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为激增做准备:面向“第二战线”的半天应急准备培训课程

Preparing for the Surge: A Half-Day Emergency Preparedness Training Course for the "Second Front".

作者信息

Scott Lancer A, Madden Layne A, Wahlquist Amy E, Fisher Daniel W

机构信息

1Associate Professor, College of Medicine, Medical University of South Carolina,and Chief of Emergency Medicine at Ralph H. Johnson Veterans Medical Center, Charleston,South Carolina.

2Emergency Medicine Resident Physician,Emory University College of Medicine,Atlanta,Georgia.

出版信息

Disaster Med Public Health Prep. 2018 Feb;12(1):121-126. doi: 10.1017/dmp.2017.30.

Abstract

UNLABELLED

Purpose Clinical disaster medicine requires providers working collaboratively to care for multiple patients, yet many clinicians lack competency-based training. A 5-hour emergency preparedness training (EPT) curriculum was created using didactics, small group discussion, and scenario-based learning. The goal was to evaluate the effect of a short course on improving clinical-provider knowledge, confidence and skill.

METHODS

Participants were enrolled in a medical university between 2011 and 2014. The course consisted of didactic lectures, small group exercises, and live mass-casualty training scenarios. Core competencies and performance objectives were developed by a task force and assessed via facilitator observation, pre- and posttesting, and a course evaluation.

RESULTS

A total of 708 participants were trained, including 49.9% physicians, 31.9% medical students, 7.2% nurses, and 11% allied health personnel. The average percentage of correct answers increased from 39% to 60% (P<0.01). Following didactics, trainees met 73% and 96% of small group performance objectives. Trainees also met 68.5% and 61.1% of the mass-casualty performance objectives. Average trainee self-assessment of disaster-preparedness skill improved from 36 to 73 points out of 100.

CONCLUSION

A brief, intensive EPT course can improve the disaster knowledge and comfort level of a diverse group of clinical providers as well as foster disaster-performance skills. (Disaster Med Public Health Preparedness. 2018;12:121-126).

摘要

未标注

目的 临床灾难医学要求医护人员协同工作以照顾多名患者,但许多临床医生缺乏基于能力的培训。通过讲授、小组讨论和情景式学习创建了一个为期5小时的应急准备培训(EPT)课程。目的是评估短期课程对提高临床医护人员知识、信心和技能的效果。

方法

2011年至2014年期间,参与者就读于一所医科大学。该课程包括讲授式讲座、小组练习和现场大规模伤亡培训情景。一个特别工作组制定了核心能力和绩效目标,并通过主持人观察、前后测试和课程评估进行评估。

结果

总共培训了708名参与者,其中49.9%为医生,31.9%为医学生,7.2%为护士,11%为专职医疗人员。正确答案的平均百分比从39%提高到60%(P<0.01)。讲授课程后,学员达到了小组绩效目标的73%和96%。学员也达到了大规模伤亡绩效目标的68.5%和61.1%。学员对灾难准备技能的平均自我评估从满分100分中的36分提高到73分。

结论

简短而密集的EPT课程可以提高不同临床医护人员群体的灾难知识和舒适度,并培养灾难应对技能。(《灾难医学与公共卫生防范》。2018年;12:121 - 126)

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