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患者护理的转变:探索院前到医院患者交接实践及医疗服务提供者教育的结果。

The transition of patient care: Exploring the outcomes of prehospital to hospital patient handover practices and healthcare provider education.

作者信息

Muller George, Brits Hanneke

机构信息

Division of Health Sciences Education, University of the Free State, Bloemfontein, South Africa.

School of Clinical Medicine, University of the Free State, Bloemfontein, South Africa.

出版信息

Afr J Emerg Med. 2024 Sep;14(3):212-217. doi: 10.1016/j.afjem.2024.07.002. Epub 2024 Aug 6.

Abstract

INTRODUCTION

Inadequate patient handover is linked to numerous medical errors and lapses in communication between hospital healthcare providers and prehospital healthcare providers. Undergraduate healthcare curricula may limit programme-specific education on patient handover and shift learning to informal learning opportunities. This study aimed to investigate the outcomes of qualified healthcare provider (HCPs) educational programmes to determine the adequacy of handover practices, the source of their training, and their interprofessional acceptance of these practices.

METHODS

A multi-method study design was used - a document analysis of HCP programme outcomes and a two-section questionnaire. The questionnaire was sent to HCPs to determine the impact of patient handover practices on current healthcare systems and their opinion on whether the training on handovers is sufficient.

RESULTS

HCPs indicated little educational interaction regarding patient handover. Most participants felt handover education relied predominantly on informal training. With their existing knowledge, many HCPs revealed that they were comfortable in handing over a patient. Little interprofessional confidence regarding patient handover information indicates minimal interprofessional collaboration toward standardised approaches for patient handover.

CONCLUSION

This study indicates a lack of standardised handover procedures, which leads to HCP self-interpretations. There is low trust between HCPs regarding information received. The study highlights the need for standardised handover training in healthcare curricula to improve patient safety and interprofessional collaboration.

摘要

引言

患者交接不当与众多医疗差错以及医院医护人员和院前医护人员之间的沟通失误有关。本科医疗课程可能会限制针对患者交接的特定课程教育,而将学习转移到非正式学习机会上。本研究旨在调查合格医护人员(HCPs)教育项目的成果,以确定交接实践的充分性、他们的培训来源以及他们对这些实践的跨专业接受程度。

方法

采用了多方法研究设计——对HCP项目成果进行文献分析,并设计了一份包含两个部分的问卷。该问卷被发送给HCPs,以确定患者交接实践对当前医疗系统的影响以及他们对交接培训是否充分的看法。

结果

HCPs表示在患者交接方面几乎没有教育互动。大多数参与者认为交接教育主要依赖于非正式培训。凭借现有的知识,许多HCPs表示他们在交接患者时感到得心应手。对患者交接信息的跨专业信心较低,这表明在采用标准化的患者交接方法方面跨专业协作极少。

结论

本研究表明缺乏标准化的交接程序,这导致HCPs自行解读。HCPs之间对所接收信息的信任度较低。该研究强调了在医疗课程中进行标准化交接培训以提高患者安全和跨专业协作的必要性。

相似文献

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Patient handover - the poor relation of medical training?患者交接——医学培训中不受重视的环节?
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Teaching clinical handover with ISBAR.使用ISBAR进行临床交接班教学。
BMC Med Educ. 2020 Dec 3;20(Suppl 2):459. doi: 10.1186/s12909-020-02285-0.

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