在线戒律培训项目对急症护理机构病案管理员戒律自我效能的影响。

IF 1.2 4区 医学 Q3 EMERGENCY MEDICINE
Pediatric emergency care Pub Date : 2024-11-01 Epub Date: 2024-06-17 DOI:10.1097/NCM.0000000000000753
Jonelle M O'Connor, Patricia MacCulloch
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引用次数: 0

摘要

目的/目标:美国的医疗保健系统正面临着严重的病例管理护士短缺问题,老龄化的劳动力、迫在眉睫的退休潮以及该专业的发展都加剧了这一问题。本质量改进项目旨在开发一个在线病例管理师培训项目,并研究其对病例管理师自我效能的影响:该项目在东北部一家拥有 395 张病床的社区医院实施:干预的目标人群包括 13 名被指派担任训导者角色的病例管理员护士。干预措施是利平科特公司在线戒护计划的缩略版。戒护者自我效能问卷(PSEQ)的Cronbach's alpha值为0.96,用于测量护士戒护者对培养批判性思维和提供反馈等各种技能的信心。干预前和干预后的 PSEQ 调查数据采用 SPSS 28.0 版的 Wilcoxon 秩和检验进行分析:Wilcoxon 秩和检验显示,干预前和干预后的 PSEQ 结果显示,戒护者的信心得分有显著提高(p = .043):该项目证明了在线病例管理师培训项目的可行性,同时也确定了戒律者自我效能的提高。未来的研究可以包括调查戒律师培训项目对接受受训戒律师角色培训的个案管理学习者的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of an Online Preceptorship Training Program on Preceptor Self-Efficacy Among Nurse Case Managers Working in an Acute Care Setting.

Purpose/objectives: The U.S. health care system is experiencing a critical workforce shortage of nurse case managers exacerbated by an older workforce and looming retirements and the growth of this specialty. This quality improvement project aimed to develop an online case manager preceptor training program and examine its impact on the nurse case manager preceptors' self-efficacy.

Practice setting: This project was implemented at a 395-bed acute care, community-based hospital in the northeast.

Methodology and sample: The target population for the intervention included a convenience sample of 13 nurse case managers who were assigned a preceptor role. The intervention was an abbreviated version of an online preceptorship program by Lippincott. The Preceptor Self-Efficacy Questionnaire (PSEQ), with a Cronbach's alpha of 0.96, measured nurse preceptors' confidence in various skills including fostering critical thinking and providing feedback. Data from pre- and post-intervention PSEQ surveys were analyzed using a Wilcoxon rank sum test in SPSS version 28.

Results: The Wilcoxon rank sum test revealed a statistically significant improvement in preceptor confidence scores ( p = .043) between pre- and post-intervention PSEQ results.

Implications for case management practice: This project demonstrated feasibility of an online nurse case manager preceptor training program while also identifying improved preceptors' self-efficacy. Future research can include investigating the impact of a preceptor training program on the nurse case manager learners receiving role training from the trained case manager preceptor.

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来源期刊
Pediatric emergency care
Pediatric emergency care 医学-急救医学
CiteScore
2.40
自引率
14.30%
发文量
577
审稿时长
3-6 weeks
期刊介绍: Pediatric Emergency Care®, features clinically relevant original articles with an EM perspective on the care of acutely ill or injured children and adolescents. The journal is aimed at both the pediatrician who wants to know more about treating and being compensated for minor emergency cases and the emergency physicians who must treat children or adolescents in more than one case in there.
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