Brenner Michael J, Pandian Vinciya
Department of Otolaryngology Head and Neck Surgery, University of Michigan.
School of Nursing, Johns Hopkins University.
Tracheostomy. 2024;1(2):1-6. Epub 2024 Jun 30.
The past decade has witnessed unprecedented progress in tracheostomy care, through communication, dissemination, and implementation of key drivers including interprofessional education, team-based care, standardized protocols, patient and family engagement, and data-driven practice. Improved safety, efficiency, and quality of tracheostomy care reflects contributions from fields of competency-based education, evidence-based practice, and quality improvement. These elements are interconnected, reinforcing one another to enhance patient care. Competency-based interactive education emphasizes active and practical learning through simulations and case studies, which enhance the clinical skills essential for high-quality care. These educational strategies are grounded in clinical research, ensuring that care practices are continually updated and aligned with the latest evidence, thereby bridging the gap between research findings and clinical application. Quality improvement processes such as Plan-Do-Study-Act (PDSA) cycles refine care delivery in real-world settings. Implementation science promotes the uptake of evidence-based practices, ensuring that discoveries translate to improved health outcomes, quality of care, and overall system performance. In each of these domains, patient and family engagement ensures alignment with patient needs and values. The Global Tracheostomy Collaborative leverages this integrated approach through international educational symposia and webinars, comprehensive data analyses, and a learning community that promotes innovative technologies like in situ simulation and augmented and virtual reality. Together, these approaches enhance the learning and application of best practices in tracheostomy care. The continuous, dynamic interaction of education, research, and quality improvement, grounded in patient-centered care, fosters excellence and innovation in care of patients with tracheostomy.
在过去十年中,气管造口护理取得了前所未有的进展,这得益于关键驱动因素的交流、传播和实施,这些因素包括跨专业教育、团队协作护理、标准化方案、患者及家属参与以及数据驱动的实践。气管造口护理安全性、效率和质量的提升反映了基于能力的教育、循证实践和质量改进等领域所做出的贡献。这些要素相互关联,相互促进,以提升患者护理水平。基于能力的互动式教育强调通过模拟和案例研究进行主动和实践学习,这增强了高质量护理所需的临床技能。这些教育策略以临床研究为基础,确保护理实践不断更新并与最新证据保持一致,从而弥合研究结果与临床应用之间的差距。诸如计划 - 实施 - 研究 - 改进(PDSA)循环等质量改进流程在实际环境中优化护理服务。实施科学促进循证实践的采用,确保研究成果转化为改善的健康结果、护理质量和整体系统性能。在这些领域中的每一个,患者及家属的参与都确保了与患者需求和价值观的契合。全球气管造口协作组织通过国际教育研讨会和网络研讨会、全面的数据分析以及促进原位模拟、增强现实和虚拟现实等创新技术的学习社区,利用这种综合方法。这些方法共同增强了气管造口护理最佳实践的学习和应用。以患者为中心的护理为基础,教育、研究和质量改进之间持续、动态的相互作用,促进了气管造口患者护理的卓越和创新。