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使用“客观结构化临床考试”(OSCE)为参与新冠疫情期间儿科患者管理的医护人员开发并验证结构化培训模块。

Development and validation of structured training module for healthcare workers involved in managing pediatric patients during COVID-19 pandemic using "Objective Structured Clinical Examination" (OSCE).

作者信息

Pasi Rachna, Babu Thirunavukkarasu Arun, Kalidoss Vinoth Kumar

机构信息

Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), New Delhi, India & Former Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Mangalagiri, India.

Department of Community and Family Medicine, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India.

出版信息

J Educ Health Promot. 2023 Jan 31;12:15. doi: 10.4103/jehp.jehp_578_22. eCollection 2023.

Abstract

BACKGROUND

COVID-19 (Coronavirus disease-19) is an ongoing pandemic. COVID vaccine administration in adults has provided some degree of protection from infection but children are still susceptible So, we have to be prepared to handle COVID-19 infection in children by training our healthcare workers by updating both their knowledge and skills. We developed a training module to train our healthcare workers in all domains of learning and also planned related assessment methods to know the effectiveness of the module.

MATERIALS AND METHODS

This was a quasi-experimental study with pre- and post-intervention conducted at a tertiary-level teaching medical college in southern India from July to September 2021. The training module was developed as per the "ADDIE" model of the development process module. It was further validated by five experts before implementation. In addition to the quasi-experimental method of evaluation like pre- and post-test, Observed Skill clinical examination (OSCE) had been also used as an assessment tool at the completion of training. A total of 92 participants have been trained as per this module in our tertiary-level care hospital. The association between continuous and categorical variables was assessed using an independent t-test and ANOVA, and paired t-test was used for comparing the difference between pre- and post-test scores.

RESULTS

Pre-test scores had no association with years of experience ( = 0.803) and previous training status of participants ( = 0.350). The mean difference of pre- and post-test scores was 3.8 and it was statistically significant ( value < 0.001) A weak positive correlation between pre- and post-test was present by the Spearmen correlation test (r = 0.337). The correlation between post-test score and OSCE score does not have a significant correlation.

CONCLUSION

Structured training module was effective in training the participants. Multimode assessment method (Pre-test, Post-test, and OSCE) is an important step to evaluate any training program as compared to only the pre- and post-test methods of evaluation.

摘要

背景

2019冠状病毒病(COVID-19)是一场持续的大流行病。成人接种新冠疫苗已提供了一定程度的感染防护,但儿童仍然易感。因此,我们必须通过更新医护人员的知识和技能来培训他们,以便做好应对儿童COVID-19感染的准备。我们开发了一个培训模块,用于在学习的各个领域培训医护人员,并规划了相关评估方法以了解该模块的有效性。

材料与方法

这是一项于2021年7月至9月在印度南部一所三级教学医学院进行的干预前后的准实验研究。培训模块是根据开发过程模块的“ADDIE”模型开发的。在实施前由五名专家进行了进一步验证。除了像干预前和干预后测试这样的准实验评估方法外,观察技能临床考试(OSCE)在培训结束时也被用作评估工具。在我们的三级护理医院,共有92名参与者按照该模块接受了培训。使用独立t检验和方差分析评估连续变量和分类变量之间的关联,并使用配对t检验比较干预前和干预后测试分数之间的差异。

结果

干预前测试分数与参与者的工作年限(=0.803)和先前培训状况(=0.350)无关。干预前和干预后测试分数的平均差异为3.8,具有统计学意义(p值<0.001)。Spearmen相关检验显示干预前和干预后之间存在弱正相关(r=0.337)。干预后测试分数与OSCE分数之间没有显著相关性。

结论

结构化培训模块在培训参与者方面是有效的。与仅采用干预前和干预后测试的评估方法相比,多模式评估方法(干预前测试、干预后测试和OSCE)是评估任何培训项目的重要步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/10079168/681d5dbe3937/JEHP-12-15-g001.jpg

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