为儿科重症监护超声波提出可信任的专业活动:修改后的德尔菲共识方法
Michael Lintner-Rivera1, Ivanna N Maxson2, Awni M Al-Subu3
1Division of Pediatric Critical Care, Department of Pediatrics, Ryan White Center for Pediatric Infectious Disease and Global Health, Indiana University School of Medicine, Indianapolis, IN.
使用可信任的专业活动 (EPA) 开发了儿科重症监护超声波 (CCUS) 教育的共识框架. 在五个领域建立了14个EPA,以指导儿科重症监护机构的培训和能力评估.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 医学教育 医学教育
- 护理中心超声波检查
背景情况:
- 护理点超声波 (POCUS) 在儿科重症监护中越来越重要.
- 在这个领域缺乏POCUS的标准化教育和能力评估.
- 需要一个基于共识的框架来指导重症监护超声波 (CCUS) 教育.
研究的目的:
- 为儿童重症监护超声波 (CCUS) 教育制定基于共识的框架.
- 定义可委托的专业活动 (EPA) 对于CCUS的能力.
- 建立一个结构化的方法,培训和评估儿童重症监护提供者在CCUS.
主要方法:
- 修改后的Delphi方法被用于达成共识.
- 来自17个机构的23名成员组成的专家小组参加了会议.
- 为了完善CCUS EPAs,进行了三轮反复的调查和会议.
主要成果:
- 在五个领域制定了14项可委托专业活动 (EPA):心脏,肺部,腹部,手术和血管.
- 在CCUS的教育内容和方法上达成共识.
- 美国环保署要求进展的中位数利克特分数>=4.5,表明强烈的同意.
结论:
- 已经建立了一个基于共识的框架,由14个EPA为儿科重症监护超声波 (CCUS) 教育.
- 该框架为儿童重症监护能力评估和教育提供了一个结构化的方法.
- 该倡议为提高儿科重症监护超声波教育和实践标准奠定了基础.
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