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创建一个新的纵向儿科住院课程计划,解决医疗复杂性的儿童的医疗和社会需求
Lucas Bruton1, Michael Spewak2, Jennifer Grage2
1Division of Advanced General Pediatrics and Primary Care, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL.
一个新的儿科住院计划显著提高了居民对医疗复杂性儿童 (CMC) 照顾的信心. 该计划提高了医疗和社会领域的技能,解决了儿科护理的关键需求.
科学领域:
- 儿科医学教育 儿科医学教育
- 医疗复杂性的儿童的医疗保健
背景情况:
- 患有医疗复杂性 (CMC) 的儿童需要专门的,多学科的护理.
- 儿科住院医生往往缺乏对管理CMC复杂的医疗和社会需求的信心.
研究的目的:
- 实施一项纵向住院计划,提供全面的CMC护理.
- 评估居民对CMC护理医疗和社会方面的信心变化.
主要方法:
- 根据Kern的六步模型,为儿科住院医生 (2023-2024) 开发了一套课程.
- 计划评估涉及回顾性前后调查,评估对CMC护理可信任的专业活动的信心.
主要成果:
- 在计划前,许多居民在门诊机构 (78.8%) 照顾CMC时感到不舒服.
- 项目结束后,居民的信心在所有14项评估任务中都显著改善 (P < 0.01).
- 平均信心评分在5点的利克特等级上上升了0.63.
结论:
- 一个新的,综合的课程提高了居民对管理CMC的信心.
- 该计划涉及护理的医疗和心理社会方面,提高了儿科住院医生的准备.
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