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为医院前提供者提供输血培训:范围审查
Pierre-Marc Dion1,2, Kanwal Singh3, Jillian Coleby4
1Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
概括
医院前输血培训显示,提供者技能和信心的短期收益. 然而,不一致的培训设计和有限的结果评估强调了需要结构化,基于模拟的程序来提高有效性.
科学领域:
- 紧急医疗 紧急医疗
- 医学教育 医学教育
- 创伤护理 创伤护理
背景情况:
- 医院前输血对于治疗出血性休克至关重要,尤其是在延迟终身护理的情况下.
- 有能力的提供者对于在严格或偏远环境下安全有效的输血至关重要.
- 非医生人员可能需要独立进行输血,需要专门的培训.
研究的目的:
- 审查和综合当前关于为医院前提供者提供输血培训的文献.
- 在这些培训计划中,专注于教学设计,模拟方法,知识保留和结果评估.
主要方法:
- 根据乔安娜·布里格斯研究所的方法和PRISMA-ScR指南进行了范围审查.
- 系统地搜索了七个数据库,寻找对非医生医院前提供者输血培训的研究.
- 提取了关于教学策略,模拟模式和结果 (Kirkpatrick模型) 的数据.
主要成果:
- 包括6项研究,共有475名参与者 (医生,护理人员,护士,护理人员,学生).
- 培训使用了各种模拟模式 (部分任务培训师,人形,实体模型,真实输血) 和教学设计 (团队学习,反).
- 结果评估了学习者满意度,知识/技能获取,行为变化和患者的结果,没有长期保留数据.
结论:
- 医院前输血培训是可行的,在短期内提高知识,技能和信心.
- 在一致的教学设计和评估长期临床结果方面存在差距.
- 根据运营需求量身定制的结构化,基于模拟的程序可以提高培训的一致性和有效性.
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