在EGUIDE项目中的指导方针培训后,临床实践实施的八年进展
Kenta Ide1,2, Kazuhiko Yamamuro3,4, Hisashi Yamada2,5
1Department of Hospital Pharmacy, Hospital of University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan.
EGUIDE计划成功地改善了精神病医生长期遵守临床指南的情况. 这种基于证据的教育模式证明了精神病医疗护理质量的持续积极变化.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 改善医疗保健质量 改善医疗保健质量
- 医学教育 医学教育
背景情况:
- 临床实践指南提高了精神病治疗的质量和标准化.
- 在现实环境中长期实施这些指导方针仍然是一个挑战.
- 传播和教育指南的有效性 (EGUIDE) 项目旨在解决这一差距.
研究的目的:
- 评估日本精神病医生的EGUIDE多层次教育计划的长期有效性.
- 评估符合指导方针的临床行为持续改善.
- 确定EGUIDE计划对精神病医疗护理质量的影响.
主要方法:
- 一项多中心观察性研究跟踪了1562名精神病医生长达8年.
- 对一般使用,精神分裂症和严重抑郁症的自我评估临床行为 (CB) 评分进行了评估.
- 统计分析包括Kruskal-Wallis和Mann-WhitneyU测试与邦费罗尼校正.
主要成果:
- 与基线相比,所有临床行为指数在训练后显著改善 (p < 10-72).
- 这些改善在8年的随访期间持续,没有显著下降.
- 一些领域在培训后3至7年间持续增加了坚持.
结论:
- EGUIDE计划促进了精神病医生遵循指导方针的临床行为持续,长期改善.
- 一个综合的教育,监督,反和跟进系统被证明是有效的.
- 这种周期性框架为持续的质量改进提供了一个高影响力的模型,可以适应其他专业.
更多相关视频
13:44Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
Published on: December 9, 2022
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
相关概念视频
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Methods of Documentation III: PIE
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
