Development and evaluation of an electronic medical device training passport to identify nurses' training needs.

Kellie-Jayne Mohess, Jonathan Turner
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Abstract

Background: All nurses, particularly those working in critical care settings, are required to use medical devices when providing patient care. However, inconsistent practice and variations in documentation can make it challenging for nurses and nurse managers to identify what medical device training is required and when.

Aim: To develop and evaluate the use of an electronic medical device training passport to identify the training needs of nurses in intensive care units (ICUs).

Method: A pilot study was conducted in a multi-unit critical care department in London, England, to determine if the passport could make it easier to identify ICU nurses' medical device training needs compared with existing practice. Nine participants were first asked to identify their needs using existing spreadsheets or paper records, then asked to identify them using the passport. The participants were also interviewed to identify their training requirements before and after using the passport. The data were analysed quantitatively and qualitatively.

Findings: The electronic passport significantly improved identification of medical device training needs compared with paperwork or spreadsheets for all device groups, except for medical devices used on high dependency units ( P ≤0.005). However, there may be issues related to nurses' behaviours and expectations, particularly that staff do not always recognise their need for training.

Conclusion: The findings of this pilot study suggest that the use of an electronic medical device training passport has many benefits and could make it easier to identify ICU nurses' training needs in clinical practice.

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开发和评估电子医疗设备培训护照,以确定护士的培训需求。
背景:所有护士,尤其是在重症监护环境中工作的护士,在为患者提供护理时都需要使用医疗设备。目的:开发并评估电子医疗设备培训护照的使用情况,以确定重症监护病房(ICU)护士的培训需求:方法:在英国伦敦的一个多单元重症监护部门进行了一项试点研究,以确定与现有做法相比,电子护照是否更容易确定重症监护室护士的医疗设备培训需求。首先要求九名参与者使用现有的电子表格或纸质记录来确定他们的需求,然后要求他们使用护照来确定需求。还对参与者进行了访谈,以确定他们在使用护照前后的培训需求。对数据进行了定量和定性分析:与纸质记录或电子表格相比,电子护照大大提高了所有设备组对医疗设备培训需求的识别能力,但高依赖单位使用的医疗设备除外(P ≤0.005)。然而,这可能与护士的行为和期望有关,特别是员工并不总能认识到他们需要培训:这项试点研究的结果表明,使用电子医疗设备培训护照有很多好处,可以更容易地确定 ICU 护士在临床实践中的培训需求。
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