Medical education, web and internet最新文献_第5页

Medical education, web and internet Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.OA1640

A. Hare, M. Chatwin, D. Field, H. Tan, A. Simonds

引用次数: 0

The Pulmonary Passport: Uptake of a regional electronic procedure logbook in Respiratory Medicine 肺护照:呼吸医学区域电子程序日志的吸收

Medical education, web and internet Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.OA1645

Maryam Ahmed, T. Saba, Tracy Duncan, S. Grundy, M. Evison

引用次数: 2

Assessment of physicians and undergraduates in COPD: ASCO-2 study COPD医师和大学生的评估:ASCO-2研究

Medical education, web and internet Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa3136

R. Bontsevich, K. Gashynova, O. Kompaniets, G. Batisheva, O. V. Cherenkova, T. M. Shagieva, E. Luchinina, Alexander A. Leonov, Alina Chernykh, Alina Leonova, K. Shchurovskaya, A. Mikhno, T. Pokrovskaia

引用次数: 0

Simulation skill labs to support informal caregivers who care for patients requiring mechanical ventilation at home 模拟技能实验室为在家照顾需要机械通气的患者的非正式护理人员提供支持

Medical education, web and internet Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3145

A. Bagnasco, M. Zanini, G. Aleo, G. Catania, Loredana Sasso

{"title":"Simulation skill labs to support informal caregivers who care for patients requiring mechanical ventilation at home","authors":"A. Bagnasco, M. Zanini, G. Aleo, G. Catania, Loredana Sasso","doi":"10.1183/13993003.CONGRESS-2018.PA3145","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA3145","url":null,"abstract":"Introduction: Informal caregivers are often overwhelmed by the burden of dealing with patients with complex disorders, such as those requiring mechanical ventilation. Simulation skill labs (Laschinger, S. et al. Int J Evid Based Healthc 2008; 6:278-302) help caregivers to manage patients requiring mechanical ventilation at home. Aims and objectives: Increase informal caregivers’ ability to manage patients requiring mechanical ventilation at home. Methods: After analyzing the skills gaps, we identified the topics for the simulation skill sessions. At the end, participants completed a questionnaire on their experience. Section one of the questionnaire focused on the importance of the topics; section two focused on the quality of training methods and trainers, who were physicians and nurses. Section three involved the assessment of their decision to take part in simulation sessions. A six-point Likert scale was used to measure satisfaction. Results: The respondents were 99. High scores were obtained for the quality of the education, underlining appropriateness of teaching, materials, and technology. Also teaching effectiveness scored positively, confirming the appropriateness of the methodology used. High scores related to their decision to take part in this course confirmed that educational expectations had been met. Conclusions: Informal caregivers were very satisfied with the simulated skill labs, and wanted to repeat them in the future. This suggests that simulation lab sessions should be provided to all informal caregivers on a routine basis.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121610778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Systems approach to improving safety with intercostal chest drains (ICD) 提高肋间胸引流术安全性的系统方法

Medical education, web and internet Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa3148

B. Khan

引用次数: 0

Education and training in lung ultrasound: a systematic review 肺超声教育与培训:系统综述

Medical education, web and internet Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.OA1639

P. Pietersen, K. R. Madsen, O. Graumann, L. Konge, B. U. Nielsen, C. Laursen

引用次数: 1

Diffuse panbronchiolitis is not restricted to east asia - A mini literature review 弥漫性泛细支气管炎并不局限于东亚——一个小型文献综述

Medical education, web and internet Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa3147

R. Mishra

引用次数: 0

Can bronchoscopy be made safer through team-based Simulation? 通过团队模拟，支气管镜检查是否更安全?

Medical education, web and internet Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3138

J. Tonkin, Y. Ong

{"title":"Can bronchoscopy be made safer through team-based Simulation?","authors":"J. Tonkin, Y. Ong","doi":"10.1183/13993003.CONGRESS-2018.PA3138","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA3138","url":null,"abstract":"Introduction: Fibreoptic bronchoscopy is performed in a variety of patients. Potential complications include respiratory failure and bleeding. We looked at whether team-based simulation could improve the management of these complications. Methods: Five sessions were run every 6 months in the endoscopy unit using a mannequin with a bronchial tree. The scenario started from the WHO checklist to completion of the case. Consultants underwent the scenario initially, then ran the simulation at each change of junior doctors with endoscopy staff. During the simulation, the patient developed respiratory failure. It examined skills such as identification of the deteriorating patient, decision to stop the procedure, resuscitation including use of oxygen and bag valve mask and reversal agents. After each simulation, debriefing was performed and written feedback gained. Results: 8 consultants, 9 trainees and 8 nurses took part. 82% said they have changed practice as a result. Several noted the importance of a specific patient focussed initial team brief, including discussion of when the procedure should be aborted. Some nurses had noticed the deteriorating patient but commented on the observations without actually saying “stop”. Discussion: Simulation allows staff to practise how to manage emergencies in a safe environment. The sessions highlighted the importance of a patient specific team brief and it reinforced that all staff should be able to suggest stopping the procedure. A simulation scenario is now run in the first bronchoscopy session when trainees start at our hospital. Bronchoscopy simulation is useful not only in teaching learners how to do the procedure, but can also teach teams how to cope when emergencies occur.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123944652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reframing asthma and inhaled corticosteroids (ICS) to modify treatment beliefs: an online randomised controlled trial 重构哮喘和吸入皮质类固醇(ICS)以改变治疗信念:一项在线随机对照试验

Medical education, web and internet Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.OA1644

C. Katzer, V. Wileman, A. Chan, Stephanie J. C. Taylor, R. Horne

{"title":"Reframing asthma and inhaled corticosteroids (ICS) to modify treatment beliefs: an online randomised controlled trial","authors":"C. Katzer, V. Wileman, A. Chan, Stephanie J. C. Taylor, R. Horne","doi":"10.1183/13993003.CONGRESS-2018.OA1644","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.OA1644","url":null,"abstract":"ICS nonadherence contributes to poor asthma control. Perceptions of asthma and ICS are important determinants, particularly doubts about ICS-necessity (N) and concerns (C) about harm. Our intervention, the Balance Model (BM), communicates a common-sense rationale for ICS-N and addresses C using health psychology theory. We examined its effect on ICS-beliefs and adherence in people without asthma (asthma-naive, a proxy for newly-diagnosed patients) and with asthma. We randomised 503 adults reporting asthma and 388 asthma-naive to: Control (NHS-information) vs BM-text vs BM-video. N-C medication beliefs, adherence and intentions were assessed post-intervention and follow-up (2wk). Asthma-naive: BM-video participants reported higher N (F(2,252)=7.1, p=.001) and lower C (F(2,252)=9.6, p Asthma: Medication beliefs group differences were non-significant, but N increased in BM-video participants post intervention (t(150)=-2.54, p=0.012) and follow-up. In the BM-text group C decreased (t(151)=2.19, p=0.029) post intervention only. The BM-text group reported higher adherence at follow-up than controls (t(230)=-2.42, p=0.016). The BM, especially as a video, could help newly-diagnosed people develop a medically accurate, common-sense understanding of asthma and ICS motivating adherence. In the asthma group the BM changed ICS-beliefs and reported adherence but the effects were smaller, equivalent to NHS-information, likely due to fixed beliefs based on experience, requiring more intensive, personalised approaches.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124037567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1