急诊医学的终身培训、再培训、再培训、技能提升和知识差距:一项横断面调查研究。

IF 2.6 3区 医学 Q1 EMERGENCY MEDICINE
George Briassoulis, Mina Argyrakopoulou, Dafni Korela, Sotiria Labrinaki, Artemis Nikiforou, Antonios Papoutsakis, Panagiotis Briassoulis, Marianna Miliaraki, George Notas, Stavroula Ilia
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引用次数: 0

摘要

背景:识别和管理医疗紧急情况在医疗保健方面提出了挑战,其中熟悉已建立的算法对于高质量的护理至关重要。本研究评估医护人员对最新复苏指南的了解程度,并探讨他们对终身培训模式的看法。方法:本横断面研究采用两份包含50个问题的多项选择问卷,由急诊和重症监护学术顾问根据国际复苏联络委员会(ILCOR)的2021年《治疗建议科学共识》(CoSTRs)制定。参与应急覆盖的医护人员完成了应急管理评估,自我评估了他们的知识,并分享了对持续工作场所教育的看法。结果:共发放问卷1427份,完成问卷1034份(72.5%)。与成人方案相比,欧洲复苏委员会(ERC)和美国心脏协会(AHA)的儿科算法的知识差距更为明显(ppp结论:本研究强调了医疗保健生命支持提供者在当前复苏指南中的专业知识不足。短期再培训、技能提升和培训后评估项目的重要性是显而易见的,因为大多数受访者表示,如果雇主资助,他们有很强的学习动机。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lifelong training, retraining, reskilling, upskilling and knowledge gaps in emergency medicine: a cross-sectional survey study.

Background: Identifying and managing medical emergencies presents challenges in healthcare, where familiarity with established algorithms is essential for high-quality care. This study assessed healthcare professionals' understanding of the latest resuscitation guidelines and explored their views on lifelong training models.

Methods: This cross-sectional study used two multiple-choice questionnaires with 50 questions developed by academic emergency and critical care consultants based on the 2021 Consensus on Science with Treatment Recommendations (CoSTRs) by the International Liaison Committee on Resuscitation (ILCOR). Healthcare staff involved in emergency coverage completed assessments on emergency management, self-evaluated their knowledge, and shared perspectives on continuous workplace education.

Results: Of the 1,427 distributed questionnaires, 1,034 (72.5%) were completed. Knowledge gaps were more pronounced for pediatric algorithms from the European Resuscitation Council (ERC) and American Heart Association (AHA) compared to adult protocols (P<0.001). In multivariate logistic regression, being a physician, holding a Master of Science (MSc) degree, and younger age were independently associated with passing scores ≥70% (all P<0.001). Most participants (97.3%) favored brief, employer-funded teamwork refresher sessions every 4-6 months over the current four-year training model (0.6%) (P<0.001).

Conclusion: This study highlights healthcare life support providers' insufficient expertise in current resuscitation guidelines. The importance of short-format retraining, upskilling, and reskilling programs with post-training assessments is evident, as most respondents expressed a strong learning motivation to participate if employer-funded.

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来源期刊
CiteScore
2.50
自引率
28.60%
发文量
671
期刊介绍: The journal will cover technical, clinical and bioengineering studies related to multidisciplinary specialties of emergency medicine, such as cardiopulmonary resuscitation, acute injury, out-of-hospital emergency medical service, intensive care, injury and disease prevention, disaster management, healthy policy and ethics, toxicology, and sudden illness, including cardiology, internal medicine, anesthesiology, orthopedics, and trauma care, and more. The journal also features basic science, special reports, case reports, board review questions, and more. Editorials and communications to the editor explore controversial issues and encourage further discussion by physicians dealing with emergency medicine.
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