开发一个高级职业治疗师实践在截肢护理的程序
Michelle J Nordstrom1,2, Andrea E Crunkhorn1,2,3, Stuart M Campbell2,3,4
1Department of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD 20814, United States.
Military medicine
|January 28, 2026
概括
军事医学为肢体创伤提供了先进的紧急护理,但康复却滞后. 为职业治疗师开发了新的知识,技能和能力 (KSA),以改善创伤性截肢护理.
科学领域:
- 军事医学 军事医学
- 康复科学 康复科学 康复科学
- 职业疗法 职业疗法 职业疗法
背景情况:
- 伊拉克自由行动和持久自由冲突推动了复杂肢体创伤的紧急医学的进步.
- 在急性后治疗和康复培训以及对肢体创伤幸存者的政策方面存在重大差距.
- 极端外伤和截肢卓越中心为康复专家开发了知识,技能和能力 (KSA).
研究的目的:
- 为提供创伤性截肢护理的职业治疗师 (OT) 制定KSA和学习目标.
- 解决截肢护理的康复专家在标准化培训方面的差距.
- 建立高级截肢康复的基础标准.
主要方法:
- 一种伪德尔菲方法,结合文献综述和主题专家 (SME) 采访.
- 将确定的能力和临床实践指南建议转化为OT特定的KSA.
- 由内部和外部专家反复审查和改进材料草案.
主要成果:
- 在四个临床主题领域开发了290个KSA:肢体损失,医疗管理,骨科损伤和军事特异性考虑.
- 创建一个包含23个教学模块的程序文档.
- 建立28个终端和231个支持学习目标.
结论:
- 开发的KSA和学习目标代表了OTs先进截肢康复的初始标准.
- 正式化的肢体损失康复培训协议对于未来的军事截肢者至关重要.
- 这些教育产品将使能力评估,继续教育和进一步的专业发展成为可能.
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