点击学习:基于脓毒症病例的纵向跨专业教育课程。

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES BMJ Open Quality Pub Date : 2024-11-02 DOI:10.1136/bmjoq-2024-002859
Samita M Heslin, Asem Qadeer, AnnMarie E Kotarba, Sahar Ahmad, Eric J Morley
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引用次数: 0

摘要

背景:败血症是一项全球性的医疗挑战,也是发病和死亡的主要原因。在美国,医疗保险和医疗补助服务中心已将严重败血症和败血症休克管理捆绑计划(SEP-1)纳入其核心质量措施,这与降低死亡率有关。然而,SEP-1 的多个捆绑要素如果没有全面的教育以及护士和医疗服务提供者(主治医师、住院医师、执业护士和助理医师)共同参与的协作方法,就会给合规性带来挑战:方法:我们采用 Kern 的六步课程开发方法开发了一个虚拟纵向病例课程,并使用 Kirkpatrick 模型对其有效性进行了评估。在为期 32 个月的时间里,我们在全院范围内分发了该课程:结果:脓毒症病例课程模块共收到 3616 份回复,其中 47% 来自护士,53% 来自医疗服务提供者。内科、外科和重症监护室的回复分布情况相似。护士的回答正确率为 56%,医疗服务提供者的回答正确率为 51%。大多数受访者表示有可能将所学应用到实践中,并表示增加了对败血症的了解。参与者反馈的主题表明,他们认为这项活动内容丰富,适用于实际案例。此外,在研究期间,医院的 SEP-1 套件合规率从 71%(2021 年第一季度)提高到 80%(2023 年第三季度):要达到 SEP-1 套件的要求,需要医疗服务提供者和护士共同参与的团队方法。鉴于繁忙的医院环境和多样化的医疗服务提供者,与真实场景相关的纵向、有吸引力且简明的教育课程可以加强败血症和 SEP-1 教育。
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Click and learn: a longitudinal interprofessional case-based sepsis education curriculum.

Background: Sepsis is a global healthcare challenge and a leading cause of morbidity and mortality. In the USA, the Centers for Medicare & Medicaid Services has integrated the Severe Sepsis and Septic Shock Management Bundle (SEP-1) into their Core Quality Measures, which has been linked to lower mortality rates. However, SEP-1's multiple bundle elements present compliance challenges without comprehensive education and a collaborative approach involving nurses and providers (attending physicians, resident physicians, nurse practitioners and physician assistants).

Methods: We developed a virtual longitudinal, case-based curriculum using Kern's six-step approach to curriculum development and evaluated its effectiveness using the Kirkpatrick model. The curriculum was distributed hospital-wide over a 32-month period.

Results: A total of 3616 responses were received for the Sepsis Case-Based Curriculum modules, with 47% from nurses and 53% from providers. Responses were distributed similarly among medical and surgical specialties, as well as intensive care units. Nurses' responses were 56% correct, and providers' responses were 51% correct. Most respondents expressed a likelihood of applying the learning to their practice and reported increased knowledge of sepsis. Themes from participant feedback indicated that they found the activity informative and applicable to real-world cases. Additionally, the hospital's SEP-1 bundle compliance improved from 71% (Q1 2021) to 80% (Q3 2023) during the study period.

Conclusion: Meeting SEP-1 bundle elements requires a team-based approach involving providers and nurses. Given the busy hospital environment and diverse care providers, a longitudinal, engaging and concise educational curriculum related to real-life scenarios can enhance sepsis and SEP-1 education.

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来源期刊
BMJ Open Quality
BMJ Open Quality Nursing-Leadership and Management
CiteScore
2.20
自引率
0.00%
发文量
226
审稿时长
20 weeks
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