毕业生为无监督实践做好了准备
Daniel J Schumacher1,2, Catherine Michelson3, Ariel Winn4
1Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Pediatrics
|April 8, 2025
概括
大多数即将毕业的住院医生还没有准备好在一般儿科可委托专业活动 (EPA) 中进行无监督的实践. 这项研究揭示了准备能力的重大差距,突出了在住院培训中需要改进的领域.
科学领域:
- 医学教育 医学教育
- 儿科住院培训培训 儿科住院培训
- 基于能力的医学教育
背景情况:
- 评估居民对无监督实践的准备程度对于患者安全和有效的医疗保健服务至关重要.
- 可信任的专业活动 (EPA) 提供了一个定义和评估医疗培训核心能力的框架.
研究的目的:
- 评估17个一般儿科EPA中被认为已准备好进行无监督实践的毕业儿科住院医生的比例.
- 为了确定儿科和医学/儿科住院医生之间的准备能力的任何差异.
- 在三个学年中跟踪准备的趋势.
主要方法:
- 对临床能力委员会为毕业生居民指定的委托监督水平的回顾性分析.
- 为2021-22,2022-23和2023-24学年收集的数据.
- 混合效应物流回归用于比较学年间的准备率.
主要成果:
- 在超过89%的毕业生居民中,没有任何EPA证明了为无监督实践做好准备.
- 只有31.3%的居民准备好接受所有环保协议.
- 毕业医学/儿科住院生与儿科住院生相比,对所有EPA的准备程度更高 (P=.002).
- 所有EPA的准备率在研究年间从18.0%增加到38.5% (P<.001).
结论:
- 在毕业的住院医生为一般儿科的无监督实践做好准备方面存在着显著的差距.
- 除了居民业绩之外的因素可能会影响委托决策.
- 需要进一步调查和潜在的课程调整,以确保毕业生充分准备.
相关概念视频
01:31Discharge Summary Forms
705
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
705
01:20Nursing 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
01:08Obedience
32.5K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.5K
01:21Planning Nursing Care I
4.2K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.2K
01:15Nursing Evaluation
3.1K
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.
3.1K
01:11Guidelines for Writing Outcome
2.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.6K