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非老年医生和护士的老年核心能力:一个范围审查
Deng-Chi Yang1,2, Yung-Chen Yu3, Yi-Hsuan Lee3
1Department of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
BMC geriatrics
|November 26, 2025
概括
医疗保健专业人员需要更好的老年核心能力. 这次审查确定了疾病,药物和认知管理方面的关键技能,但团队合作和患者/护理人员需求存在差距,需要改进课程.
科学领域:
- 老年医学 老年医学
- 医学教育 医学教育
- 医疗保健专业发展
背景情况:
- 对于非专业医疗保健提供者和护士来说,在老年核心能力方面存在缺陷.
- 现有的文献缺乏对这些基本能力的全面分析.
研究的目的:
- 确定和分析医生和护士的关键老年核心能力.
- 为改善医疗保健中的老年人教育提供框架.
主要方法:
- 在五个数据库 (Medline,Embase,Cochrane,Ageline,ERIC) 进行系统的文献搜索,截至2025年7月.
- 包括专注于医生和护士的老年核心能力的研究,使用专家共识或Delphi方法.
- 能力被分类使用基于综合领域的方法和布鲁姆的分类法.
主要成果:
- 十项研究在18个领域产生了257个老年核心能力.
- 医生和护士的顶级能力包括疾病/并发症管理,药物管理和认知/痴呆症护理.
- 大多数能力 (59.14%) 需要应用,64.2%是概念知识,与医学研究生教育认证委员会 (ACGME) 患者护理类别保持一致.
结论:
- 关键的老年医疗能力在患者护理强调疾病,药物和认知问题.
- 跨学科团队合作和患者/护理人员需求的显著不足突出了关键的教育差距.
- 需要对老年人教育采取整体方法来解决这些缺陷.
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