From the Department of Pediatrics, Pediatric Emergency Medicine Department, University Children's Hospital, Inselspital, Bern, Switzerland.
Department for Assessment and Evaluation, Institute for Medical Education, Bern, Switzerland.
Pediatr Emerg Care. 2020 Dec;36(12):575-581. doi: 10.1097/PEC.0000000000002218.
Managing pediatric emergencies can be both clinically and educationally challenging with little existing research on how to improve resident involvement. Moreover, nursing input is frequently ignored. We report here on an innovation using interprofessional briefing (iB) and workplace-based assessment (iWBA) to improve the delivery of care, the involvement of residents, and their assessment.
Over a period of 3 months, we implement an innovation using iB and iWBA for residents providing emergency pediatric care. A constructivist thematic analysis approach was used to collect and analyze data from 4 focus groups (N = 18) with nurses (4), supervisors (5), and 2 groups of residents (4 + 5).
Residents, supervisors, and nurses all felt that iB had positive impacts on learning, teamwork, and patient care. Moreover, when used, iB seemed to play an important role in enhancing the impact of iWBA. Although iB and iWBA seemed to be accepted and participants described important impacts on emergency department culture, conducting of both iB and iWBA could be sometimes challenging as opposed to iB alone mainly because of time constraints.
Interprofessional briefing and iWBA are promising approaches for not only resident involvement and learning during pediatric emergencies but also enhancing team function and patient care. Nursing involvement was pivotal in the success of the innovation enhancing both care and resident learning.
儿科急症的管理在临床和教育方面都具有挑战性，几乎没有研究探讨如何提高住院医师的参与度。此外，护理人员的意见经常被忽视。我们在此报告一项创新举措，即采用跨专业简报（iB）和基于工作场所的评估（iWBA）来改善护理服务、提高住院医师的参与度并对其进行评估。
在 3 个月的时间里，我们为提供儿科急症护理的住院医师实施了一项创新举措，采用建构主义主题分析法，从 4 个焦点小组（N=18）中收集和分析数据，这些焦点小组由护士（4 人）、主管（5 人）以及 2 组住院医师（4 人和 5 人）组成。
住院医师、主管和护士均认为 iB 对学习、团队合作和患者护理有积极影响。此外，当使用 iB 时，它似乎在增强 iWBA 的影响方面发挥了重要作用。尽管 iB 和 iWBA 似乎被接受，并且参与者描述了对急诊部门文化的重要影响，但与仅使用 iB 相比，开展 iB 和 iWBA 有时会具有挑战性，主要是因为时间限制。
跨专业简报和 iWBA 不仅是儿科急症中住院医师参与和学习的有前途的方法，而且还能增强团队功能和患者护理。护理人员的参与对于该创新举措的成功至关重要，既提高了护理质量，又促进了住院医师的学习。
