Heesters Veerle, Witlox Ruben, van Zanten Henriette A, Jansen Sophie J, Visser Remco, Heijstek Veerle, Te Pas Arjan B
Division of Neonatology, Department of Paediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Center, Leiden, Netherlands.
Front Pediatr. 2022 Aug 4;10:931055. doi: 10.3389/fped.2022.931055. eCollection 2022.
As the complexity of emergency care increases, current research methods to improve care are often unable to capture all aspects of everyday clinical practice. Video recordings can visualize clinical care in an objective way. They can be used as a tool to assess care and to reflect on care with the caregivers themselves. Although the use of video recordings to reflect on medical interventions (video-reflection) has increased over the years, it is still not used on a regular basis. However, video-reflection proved to be of educational value and can improve teams' management and performance. It has a positive effect on guideline adherence, documentation, clinical care and teamwork. Recordings can also be used for video-reflexivity. Here, caregivers review recordings together to reflect on their everyday practice from new perspectives with regard to context and conduct in general. Although video-reflection in emergency care has proven to be valuable, certain preconditions have to be met and obstacles need to be overcome. These include gaining trust of the caregivers, having a proper consent-procedure, maintaining confidentiality and adequate use of technical equipment. To implement the lessons learned from video-reflection in a sustainable way and to continuously improve care, it should be integrated in regular simulation training or education. This narrative review will describe the development of video recording in emergency care and how video-reflection can improve patient care and safety in new ways. On our own department, the NICU at the LUMC, video-reflection has already been implemented and we want to further expand this. We will describe the use of video-reflection in our own unit. Based on the results of this narrative review we will propose options for future research to increase the value of video-reflection.
随着急诊护理的复杂性增加，当前用于改善护理的研究方法往往无法涵盖日常临床实践的所有方面。视频记录可以客观地呈现临床护理情况。它们可作为一种工具，用于评估护理情况，并与护理人员自身一起反思护理过程。尽管多年来使用视频记录进行医疗干预反思（视频反思）的情况有所增加，但仍未得到常规应用。然而，视频反思已被证明具有教育价值，并且可以改善团队的管理和绩效。它对遵循指南、记录、临床护理和团队合作都有积极影响。记录还可用于视频自反性。在这里，护理人员一起查看记录，从新的角度反思他们在一般背景和行为方面的日常实践。尽管急诊护理中的视频反思已被证明具有价值，但必须满足某些前提条件并克服一些障碍。这些条件包括获得护理人员的信任、有适当的同意程序、保持保密性以及合理使用技术设备。为了以可持续的方式应用从视频反思中学到的经验教训并持续改善护理，应将其纳入常规模拟培训或教育中。本叙述性综述将描述急诊护理中视频记录的发展情况，以及视频反思如何以新的方式改善患者护理和安全。在我们自己所在的部门，即吕伐登大学医学中心的新生儿重症监护病房，视频反思已经得到应用，我们希望进一步扩大这一应用。我们将描述视频反思在我们科室的使用情况。基于本叙述性综述的结果，我们将提出未来研究的选项，以提高视频反思的价值。
