基于模拟的跨专业培训,以促进ABCDEF捆绑实施
Mikita Fuchita1, Lorel Huber2, Deena Costa3
1Mikita Fuchita is an assistant professor, Department of Anesthesiology, Division of Critical Care, University of Colorado Anschutz Medical Campus, Aurora.
概括
跨专业模拟培训是一种可行的方法,可以改善重症监护室 (ICU) 临床医生对ABCDEF捆绑的态度,从而加强其实施. 这种培训提高了对关键干预措施的信心,例如自发唤醒试验和患者动员.
科学领域:
- 临界护理医学 临界护理医学
- 医学教育 医学教育
- 患者安全 患者安全
背景情况:
- 该ABCDEF套餐改善了重症监护室 (ICU) 患者的治疗结果,但由于实施障碍,全球采用率较低.
- 跨专业模拟培训提出了一个潜在的战略,以克服这些障碍,并促进捆绑实施.
研究的目的:
- 评估基于模拟的跨专业培训计划的可行性和影响,旨在促进采用ABCDEF包.
主要方法:
- 一个90分钟的跨专业培训计划涉及深度镇静,机械呼吸患者的模拟.
- 学习者练习评估镇静和妄想,进行自发唤醒试验,管理激动,并动员患者.
- 通过参与者调查和培训前/培训后的态度评估,对ABCDEF包的可行性进行了评估.
主要成果:
- 来自不同ICU背景的16名临床医生参加了培训.
- 参与者发现模拟是现实的,相关的,对临床表现有益.
- 训练后,参与者报告说,在进行自发唤醒试验,管理妄想/兴奋,并在患者动员方面合作时,舒适度和信心增加.
结论:
- 跨专业模拟培训是增强ABCDEF捆绑实施的可行和受欢迎的方法.
- 培训对参与者对关键捆绑组件的态度和信心产生了积极的影响.
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