探索儿科的共享决策培训:一个范围审查
Vanessa I Orellana-Villazon1, Jennifer E deSante-Bertkau2, Noah Smith3
1James M. Anderson Center for Health Systems Excellence (VI Orellana-Villazon and EA Lipstein), Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Academic pediatrics
|March 8, 2025
概括
培训共享决策 (SDM) 在儿科是至关重要的,但不一致. 未来的项目必须更好地为专业人员提供设备,让儿童参与SDM过程.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医学教育 医学教育
- 共享的决策方式
背景情况:
- 在儿科护理中,共同决策 (SDM) 是必不可少的.
- 实施SDM在儿科环境中提出了独特的挑战.
- 目前的儿科SDM培训计划没有得到充分的记录.
研究的目的:
- 审查现有的儿科专用SDM培训计划.
- 了解儿科SDM培训的当前状态.
- 确定儿童SDM培训中需要改进的领域.
主要方法:
- 搜索了Medline,PsycINFO,CINAHL,教育研究完整版,以及LILACS.
- 包括英语,西班牙语和德语的儿童SDM培训的原始研究.
- 通过使用自定义模板提取了关于程序特点,课程和结果的数据.
主要成果:
- 19项研究符合纳入标准,主要来自北美,发表于2018年以后.
- 培训方法各不相同,很少有明确包括儿童作为参与者.
- 评估显示,在满意度,技能和患者结果方面取得了积极的结果.
结论:
- 儿科SDM培训方面取得了进展,但内容和评估方面缺乏一致性.
- 未来的培训应该专注于准备专业人员让儿童参与SDM.
- 需要标准化的评估方法来评估培训的有效性.
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