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面向全球儿科重症监护临床医生的基于互联网的知识交流平台的开发*

The development of an internet-based knowledge exchange platform for pediatric critical care clinicians worldwide*.

作者信息

Wolbrink Traci A, Kissoon Niranjan, Burns Jeffrey P

机构信息

1Division of Critical Care Medicine, Department of Anesthesia, Perioperative and Pain Management, Boston Children's Hospital, Boston, MA. 2Department of Anesthesia, Harvard Medical School, Boston, MA. 3Division of Critical Care, Child and Family Research Institute, British Columbia's Children's Hospital, Vancouver, BC, Canada. 4Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada.

出版信息

Pediatr Crit Care Med. 2014 Mar;15(3):197-205. doi: 10.1097/PCC.0000000000000051.

Abstract

OBJECTIVES

Advances in Internet technology now enable unprecedented global collaboration and collective knowledge exchange. Up to this time, there have been limited efforts to use these technologies to actively promote knowledge exchange across the global pediatric critical care community. To develop an open-access, peer-reviewed, not-for-profit Internet-based learning application, OPENPediatrics, a collaborative effort with the World Federation of Pediatric Intensive and Critical Care Societies, was designed to promote postgraduate educational knowledge exchange for physicians, nurses, and others caring for critically ill children worldwide.

DESIGN

Description of program development.

SETTING

International multicenter tertiary pediatric critical care units across six continents.

SUBJECTS

Multidisciplinary pediatric critical care providers.

INTERVENTIONS

A software application, providing information on demand, curricular pathways, and videoconferencing, downloaded to a local computer.

MEASUREMENTS AND MAIN RESULTS

In 2010, a survey assessing postgraduate educational needs was distributed through World Federation of Pediatric Intensive and Critical Care Societies to constituent societies. Four hundred and twenty-nine critical care providers from 49 countries responded to the single e-mail survey request. Respondents included 68% physicians and 28% nurses who care for critically ill children. Fifty-two percent of respondents reported accessing the Internet at least weekly to obtain professional educational information. The five highest requests were for educational content on respiratory care [mechanical ventilation] (48% [38%]), sepsis (28%), neurology (25%), cardiology (14%), extracorporeal membrane oxygenation (10%), and ethics (8%). Based on these findings, and in collaboration with researchers in adult learning and online courseware, an application was developed and is currently being used by 770 registered users in 60 countries.

CONCLUSIONS

We describe here the development and implementation of an Internet-based application which is among the first efforts designed to promote global knowledge exchange for physicians and nurses caring for critically ill children. This application has the potential to evolve new methods in postgraduate education. Ongoing assessment of the efficacy of Internet-based learning platforms will be necessary.

摘要

目的

互联网技术的进步如今实现了前所未有的全球合作与集体知识交流。截至目前,利用这些技术积极促进全球儿科重症监护界知识交流的努力有限。为开发一个开放获取、同行评审、非营利性的基于互联网的学习应用程序“开放儿科”,与世界儿科重症与危重症学会联合会合作开展了一项工作,旨在促进全球范围内为重症患儿提供护理的医生、护士及其他人员的研究生教育知识交流。

设计

项目开发描述。

地点

六大洲的国际多中心三级儿科重症监护病房。

研究对象

多学科儿科重症监护提供者。

干预措施

一款软件应用程序,可按需提供信息、课程路径及视频会议功能,下载到本地计算机。

测量指标及主要结果

2010年,通过世界儿科重症与危重症学会联合会向其成员协会分发了一项评估研究生教育需求的调查问卷。来自49个国家的429名重症监护提供者回复了这一单一电子邮件调查请求。受访者包括68%护理重症患儿的医生和28%的护士。52%的受访者表示至少每周上网获取专业教育信息。需求最高的五个方面是呼吸护理[机械通气](48%[38%])、脓毒症(28%)、神经学(25%)、心脏病学(14%)、体外膜肺氧合(10%)和伦理学(8%)。基于这些发现,并与成人学习和在线课件方面的研究人员合作,开发了一款应用程序,目前60个国家的770名注册用户正在使用。

结论

我们在此描述了一款基于互联网的应用程序的开发与实施情况,这是旨在促进为重症患儿提供护理的医生和护士进行全球知识交流的首批努力之一。该应用程序有可能发展出研究生教育的新方法。有必要对基于互联网的学习平台疗效进行持续评估。

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