Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Brazil.
Universidade Federal de São Paulo, São Paulo, Brazil.
JMIR Res Protoc. 2024 Oct 23;13:e58030. doi: 10.2196/58030.
Bedside ultrasonography, also known as point-of-care ultrasound (PoCUS), is a promising technological tool that enhances clinical assessment, enriching diagnostic capabilities and clinical reasoning. Its use in nursing spans various patient populations and health care settings, providing nurses with a valuable health assessment tool to improve care quality and patient safety. Despite its growing integration into clinical practice, PoCUS training has mainly focused on physicians, leaving a gap for trained nurses who demonstrate similar proficiency in conducting scans and interpreting images. Previous research highlights the value of digital tools in PoCUS training, showing their role in improving professionals' and students' knowledge, image interpretation skills, and clinical acumen.
This study aimed to (1) establish an assessment instrument gauging nurses' competency milestones in PoCUS and evaluate its content and appearance validity, (2) develop a series of 5 educational videos focused on PoCUS and assess their content and appearance validity, and (3) construct an online learning environment tailored to nurses' PoCUS training needs and evaluate its content and appearance validity.
We will conduct a methodological study of technological production guided by Rogers' diffusion of innovations theory. Subproject 1 will design and validate a comprehensive assessment tool for evaluating nurses' competency milestones in PoCUS use. For this purpose, a scoping review will be conducted. The review will be based on JBI Collaboration guidelines and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extended for Scoping Reviews (PRISMA-ScR) checklist. Subproject 2 involves an evaluation of content and appearance validity for a series of 5 educational videos on PoCUS, designed specifically for nurses about applying peripherally inserted central catheter lines, inserting nasogastric feeding tubes, assessing gastric residual volume, assessing pressure injuries and soft tissue conditions, and assessing muscle mass to monitor patient nutritional status. In subproject 3, a comprehensive online learning environment dedicated to PoCUS training for nurses will be developed and validated. The launch of an online learning environment represents a cornerstone of our dissemination strategy, scheduled to coincide with the inaugural Brazilian PoCUS symposium for nurses, an event organized by the project members. This platform will serve as a pivotal resource for continuous learning and professional development.
Subproject 1 will start in the second half of 2024 and is expected to be completed by mid-2025. Subproject 2 is currently ongoing and is expected to be completed in early 2026. Subproject 3 is set to begin in early 2025 and is planned to be completed by 2026.
Through these concerted efforts, the project aims to bridge the existing gap in PoCUS training for nurses, thereby fostering their proficiency and enhancing patient care outcomes.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/58030.
床边超声检查，也称为即时护理超声（PoCUS），是一种很有前途的技术工具，可增强临床评估，丰富诊断能力和临床推理。它在护理中的应用涵盖了各种患者群体和医疗保健环境，为护士提供了有价值的健康评估工具，以提高护理质量和患者安全性。尽管它已越来越多地融入临床实践，但 PoCUS 培训主要侧重于医生，而对于表现出类似扫描和图像解释能力的训练有素的护士，这方面的培训仍然存在空白。先前的研究强调了数字工具在 PoCUS 培训中的价值，展示了它们在提高专业人员和学生的知识、图像解释技能和临床敏锐度方面的作用。
本研究旨在：（1）建立评估护士在 PoCUS 中能力发展阶段的评估工具，并评估其内容和外观有效性；（2）开发一系列专注于 PoCUS 的 5 个教育视频，并评估其内容和外观有效性；（3）构建一个满足护士 PoCUS 培训需求的在线学习环境，并评估其内容和外观有效性。
我们将遵循罗杰斯创新扩散理论进行技术制作的方法学研究。子项目 1 将设计和验证评估护士在 PoCUS 使用中能力发展阶段的综合评估工具。为此，将进行范围审查。审查将基于 JBI 合作指南，并按照系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR）清单进行报告。子项目 2 涉及对专为护士设计的 5 个关于 PoCUS 的教育视频的内容和外观有效性进行评估，这些视频涵盖了外周插入中心导管线、插入鼻胃管、评估胃残留量、评估压疮和软组织状况以及评估肌肉质量以监测患者营养状况等方面。在子项目 3 中，将开发和验证一个专门用于护士 PoCUS 培训的综合在线学习环境。在线学习环境的推出是我们传播策略的基石，计划在项目成员组织的第一届巴西 PoCUS 护士研讨会上推出该平台。该平台将成为持续学习和专业发展的重要资源。
子项目 1 将于 2024 年下半年开始，预计 2025 年年中完成。子项目 2 目前正在进行中，预计于 2026 年初完成。子项目 3 计划于 2025 年初开始，预计于 2026 年完成。
通过这些协同努力，该项目旨在弥合护士在 PoCUS 培训方面的现有差距，从而提高他们的熟练程度并改善患者护理结果。
国际注册报告标识符（IRRID）：PRR1-10.2196/58030。
