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精神科医生和护士的医疗急救培训:一项质量改进研究。

Medical emergency training for doctors and nurses in psychiatry: A quality improvement study.

机构信息

157842Townsville University Hospital, Townsville, QLD, Australia.

Statewide Specialty Director Child and Adolescent Mental health Service, 3917Tasmania Health Service, Hobart, TAS, Australia.

出版信息

Australas Psychiatry. 2022 Dec;30(6):759-761. doi: 10.1177/10398562221121213. Epub 2022 Aug 28.

DOI:10.1177/10398562221121213
PMID:36036060
Abstract

OBJECTIVE

We evaluated the impact of medical emergency simulation training on self-reported attitudes, confidence level and knowledge amongst psychiatric doctors and mental health nurses.

METHODS

Before and following Essential Life Support (ELS) simulation training for medical emergencies, pre and post-questionnaires were employed. Paired t-tests were used to analyse change in self-reported attitudes, confidence in self and the team, and theoretical knowledge.

RESULTS

In 37 participants we found significant improvement in doctors and nurses attitudes (t = 2.168 < .05 and 2.651 < .05) and doctor's confidence t = 3.711 < .001) following training. Knowledge increased for all participants and was significant for doctors (t = 2.112, < .041). Comments supported training.

CONCLUSION

Many doctors and nurses in mental health feel inadequately prepared and lack confidence in themselves and their colleagues to respond to medical emergencies. A structured simulation course was useful to change attitudes and increase confidence and knowledge which could benefit the team and patients.

摘要

目的

我们评估了医疗急救模拟培训对精神科医生和心理健康护士的自我报告态度、信心水平和知识的影响。

方法

在进行基本生命支持(ELS)医疗急救模拟培训之前和之后,使用了预前后调查问卷。采用配对 t 检验分析自我报告态度、自我和团队信心以及理论知识的变化。

结果

在 37 名参与者中,我们发现医生和护士的态度显著改善(t = 2.168 <.05 和 2.651 <.05),医生的信心也显著提高(t = 3.711 <.001)。所有参与者的知识都有所增加,医生的知识增加更为显著(t = 2.112 <.041)。评论支持培训。

结论

许多精神科医生和护士觉得自己准备不足,对自己和同事应对医疗急救的能力缺乏信心。结构化的模拟课程有助于改变态度,增强信心和知识,这将使团队和患者受益。

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