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医疗专业人员的脑电图能力:自我评估与客观测试之间的脱节。

Healthcare Professionals' Electroencephalography Competency: A Disconnect Between Self-Assessment and Objective Testing.

出版信息

J Neurosci Nurs. 2022 Aug 1;54(4):153-158. doi: 10.1097/JNN.0000000000000653. Epub 2022 May 10.

DOI:10.1097/JNN.0000000000000653
PMID:35522797
Abstract

BACKGROUND

The role of the healthcare professional (HCP) in performing high-quality electroencephalography (EEG) is critical to ensuring accurate results. This study analyzes HCPs' subjectively and objectively assessed EEG competence to provide information on their EEG competence and competence needs for the development of their education and training. METHODS: The study was a descriptive cross-sectional study. The target group of the study was HCPs working in the clinical neurophysiology departments of university hospitals in Finland. The research data were collected using the EEG Competence instrument created for this research. The instrument consisted of a self-assessment section and a knowledge test component. RESULTS: The participants (N = 65; response rate, 81%) consisted of 34 registered nurses and 31 laboratory technologists. In the self-assessment section, the highest mean score was in patient observation (mean, 4.6) and the lowest was in EEG theoretical knowledge (mean, 3.9). In the test section, most of the respondents (73.8%) answered all questions correctly (maximum, 6 points). There was a positive correlation between age, work experience, own satisfaction with EEG competence, and subjective self-assessment. Those familiar with EEG guidelines and who participated in training days assessed their competence as significantly better ( P < .05). Respondents who read EEG-related literature on their own identified artifacts better ( P = .005). CONCLUSIONS: Laboratory technologists' and registered nurses' subjectively and objectively assessed EEG competence was high. In the future, the EEG competence instrument should be developed further, and more research is needed to assess its psychometric properties to provide more information on HCPs' competence in the diagnostic process.

摘要

背景

医疗保健专业人员(HCP)在进行高质量脑电图(EEG)方面的作用对于确保准确的结果至关重要。本研究分析了 HCP 对 EEG 能力的主观和客观评估,以提供有关他们的 EEG 能力和为发展他们的教育和培训而需要的能力的信息。

方法

本研究是一项描述性的横断面研究。该研究的目标人群是在芬兰大学附属医院的临床神经生理学部门工作的 HCP。研究数据是使用为此项研究创建的 EEG 能力工具收集的。该工具包括自我评估部分和知识测试部分。

结果

参与者(N = 65;响应率为 81%)包括 34 名注册护士和 31 名实验室技术员。在自我评估部分,最高的平均得分为患者观察(平均 4.6),最低的为 EEG 理论知识(平均 3.9)。在测试部分,大多数受访者(73.8%)答对了所有问题(最高 6 分)。年龄、工作经验、对 EEG 能力的自我满意度与主观自我评估呈正相关。熟悉 EEG 指南并参加培训日的人评估他们的能力明显更好(P <.05)。那些自行阅读 EEG 相关文献的受访者能更好地识别伪影(P =.005)。

结论

实验室技术员和注册护士的主观和客观评估的 EEG 能力都很高。未来,应进一步开发 EEG 能力工具,并需要更多的研究来评估其心理测量特性,以提供更多有关 HCP 在诊断过程中能力的信息。

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