了解课程磨损:入学要求和学生资源的影响
Shea L van den Bergh1, Jacob C Kamholz1,2, Jonathan R Powell1,3,4
1National Registry of Emergency Medical Technicians, Columbus, Ohio, USA.
Journal of the American College of Emergency Physicians open
|December 1, 2025
概括
护理人员计划的消耗率很高,开放的招生与学率的增加有关. 实施更严格的入学要求,如面试和考试,以及像托儿所这样的支持,可能会改善护理人员的保留.
科学领域:
- 医学教育 医学教育
- 紧急医疗服务 紧急医疗服务
- 劳动力发展 劳动力发展
背景情况:
- 护理人员教育计划的消耗影响了紧急医疗服务 (EMS) 的劳动力.
- 现有的保留策略,如进入要求和资源,其有效性尚不清楚.
- 高消耗率导致训练有素的临床医生流失.
研究的目的:
- 评估护理人员项目入学要求和资源.
- 评估这些因素与高教育计划消耗之间的关联.
- 确定影响护理人员留任的因素.
主要方法:
- 使用2023年CoAEMSP年度报告对629个护理人员计划进行横截面调查.
- 分析包括2021年有>4名学生和至少一个毕业队列的课程.
- 使用描述性统计数据 (中位数,IQR) 和比例差异 (PDs) 来比较消耗群体.
主要成果:
- 医护人员计划的中位数流失率为20%,其中23.5%的计划报告了高流失率.
- 流失率高的课程更有可能有开放的招生政策.
- 低磨损计划更频繁地要求招生前面试,医学知识考试,医疗处方,并提供日托.
结论:
- 护理人员计划入学要求和学生资源存在显著的变化.
- 护理人员计划应该考虑入学标准和支持系统的结合,以提高学生的留学能力.
- 提高护理人员留学率的策略需要采用整体方法,包括招生和学生支持.
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