University Health Network, University of Toronto, Toronto, Canada.
Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Nephrology (Carlton). 2022 Sep;27(9):733-738. doi: 10.1111/nep.14040. Epub 2022 Mar 27.
Patients have varied learning styles and this has implications for home haemodialysis (HHD). Assessment tools directed toward understanding these styles remains understudied. As a consequence, this may lead to substandard retention rates or adverse events in HHD programs. As part of a continuous quality improvement initiative we have aimed to improve our understanding of patient learning styles and consequently tailor home dialysis training to individuals. To objectively determine knowledge translation and comprehension, irrespective of learning styles, we have introduced an objective structured clinical examination (OSCE). This assessment tool allows for further refinement of educational priorities by highlighting both deficiencies and strengths. Thereafter, an exit OSCE ensures patients attain an acceptable standard to complete home haemodialysis independently. We hope this tool will help shape future training criteria for HHD programs and consequently reduce adverse event rates.
患者具有不同的学习风格，这对家庭血液透析（HHD）有影响。用于了解这些风格的评估工具仍研究不足。因此，这可能导致 HHD 计划的保留率或不良事件低。作为持续质量改进计划的一部分，我们旨在提高对患者学习风格的理解，并相应地针对个人调整家庭透析培训。为了客观地确定知识的转化和理解，而不论学习风格如何，我们引入了客观结构化临床考试（OSCE）。这种评估工具通过突出缺点和优点，进一步细化了教育重点。此后，通过出口 OSCE 确保患者达到可接受的标准，以独立完成家庭血液透析。我们希望这个工具将有助于为 HHD 计划制定未来的培训标准，并降低不良事件的发生率。
