病人护理的过渡:探索院前到医院的患者交接实践和医疗服务提供者教育的成果

IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE African Journal of Emergency Medicine Pub Date : 2024-08-06 DOI:10.1016/j.afjem.2024.07.002
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引用次数: 0

摘要

导言病人交接不足与许多医疗失误以及医院医护人员和院前医护人员之间的沟通失误有关。本科医疗保健课程可能会限制特定课程的患者交接教育,并将学习转移到非正式的学习机会中。本研究旨在调查合格医疗服务提供者(HCPs)教育课程的成果,以确定交接班实践的充分性、培训的来源以及他们对这些实践的跨专业接受程度。研究采用了多种方法的研究设计--HCP 课程成果的文件分析和两部分问卷。问卷调查的目的是了解患者交接班实践对当前医疗系统的影响,以及他们对交接班培训是否充分的看法。大多数参与者认为交接班教育主要依赖于非正式培训。许多医护人员表示,凭借已有的知识,他们可以自如地进行患者交接。该研究表明,由于缺乏标准化的交接程序,导致了医护人员的自我解释。医护人员之间对所获信息的信任度较低。这项研究强调了在医疗保健课程中开展标准化交接班培训的必要性,以改善患者安全和专业间合作。
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The transition of patient care: Exploring the outcomes of prehospital to hospital patient handover practices and healthcare provider education

Introduction

Inadequate patient handover is linked to numerous medical errors and lapses in communication between hospital healthcare providers and prehospital healthcare providers. Undergraduate healthcare curricula may limit programme-specific education on patient handover and shift learning to informal learning opportunities. This study aimed to investigate the outcomes of qualified healthcare provider (HCPs) educational programmes to determine the adequacy of handover practices, the source of their training, and their interprofessional acceptance of these practices.

Methods

A multi-method study design was used – a document analysis of HCP programme outcomes and a two-section questionnaire. The questionnaire was sent to HCPs to determine the impact of patient handover practices on current healthcare systems and their opinion on whether the training on handovers is sufficient.

Results

HCPs indicated little educational interaction regarding patient handover. Most participants felt handover education relied predominantly on informal training. With their existing knowledge, many HCPs revealed that they were comfortable in handing over a patient. Little interprofessional confidence regarding patient handover information indicates minimal interprofessional collaboration toward standardised approaches for patient handover.

Conclusion

This study indicates a lack of standardised handover procedures, which leads to HCP self-interpretations. There is low trust between HCPs regarding information received. The study highlights the need for standardised handover training in healthcare curricula to improve patient safety and interprofessional collaboration.

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来源期刊
CiteScore
2.40
自引率
7.70%
发文量
78
审稿时长
85 days
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