Division of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Division of Pediatric Cardiology, Department of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.
Cardiol Young. 2024 Mar;34(3):519-523. doi: 10.1017/S1047951123002603. Epub 2023 Jul 26.
Paediatric cardiologists and nurse practitioners lack structured education tools focused on basic cardiac surgery principles. However, non-surgical specialties caring for surgical patients require this knowledge for comprehensive clinical care. We created a cardiac surgical educational curriculum focused on improving knowledge and attitudes towards communication for non-surgical trainees and advanced practice providers.
Over one academic year, six paediatric cardiology fellows and seven paediatric cardiac surgery nurse practitioners at Seattle Children's Hospital participated in this study. With surgical supervision, six lectures were prepared by each fellow and delivered monthly. Sessions were hybrid and recorded for later viewing. Pre- and post-intervention survey of attitudes regarding surgical topics and pre- and post- test-based knowledge assessments were administered.
Participants positively rated the usefulness of the lecture series (4.2/5) and would recommend it to a colleague (4.5/5). Self-reported confidence discussing surgical concepts with patients increased from 2.3 to 3.4 among paediatric cardiology fellows (p < 0.001) and from 2.8 to 3.9 among nurse practitioners (p < 0.001), out of 5. In both groups, knowledge assessment scores improved from 54 to 79% post-intervention (p < 0.001).
After a six-part educational series taught by paediatric cardiology fellows, both paediatric cardiology fellows and paediatric cardiac surgery nurse practitioners demonstrated improved knowledge and reported increased comfort counselling families on basic cardiac surgery topics. Structured, active-learning lessons taught by fellows for non-surgical audiences can improve attitudes and build clinically relevant knowledge. Creating an effective level-appropriate multidisciplinary curriculum accessible to various types of medical providers could enhance comprehensive care of complex congenital cardiac surgery patients.
儿科心脏病专家和护士从业者缺乏专注于基本心脏手术原则的结构化教育工具。然而,照顾手术患者的非外科专业人员需要这些知识以进行全面的临床护理。我们创建了一个心脏外科教育课程,重点是提高非外科受训者和高级实践提供者在沟通方面的知识和态度。
在一个学年中,西雅图儿童医院的六名儿科心脏病研究员和七名儿科心脏外科护士从业者参加了这项研究。在外科监督下,每位研究员准备了六次讲座,并每月进行一次。课程为混合式,并进行录制以便以后观看。在干预前后,对参与者进行了关于手术主题的态度的调查以及基于前测和后测的知识评估。
参与者对讲座系列的有用性给予了高度评价(4.2/5),并表示愿意向同事推荐(4.5/5)。儿科心脏病研究员自我报告的与患者讨论手术概念的信心从 2.3 提高到 3.4(p<0.001),护士从业者从 2.8 提高到 3.9(p<0.001),满分均为 5 分。在这两个组中,知识评估分数从干预前的 54%提高到 79%(p<0.001)。
在由儿科心脏病研究员教授的六部分教育系列课程之后,儿科心脏病研究员和儿科心脏外科护士从业者都表现出了知识的提高,并报告说在基本心脏手术主题上为家属提供咨询的舒适度有所提高。由研究员为非外科受众教授的结构化、主动学习课程可以改善态度并建立临床相关知识。创建一个有效的、适合不同类型医疗服务提供者的多学科课程,可以增强对复杂先天性心脏手术患者的综合护理。