在卫生专业中教导口头降级的最佳实践教育:系统审查
Emily L Jameyfield1, Michelle Suh2,3, Alexandra Hill-Ricciuti4
1Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, United States.
概括
为卫生专业人员提供有效的工作场所降级培训,将教学学习与积极实践相结合. 这种方法对于管理激动的患者和访客至关重要,提高医疗机构的安全性.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 解决冲突 解决冲突
背景情况:
- 工作场所暴力是医疗保健中的一个重要问题,特别是在处理激动的患者和访客时.
- 语言降级是管理激动的主要策略,但在卫生专业教育 (HPE) 中,培训不一致.
- 对于HPE中降级培训的最佳实践缺乏共识.
研究的目的:
- 系统地审查现有的HPE课程,以培训降级技能.
- 评估这些研究的研究质量和证据的强度.
- 概述教导卫生专业人员降级技能的最佳实践.
主要方法:
- 我们对PubMed,EMBASE,ERIC和谷歌学者进行了全面的搜索.
- 包括了关于HPE中降级课程经验结果的研究.
- 包括的研究使用医学教育研究研究质量仪器 (MERSQI) 和修改的最佳证据医学教育 (BEME) 规模进行了评估.
主要成果:
- 56项研究符合超过4,300个记录中的纳入标准.
- 十二项研究表明有强有力的证据 (BEME得分为4或5).
- 高质量的干预措施将教学教育与角色扮演或模拟相结合,用于积极实践,参考已建立的降级框架.
结论:
- 在HPE中教学降级的最有证据支持的方法涉及理论教学和实际技能实践的混合.
- 建议采用这种综合方法,以有效地为卫生专业人员提供管理动荡的设备.
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