Masterson Mark F, Gill Richdeep S, Turner Simon R, Shrichand Pankaj, Giuliani Meredith
Canadian Association of Interns and Residents, Ottawa, Ontario, Canada ; Dept. of Anesthesiology and Pharmacology, University of British Columbia, Vancouver, Canada.
Canadian Association of Interns and Residents, Ottawa, Ontario, Canada ; Dept. of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Can Med Educ J. 2013 Mar 31;4(1):e96-e110. eCollection 2013.
As physicians reduce their work hours, transfer of patient care becomes more common; this is a time of heightened risk to patients. Training in patient handover skills may reduce this risk. The objective of this study was to systematically review the literature regarding education models available to teach handovers skills to healthcare professionals.
Two investigators independently reviewed educational publications for inclusion/exclusion. A third reviewer resolved any disagreement. Included papers contained an educational resource for teaching handover skills to any health profession in any patient population. Papers were rated on a previously described 4 point scale for quality.
1746 papers were identified, of which 12 met the inclusion criteria These studies presented information on educational curricula, simulation technologies and didactic sessions. The most common educational method was simulation or role-playing, which is better received by learners than didactic sessions. Teaching handover practices makes residents feel more confident in their handover, and residents receiving adequate handover are more comfortable with their duties.
Although data are limited, effective training models for handover skills have been described in the literature. Residents and other healthcare practitioners should receive training in handover to improve practitioner comfort and patient care.
随着医生工作时长的减少,患者护理的交接变得更加常见;这是患者风险增加的时期。患者交接技能培训可能会降低这种风险。本研究的目的是系统回顾关于向医疗专业人员传授交接技能的可用教育模式的文献。
两名研究者独立审查教育出版物以确定纳入/排除标准。第三名审查者解决任何分歧。纳入的论文包含向任何患者群体中的任何卫生专业传授交接技能的教育资源。论文根据先前描述的4分制进行质量评级。
共识别出1746篇论文,其中12篇符合纳入标准。这些研究介绍了关于教育课程、模拟技术和教学课程的信息。最常见的教育方法是模拟或角色扮演,学习者对其接受度高于教学课程。教授交接实践使住院医师在交接时更有信心,而接受充分交接的住院医师对其职责更得心应手。
虽然数据有限,但文献中已描述了有效的交接技能培训模式。住院医师和其他医疗从业者应接受交接培训,以提高从业者的舒适度和患者护理质量。