在贝勒斯科特和怀特实验室试行了第一个专门针对儿科的严重疾病的对话课程培训
Jessica Justus Kurian1, Jennifer N Fan2, Autumn Stratton2
1Department of Pediatrics, Baylor College of Medicine, Baylor Scott & White McLane Children's Hospital, Temple, Texas, USA.
概括
儿科住院医生在接受培训后获得了对严重疾病对话的信心. 然而,对话的数量并没有增加,这突出了儿科高级护理规划的信心和实践之间的差距.
科学领域:
- 儿科医学 儿科医学
- 抚慰性护理是一种缓解性护理.
- 医学教育 医学教育
背景情况:
- 越来越多的人认识到,为患有慢性疾病的儿童提供先进的护理规划需求.
- 增加患有复杂健康状况的儿科患者的寿命.
- 严重疾病对话在儿科护理中的重要性.
研究的目的:
- 评估严重疾病对话计划 (SICP) 培训对儿科住院医生的信心的影响.
- 评估后培训居民进行的严重疾病对话数量的变化.
- 为了确定SICP培训在六个月内对居民信心的持续影响.
主要方法:
- 一个质量改善项目,涉及为儿科住院医生提供SICP培训.
- 在训练前和训练后进行调查,使用7分利克特级来衡量信心.
- 六个月后进行的后续调查,以评估纵向的信心水平和跟踪对话频率.
主要成果:
- 居民对开始严重疾病对话的信心显著增加 (2.1至4.9,P<0.01).
- 对患者的目标和价值观 (3.5至6.1,P<0.01) 产生信心显著改善.
- 在培训后的六个月内保持高的信心水平,但对话量仍然很低.
结论:
- SICP培训有效地提高了儿科住院医生对进行严重疾病对话的信心.
- 增加居民信心与实际进行的严重疾病对话数量之间存在差异.
- 可能需要进一步的策略来将增强的信心转化为在儿科中增加先进护理规划的实践.
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