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多专业教育干预措施在培训综合老年评估(CGA)方面的有效性——一项系统评价。

Effectiveness of multi-professional educational interventions to train Comprehensive Geriatric Assessment (CGA) - a Systematic Review.

作者信息

Lindner-Rabl Sonja, Singler Katrin, Polidori M Cristina, Herzog Carolin, Antoniadou Eleftheria, Seinost Gerald, Roller-Wirnsberger Regina

机构信息

Medical University of Graz, Department of Internal Medicine, Graz, Austria.

Institute for Biomedicine of Ageing, Friedrich-Alexander University Erlangen-Nürnberg, Nuremberg, Germany.

出版信息

Int J Integr Care. 2023 Aug 14;23(3):9. doi: 10.5334/ijic.7549. eCollection 2023 Jul-Sep.

Abstract

INTRODUCTION

As the world population ages, health and social care professionals are increasingly confronted with patients with chronic long-term conditions and multimorbidity, requiring an extensive assessment and integrated care management strategy. The aim of this paper was to systematically collect and assess evidence of interprofessional education and training strategies for Comprehensive Geriatric Assessment (CGA) to build a competent health workforce.

METHODS

A systematic review was conducted according to PRISMA guidelines and the databases Medline, CINAHL, Cochrane and Embase were searched for studies illustrating effectiveness of educational interventions for teaching and training CGA in an interprofessional context.

RESULTS

Based on 21 identified studies, a great variability and heterogeneity in duration, setting and design of the interventions was identified. Promising results were found in the domains analysed, ranging from knowledge and skills; practices and behaviour; patient health outcomes; attitudes and perceptions to collaboration and quality of care.

DISCUSSION

Education and training of transversal skills within a continuous learning approach is key to equip the health care workforce for successful CGA performance in an interprofessional environment.

CONCLUSION

Further research in this field is recommended to strengthen the evidence-base towards development of a resilient and integrated health care workforce for an ageing population.

摘要

引言

随着世界人口老龄化,卫生和社会护理专业人员越来越多地面对患有慢性长期疾病和多种疾病的患者,这需要进行广泛的评估和综合护理管理策略。本文的目的是系统收集和评估综合老年评估(CGA)跨专业教育和培训策略的证据,以建立一支有能力的卫生工作队伍。

方法

根据PRISMA指南进行系统评价,并检索Medline、CINAHL、Cochrane和Embase数据库,查找说明在跨专业背景下进行CGA教学和培训的教育干预措施有效性的研究。

结果

基于21项已确定的研究,发现干预措施在持续时间、设置和设计方面存在很大差异和异质性。在所分析的领域中发现了有希望的结果,范围从知识和技能;实践和行为;患者健康结果;对协作和护理质量的态度和看法。

讨论

在持续学习方法中进行横向技能的教育和培训是使卫生保健工作队伍在跨专业环境中成功开展CGA的关键。

结论

建议在该领域进行进一步研究,以加强证据基础,为老龄化人口发展一支有适应能力和综合能力的卫生保健工作队伍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6216/10437136/998a63eef337/ijic-23-3-7549-g1.jpg

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