Moule Pam, Clompus Susan, Lockyer Lesley, Coates David, Ryan Kathy
a University of the West of England, Faculty of Health and Applied Sciences , Glenside Campus , Bristol , UK.
b BrisDoc Healthcare Services , Bristol , BS14 0BB , UK.
Educ Prim Care. 2018 Nov;29(6):376-380. doi: 10.1080/14739879.2018.1516517. Epub 2018 Sep 21.
Despite the need to develop a non-medical out-of-hours (OOHs) workforce to address increasing healthcare demands and to support a strained GP workforce, there is no consensus on the required training and clinical competencies needed for nurses and paramedics to be developed as safe OOH practitioners. This paper presents the development and evaluation of one programme delivered in 2017 to paramedics seeking to work in OOHs services. Details of the course delivery are outlined and the mixed-methods evaluation presented. Following successful university ethical approval, student and staff experiences were reviewed through interviews, questionnaires and graded feedback of completed electronic patient case records. The findings provided useful learning that can be transferred to other organisations seeking to develop such training. In particular, the findings suggest the course was able to provide the students with the skills, knowledge and confidence to become safe practitioners in the OOHs service. Challenges in course delivery were highlighted. It was suggested that course organisation, duration and scope require careful consideration to enable students to complete and practise successfully.
尽管需要培养非医疗非工作时间（OOHs）的医护人员，以应对日益增长的医疗需求并支持不堪重负的全科医生队伍，但对于护士和护理人员要成为安全的非工作时间从业者所需的培训和临床能力，尚未达成共识。本文介绍了2017年为寻求在非工作时间服务领域工作的护理人员提供的一个项目的开发与评估情况。概述了课程交付的细节，并展示了混合方法评估。在获得大学伦理批准后，通过访谈、问卷调查以及对已完成的电子患者病例记录的评分反馈，对学生和工作人员的经历进行了审查。研究结果提供了有益的经验教训，可应用于其他寻求开展此类培训 的组织。特别是，研究结果表明该课程能够为学生提供技能、知识和信心，使其成为非工作时间服务领域的安全从业者。同时也强调了课程交付过程中存在的挑战。建议课程的组织、时长和范围需要仔细考量，以使学生能够成功完成课程并进行实践。
