一个训练教练点的护理超声波 (POCUS) 计划为儿童肺炎在一个低资源的设置
Michelle S Lee1, Fatima Mir2, Amerta Ladhani2
1Division of Emergency Medicine, Hospital for Sick Children, University of Toronto, ON, CAN.
POCUS journal
|May 9, 2025
概括
培训培训师计划有效地为社区卫生工作者 (CHWs) 提供肺部点护理超声波 (POCUS) 技能,以治疗贫困环境中的儿科肺炎. 当地冠军对于在POCUS解释中支持初学者CHW至关重要.
科学领域:
- 全球健康 全球健康
- 医学教育 医学教育
- 护理中心超声波检查
背景情况:
- 肺部治疗点超声波 (POCUS) 在资源有限的环境中为儿童肺炎诊断提供了变革性的潜力.
- 之前对新手POCUS用户的研究可能会高估与远程专家的一致性,因为专家参与了数据采集或解释.
- 本研究通过评估巴基斯坦的一项培训计划来解决对可靠POCUS实施的需求.
研究的目的:
- 在巴基斯坦实施肺部POCUS的培训者培训计划,重点是诊断儿科肺炎.
- 评估由该计划培训的社区卫生工作者 (CHW) 和远程专家之间的互评级可靠性.
- 评估经过研究培训的CHW和获得POCUS考试的当地冠军之间的评审者之间的可靠性.
主要方法:
- 加拿大的POCUS专家团队开发并向巴基斯坦的当地冠军和初学者CHW提供了肺POCUS培训计划.
- 疑似肺炎的儿童接受了两次POCUS检查,由CHW和当地冠军进行.
- 记录了对远程专家解释和质量保证的检查,以确定评估者之间的可靠性.
主要成果:
- 两个地方冠军和三个CHW成功地接受了肺POCUS的培训.
- 在训练有素的CHW和获得POCUS图像的远程专家解释之间观察到强大的评审者间可靠性 (κ = 0.83).
- 在初学者CHW和当地冠军解释他们自己获得的考试之间发现了中等的互评级可靠性 (κ = 0.66).
结论:
- 培训培训师计划是可行的,并且有效地传播肺部POCUS技能在低资源环境中.
- 实践培训对于发展社区卫生工作者的POCUS熟练程度至关重要.
- 当地冠军在为新手POCUS用户提供持续支持和指导方面发挥着至关重要的作用.
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