危重病人院内转运跨专业培训计划:模型建立与评估。

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Journal of Interprofessional Care Pub Date : 2025-01-01 Epub Date: 2019-01-23 DOI:10.1080/13561820.2018.1560247
Yu-Che Chang, Lan-Ti Chou, Hui-Ling Lin, Shu-Fen Huang, Mei-Chuan Shih, Mao-Chang Wu, Chiao-Lin Wu, Pin-Tarng Chen, Chung-Hsien Chaou
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引用次数: 0

摘要

院内转运危重病人进行诊断或治疗程序可能会因病人不稳定、设备问题或团队合作经验不足而受到影响。这项准实验研究旨在评估针对初级成员转运团队的现场跨专业模拟培训(IIST)模式的有效性。新注册的研究生医师、护士和呼吸治疗师接受了 IIST 培训。每个参与者的技术技能(TS)和每个跨专业团队的非技术技能(NTS)均采用经过严格验证的检查表进行评估。36 名参与者被随机分配到 6 个实验团队和 6 个对照团队。大多数参与者的 TS 和 NTS 水平都明显提高。对照组和实验组在前测中都高估了他们的 NTS,而实验组的后测自我评估得分与专家评估得分更为接近。尽管在时间安排和环境方面存在挑战,但 IIST 还是在一家拥挤的医院成功进行,这使学员能够在真实环境中优化学习。总之,IIST 模型可以促进运输团队成员的 TS 和 NTS 发展。由来自不同学科的新注册人员组成的转运团队在危重病人转运管理方面可能缺乏对其 NTS 的洞察力,但模拟训练可能会有所改善。
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An interprofessional training program for intrahospital transport of critically ill patients: model build-up and assessment.

Intrahospital transport of critically ill patients for diagnostic or therapeutic procedures can be compromised by patient instability, equipment problems or inexperienced teamworking. This quasi-experimental study aimed to assess the effectiveness of an in-situ interprofessional simulation-based training (IIST) model for junior member transport teams. Newly registered postgraduate physicians, nurses and respiratory therapists underwent the IIST. The technical skills (TS) of each participant and non-technical skills (NTS) of each interprofessional team were assessed using well-validated checklists. Thirty-six participants enrolled and were randomly assigned to six experimental and six control teams. Most participants achieved a significantly higher level of both TS and NTS. Both the control and experimental teams overvalued their NTS in the pretest, while the posttest self-assessment scores among the experimental groups more closely matched the expert assessments. Despite challenges in scheduling and the setting, the IIST was successfully conducted in a crowded hospital, which enabled trainees to optimize their learning in a real-life environment. In conclusion, the IIST model can facilitate the development of both TS and NTS for transport team members. Transport teams made up of newly registered staff from different disciplines may lack insight into their NTS in critical patient transfer management, but simulation training may cause improvements.

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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
期刊最新文献
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