一个脉检查:儿科心脏ICU的演变先进实践提供者教育,培训和实践
概括
高级实践提供者 (APP) 越来越多地在儿科心脏重症监护室 (PCICU) 工作,并长时间实践. 然而,导向仍然是可变的,突出了对PCICU APP标准化培训计划的需求.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 高级实践提供者的角色 提供者的角色
- 医疗保健专业发展
背景情况:
- 在儿科心脏重症监护室 (PCICU) 中,高级实践提供者 (APP) 的作用正在演变.
- 关于PCICU APP实践的先前研究已更新,以反映当前的情况.
- 这项研究解决了关于APP在专业儿科心脏护理中使用的最新数据的需求.
研究的目的:
- 评估PCICU中APP的当前实践模式.
- 自从之前的调查以来,识别APP角色和经验水平的变化.
- 评估PPP导向计划在PCICU中的有效性和可变性.
主要方法:
- 一项44个问题调查通过电子邮件发送给儿童心脏重症监护协会的328名成员.
- 描述性统计学,奇平方测试和费舍尔精确测试被用于数据分析.
- 调查数据与早期研究的结果进行了比较.
主要成果:
- 来自美国和加拿大的48个PCICU的70个APP参与了.
- 现在,更高的百分比的APP在专门的PCICU中工作 (89%与2016年的72%相比).
- 更多的APP有超过7年的经验 (42%对比23%),但只有57%的人觉得"有点"为自主实践做好了准备,20%的人觉得没有准备.
结论:
- 在PCICU中APP实践已经发展,具有更多的专用角色和经验.
- 目前在PCICU中对APP的定向流程非常多变.
- 显然需要为PCICU APPs制定标准化,全面的指导计划.
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