通过专业团队和交互式响应系统提高医科学生的中心静脉导管操作能力:前后对比研究。

IF 1.3 Q2 MEDICINE, GENERAL & INTERNAL
Yuan-Ming Tsai, Szu-Yu Lin, Go-Shine Huang, Feng-Cheng Liu, Yaw-Wen Chang, Chin-Sheng Lin
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引用次数: 0

摘要

背景:中心静脉导管插入术(CVC)是一项重要的临床手术。为避免并发症,掌握有关 CVC 护理捆绑的良好知识以及正确插入和维护 CVC 的技能非常重要:评估教育干预和交互式响应系统对提高接受重症医学培训的医学生的 CVC 束护理和插入技能的效果:六年级医学生(相当于美国四年级学生)在重症监护病房(ICU)轮转期间参加了由三名胸外科医生和两名血管外科医生(均有至少五年的中心静脉通路经验)组成的 CVC 小组主持的说教课程、互动演示和模拟器培训。通过互动式应答系统 Zuvio App 进行前测和后测,评估自我报告的知识和信心水平:共有 60 名学生接受了教育干预,其中 54 人完成了前测,40 人完成了后测。后测结果显示,学生在 CVC 管束护理能力和理解能力(P = 0.002)、术前准备(P = 0.002)、插入程序(P = 0.004)、并发症(P = 0.003)和插入深度决定(P = 0.001)方面均有显著提高。教职员工和学生都表示,通过 Zuvio 应用程序进行评估和互动在临床环境中非常有价值、实用且可行,为学员提供了接受精准医学教育的个人能力组合:结论:在本研究中,将专业团队提供的培训与互动响应系统相结合,提高了医学生在插入 CVC 方面的知识和能力水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing the Central Venous Catheterization Competency of Medical Students through a Specialized Team and an Interactive Response System: A pre-post study.

Background: Central venous catheterization (CVC) is a critical clinical procedure. To avoid complications, possessing good knowledge regarding the CVC care bundle and skills for the proper insertion and maintenance of CVC are important.

Objectives: To evaluate the effectiveness of an educational intervention and the use of an interactive response system in enhancing the CVC bundle care and insertion skills of medical students undergoing critical care medicine training.

Materials and methods: Sixth-year medical students (equivalent to fourth-year students in the United States) engaged in didactic lessons, interactive demonstrations, and simulator training facilitated by a CVC team comprising three thoracic and two vascular surgeons (all with a minimum 5 years of experience in central venous access) during their intensive care unit (ICU) rotation. Self-reported knowledge and confidence levels were assessed using pre-and posttests administered through the Zuvio App, an interactive response system.

Results: A total of 60 students underwent the educational intervention, of which 54 completed the pretest and 40 completed the posttest. In the posttest, significant improvement was found in the CVC bundle care competency and understanding (P = 0.002), preprocedural preparation (P = 0.002), insertion procedures (P = 0.004), complications (P = 0.003), and insertion depth decisions (P = 0.001). Staff and students reported that assessment and interaction via the Zuvio App were valuable, practical, and feasible in a clinical setting, providing trainees with an individual competency portfolio of receiving precise medical education.

Conclusions: Integrating the training provided by a specialized team with an interactive response system enhanced the knowledge and competency level in CVC insertion among medical students in this study.

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来源期刊
Saudi Journal of Medicine & Medical Sciences
Saudi Journal of Medicine & Medical Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
52
审稿时长
15 weeks
期刊介绍: Saudi Journal of Medicine & Medical Sciences (SJMMS) is the official scientific journal of Imam Abdulrahman Bin Faisal University. It is an international peer-reviewed, general medical journal. The scope of the Journal is to publish research that will be of interest to health specialties both in academic and clinical practice. The Journal aims at disseminating high-powered research results with the objective of turning research into knowledge. It seeks to promote scholarly publishing in medicine and medical sciences. The Journal is published in print and online. The target readers of the Journal include all medical and health professionals in the health cluster such as in medicine, dentistry, nursing, applied medical sciences, clinical pharmacology, public health, etc.
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