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基层医疗保健专业人员对吞咽困难筛查的转诊及意义的体验。

Primary Healthcare Professionals Experience of Transfer and Meaning According to Screening for Dysphagia.

作者信息

Andersen Fortes Alexia, André-Brylle Jeff, Westmark Signe, Melgaard Dorte

机构信息

Nursing home Sjælsø, 3460 Rudersdal, Denmark.

Centre for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.

出版信息

Geriatrics (Basel). 2019 Sep 27;4(4):54. doi: 10.3390/geriatrics4040054.

DOI:10.3390/geriatrics4040054
PMID:31569786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6960732/
Abstract

Transfer is a well-known theory about learning in practice contexts. This concept, combined with the need to implement screening for dysphagia in the nursing homes, has led to this project describing the experienced transfer effect and meaning among healthcare professionals after participation in a practice-orientated workshop focusing on implementing the Minimal Eating Observation Form-II (MEOF-II). Fifty-eight healthcare professionals participated in a 2.5-hour facilitated practice-orientated workshop in the period from March to September, 2018. Before and after the workshop, they filled out a questionnaire that focused on the healthcare professional's experience of skills related to dysphagia. The study documented that, after the workshop, more healthcare professionals felt competent to perform the MEOF-II to identify signs of dysphagia and know their role in screening for dysphagia. Nine months after the workshop, 80% of the residents in the nursing home had been screened for dysphagia by using the MEOF-II. This study documented that practice-orientated workshops and systematic follow-up encouraged the healthcare professionals to use the MEOF-II to contribute to the early detection of dysphagia in the nursing home. Workshops based on the transfer theory may also be relevant for implementation and application of other new skills in similar settings.

摘要

迁移是实践情境中一个广为人知的学习理论。这一概念,再加上在养老院实施吞咽困难筛查的需求,促成了本项目,该项目描述了医疗保健专业人员在参与以实践为导向的研讨会(聚焦于实施简易进食观察表-II(MEOF-II))后所体验到的迁移效果及意义。2018年3月至9月期间,58名医疗保健专业人员参加了一场时长2.5小时的、有引导的以实践为导向的研讨会。在研讨会前后,他们填写了一份问卷,该问卷聚焦于医疗保健专业人员在吞咽困难相关技能方面的经验。该研究记录表明,研讨会结束后,更多的医疗保健专业人员觉得自己有能力使用MEOF-II来识别吞咽困难的迹象,并了解自己在吞咽困难筛查中的作用。研讨会九个月后,养老院80%的居民已通过使用MEOF-II进行了吞咽困难筛查。该研究记录表明,以实践为导向的研讨会和系统的跟进鼓励医疗保健专业人员使用MEOF-II,以促进养老院中吞咽困难的早期发现。基于迁移理论的研讨会可能也适用于在类似环境中实施和应用其他新技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b374/6960732/e7a49d9fb60c/geriatrics-04-00054-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b374/6960732/e7a49d9fb60c/geriatrics-04-00054-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b374/6960732/e7a49d9fb60c/geriatrics-04-00054-g001.jpg

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本文引用的文献

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J Nurs Meas. 2020 Mar 16. doi: 10.1891/JNM-D-18-00084.
2
The Prevalence of Oropharyngeal Dysphagia in Acute Geriatric Patients.老年急性病患者口咽吞咽困难的患病率
Geriatrics (Basel). 2018 Mar 26;3(2):15. doi: 10.3390/geriatrics3020015.
3
The cost of dysphagia in geriatric patients.老年患者吞咽困难的代价。
Clinicoecon Outcomes Res. 2018 Jun 6;10:321-326. doi: 10.2147/CEOR.S165713. eCollection 2018.
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Economic and survival burden of dysphagia among inpatients in the United States.美国住院患者吞咽困难的经济负担和生存负担。
Dis Esophagus. 2018 Jan 1;31(1):1-7. doi: 10.1093/dote/dox131.
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