多样化,突出了协调研究的必要性,以改善老年人群的老年护理.
科学领域:
- 老年医学 老年医学
- 医学教育 医学教育
- 医疗保健系统 医疗保健系统
背景情况:
- 全球人口老龄化需要专门的医疗专业知识.
- 综合老年评估 (CGA) 对于管理老年人的复杂健康需求至关重要.
- 医疗专业人员在CGA方面的标准化培训是必不可少的.
研究的目的:
- 系统地审查和总结关于全面老年评估 (CGA) 教育和培训格式的证据.
- 确定在本科和研究生医学教育中教授CGA的有效方法.
主要方法:
- 在主要的医学数据库 (Medline,CINAHL,Cochrane,Embase) 进行了全面的文献审查.
- 包括的研究被分析并根据CGA培训中所涉及的能力水平进行分类.
- 参考追踪被用来确定其他相关研究.
主要成果:
- 确定了60项符合条件的研究,其中42项专注于CGA的全面实施,18项专注于特定CGA领域.
- 观察到训练持续时间,干预设计和评估方法的显著变化.
- 为CGA教育工具开发了一个基于能力的框架.
结论:
- 目前对CGA教育和培训的证据基础是高度可变的.
- 进一步协调研究对于巩固发现和提高老年护理质量至关重要.
- 改善CGA培训对于开发能够有效解决老龄化社会的需求的医疗保健系统至关重要.
相关概念视频
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.2K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.2K
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.6K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.6K
Nursing Assessment
7.0K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.0K
Data Collection III
2.6K
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
2.6K
Nursing Evaluation
3.2K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.2K


