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越南在新冠疫情期间实施和评估针对小儿床旁超声的混合培训课程

Implementation and Assessment of a Hybrid Training Course on Point-of-Care Pediatric Ultrasound in Vietnam During the COVID-19 Pandemic.

作者信息

Mori Takaaki, Chor Yek Kee, Bui Thanh Liem, Do Hong Anh, Ong Gene Yong-Kwang

机构信息

Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore, SGP.

Department of Paediatrics, Sarawak General Hospital, Sarawak, MYS.

出版信息

Cureus. 2023 Sep 22;15(9):e45758. doi: 10.7759/cureus.45758. eCollection 2023 Sep.

DOI:10.7759/cureus.45758
PMID:37872933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10590496/
Abstract

Background As point-of-care ultrasound (POCUS) has gained popularity, some educational guidelines have been developed. However, in Vietnam, no training course in pediatric POCUS has yet been developed. This was challenging, especially during the COVID-19 pandemic. Objectives This study aimed to implement a three-month hybrid training course for pediatric POCUS training in Vietnam using both online and face-to-face hands-on sessions and to assess participants' self-efficacy level and change in their attitudes towards pediatric POCUS. Methods A hybrid training course in pediatric POCUS was implemented at a children's hospital in Vietnam. This study developed a standardized training course, including online learning, live lectures, hands-on sessions, and skill assessment based on the POCUS consensus educational guidelines. Physicians interested in pediatric POCUS were recruited for participation. They completed a self-evaluation survey before and after the course using a Likert score to assess their background, self-efficacy in performing POCUS, overall satisfaction with the course, and change in their attitudes towards POCUS three months after the course. Results A total of 19 physicians participated in the course. The mean post-training self-efficacy score was significantly higher than the pre-course assessment score: 73.1 (standard deviation (SD): 7.2) vs. 48.9 (SD: 12.5) (p <0.05). The efficacy level was retained three months after the course. Furthermore, overall satisfaction with the course was high at 9.5 (SD: 0.6). After the course, almost all participants strongly agreed to increase the use of POCUS in their clinical practice. Conclusion A hybrid training course in pediatric POCUS was successfully implemented in Vietnam and found the participants' self-efficacy level to be significantly higher after the course and the effect to be retained after the course. The training course could positively affect the participants' attitudes towards POCUS, encouraging them to use POCUS more frequently in their clinical practice.

摘要

背景 随着床旁超声(POCUS)越来越受欢迎,一些教育指南已经制定出来。然而,在越南,尚未开发出儿科POCUS培训课程。这颇具挑战性,尤其是在新冠疫情期间。目的 本研究旨在为越南的儿科POCUS培训实施一个为期三个月的混合培训课程,采用在线和面对面实践课程相结合的方式,并评估参与者的自我效能水平以及他们对儿科POCUS态度的变化。方法 在越南的一家儿童医院实施了儿科POCUS混合培训课程。本研究制定了标准化培训课程,包括在线学习、现场讲座、实践课程以及基于POCUS共识教育指南的技能评估。招募了对儿科POCUS感兴趣的医生参与。他们在课程前后完成了一份自我评估调查问卷,使用李克特量表来评估他们的背景、进行POCUS的自我效能、对课程的总体满意度以及课程结束三个月后对POCUS态度的变化。结果 共有19名医生参加了该课程。培训后的自我效能平均得分显著高于课程前的评估得分:73.1(标准差(SD):7.2)对48.9(SD:12.5)(p<0.05)。课程结束三个月后,效能水平得以保持。此外,对课程的总体满意度较高,为9.5(SD:0.6)。课程结束后,几乎所有参与者都强烈同意在临床实践中增加POCUS的使用。结论 儿科POCUS混合培训课程在越南成功实施,发现参与者的自我效能水平在课程结束后显著提高,且效果在课程结束后得以保持。该培训课程可对参与者对POCUS的态度产生积极影响,鼓励他们在临床实践中更频繁地使用POCUS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4793/10590496/a4a76678f62a/cureus-0015-00000045758-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4793/10590496/70723c96bc93/cureus-0015-00000045758-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4793/10590496/a4a76678f62a/cureus-0015-00000045758-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4793/10590496/7b54dad34773/cureus-0015-00000045758-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4793/10590496/a4a76678f62a/cureus-0015-00000045758-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4793/10590496/70723c96bc93/cureus-0015-00000045758-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4793/10590496/a4a76678f62a/cureus-0015-00000045758-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4793/10590496/7b54dad34773/cureus-0015-00000045758-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4793/10590496/a4a76678f62a/cureus-0015-00000045758-i04.jpg

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