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为磁共振成像检查中的智障和发育障碍患者提供更好支持而开发的磁共振成像技术员教育模块:一项以患者为中心的合作倡议。

Development of educational modules for MRTs to better support patients with intellectual and developmental disabilities undergoing imaging procedures: A collaborative patient-oriented initiative.

机构信息

Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health.

Special Olympics Ontario.

出版信息

J Med Imaging Radiat Sci. 2020 Dec;51(4S):S26-S30. doi: 10.1016/j.jmir.2020.08.017. Epub 2020 Sep 14.

DOI:10.1016/j.jmir.2020.08.017
PMID:32943363
Abstract

BACKGROUND

Patients with intellectual and developmental disabilities (IDD) experience increased anxiety when undergoing medical imaging procedures for a variety of reasons including sensory overload, comprehension difficulty, and meeting unfamiliar people. There are several strategies that medical radiation technologists (MRTs) can apply to improve the imaging process. The purpose of this project was to work together with patients to develop educational modules and resources for MRTs on how to best support patients with IDD during medical imaging procedures.

DEVELOPMENT PROCESS AND FINDINGS

The project team used a four stage process to (1) determine the educational needs of MRTs around imaging procedures for people with IDD and (2) develop a series of online case-based video modules of challenges and improved practices with accompanying digital resources. First, the project team created and distributed a needs assessment survey to MRTs to identify their educational needs, experience, and interest in learning more about how to best support patients with IDD. The results from this needs assessment underscored that developing skills to better support patients with IDD was an area of interest and need amongst OAMRS members, which led to the formation of a working group whose goal was to identify priority topics and how to best teach these topics. Second, we conducted a focus group with adults with IDD, who had experience with imaging procedures, to ensure the lived experience of people with IDD was a pillar of the modules. Third, we developed a set of video scripts and educational slides, informed by the needs assessment with MRTs and the focus group with adults with IDD. The video scripts focused on four scenarios: (1) Waiting for an imaging procedure, (2) & (3) the imaging process (MRI and PET), and (4) the exit interview. Each of these videos focused on common practice errors made during these scenarios, followed by strategies to address those errors. The educational slides focused on: (1) an introduction to people with IDD (2) Communication and (3) Triggers and Strategies. The fourth and final phase focused on filming the teaching videos with actors with IDD and finalizing the educational slides. Together, the set of educational slides and videos formed the modules for MRTs that will be published online.

LESSONS LEARNED

Undertaking this process to develop educational modules for MRTs on working with people with IDD taught us that people with IDD have lived experiences which should inform the development of educational material; they must be treated as partners during this development process; and a partnered process takes time to carry out.

CONCLUSION

The process that was undertaken allowed the team to develop resources, which can be used by MRTs. Evaluation of the educational modules can inform further refinement and improvement.

摘要

背景

由于各种原因,包括感觉超负荷、理解困难和与不熟悉的人接触,智力和发育障碍(IDD)患者在接受医学影像学检查时会感到焦虑。医学放射技师(MRT)可以应用多种策略来改善成像过程。本项目的目的是与患者合作,为 MRT 开发关于如何在医学成像过程中最好地支持 IDD 患者的教育模块和资源。

开发过程和发现

项目团队使用四阶段流程来(1)确定 MRT 对 IDD 患者影像学检查程序的教育需求,以及(2)开发一系列基于案例的在线视频模块,其中包括挑战和改进实践,并附有数字资源。首先,项目团队创建并分发了一份需求评估调查,以了解 MRT 的教育需求、经验以及对学习如何更好地支持 IDD 患者的兴趣。这项需求评估的结果强调,培养更好地支持 IDD 患者的技能是 OAMRS 成员感兴趣和需要的领域,这导致成立了一个工作组,其目标是确定优先主题以及如何最好地教授这些主题。其次,我们与有成像经验的 IDD 成年人进行了焦点小组讨论,以确保 IDD 患者的生活体验成为模块的支柱。第三,我们根据 MRT 的需求评估和与 IDD 成年人的焦点小组讨论,制定了一套视频脚本和教育幻灯片。视频脚本侧重于四个场景:(1)等待成像程序,(2)和(3)成像过程(MRI 和 PET),以及(4)退出面试。每个视频都侧重于这些场景中常见的实践错误,然后是解决这些错误的策略。教育幻灯片侧重于:(1)对 IDD 患者的介绍,(2)沟通和(3)触发因素和策略。第四阶段和最后阶段集中在与 IDD 患者的演员一起拍摄教学视频并完成教育幻灯片。教育幻灯片和视频集共同构成了在线发布的 MRT 人员教育模块。

经验教训

开展这一过程为 MRT 开发有关与 IDD 患者合作的教育模块,使我们了解到 IDD 患者具有生活体验,这些体验应该为教育材料的开发提供信息;他们在这个开发过程中必须被视为合作伙伴;并且合作过程需要时间来进行。

结论

所进行的过程使团队能够开发可由 MRT 使用的资源。对教育模块的评估可以为进一步的改进和完善提供信息。

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