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首页> 外文期刊>Nurse education today >Managing medical emergencies in mental health settings using an interprofessional in-situ simulation training programme: A mixed methods evaluation study
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Managing medical emergencies in mental health settings using an interprofessional in-situ simulation training programme: A mixed methods evaluation study

机译：使用侦探原位仿真培训计划管理心理健康环境中的医疗紧急情况：混合方法评估研究

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Abstract Background In the UK, people with severe mental illness die up to 20years earlier than the general population, prompting increased focus on physical health in mental illness. However, training for mental health inpatient staff to meet patients' physical health needs has not received the same attention, with physical health training often being reactive and lacking evidence of effectiveness. Objectives To evaluate an interprofessional, in situ, simulation training intervention for managing medical deterioration in mental health settings. Investigating the impact of training on: 1. Participants' knowledge, confidence, and attitudes towards managing medical deterioration; and 2. Incident reporting, as an objective index of incident management. Participants' perceptions of the impact on their practice were qualitatively explored. Design This evaluation employed a mixed-methods pre-post intervention design. Participants & Settings Fifty-three healthcare professionals participated including: mental health nurses, psychiatrists, healthcare assistants, and activity co-ordinators from two busy psychiatric triage wards in South London, UK. Methods The intervention comprised eight half-day sessions delivered weekly across two wards. Structured surveys assessed participants' knowledge, confidence, and attitudes towards medical deterioration pre and post training. Participants' experience of training was qualitatively captured through post-course surveys and focus groups three months post training. Incident reporting rates for seven-month periods pre and post training were compared. Results Following training, participants showed significant improvement in knowledge ( p p p Conclusions Interprofessional, in situ simulation training for medical deterioration yielded promising outcomes for individuals and teams. Simulation is an under-used training modality in mental health, offering a holistic training approach with the potential to provide educational and clinical benefits while supporting workforce resilience. Highlights ? Interprofessional in situ simulation training on medical deterioration was designed. ? Inpatient psychiatric teams showed increases in confidence, knowledge and attitudes. ? Incident reporting rates 33% higher in 7 months post training versus 7 months prior ? Teams reported improved team working, communication, and reflective practice. ? Interprofessional in situ simulation can be highly useful in mental health settings.
机译：摘要背景在英国，严重的精神疾病的人们比一般人群成就到20年，促使更高的精神疾病身体健康。然而，精神健康住院人员培训，以满足患者的身体健康需求并没有得到相同的关注，身体健康培训往往是反应性和缺乏有效性的证据。目标来评估思想，原位，模拟培训干预，以管理心理健康环境中的医疗恶化。调查培训的影响：1。参与者对管理医疗恶化的知识，信心和态度; 2.事件报告，作为事件管理的客观指标。与会者对他们对其实践的影响的看法是定性的。设计该评估采用了混合方法的干预前设计。参与者和设置五十三位医疗保健专业人士参加，包括：来自英国南伦敦南伦敦繁忙的精神病度评论的精神卫生护士，精神病学家，医疗保健助理和活动协调员。方法干预包括每周遍布两个病房的八个半天的课程。结构化调查评估了参与者的知识，信心和对医疗恶化前后和培训后的态度。参与者通过课程调查和焦点组三个月训练后三个月的培训经验。比较了七个月期间的事件报告率预先和培训后培训。培训后，参与者对知识的显着改善（PPP结论竞争，原位仿真培训对个人和团队产生了有希望的成果。模拟是一种潜在的心理健康培训方式，提供了潜力的整体培训方式。提供教育和临床效益，同时支持劳动力抵御能力。亮点？设计了对理发模拟医疗恶化的仿真培训。？住院精神病学队表现出了信心，知识和态度的增加。培训后7个月内的事件报告率为33％较高33％ 7个月之前？团队报告改进团队工作，沟通和反思实践。？争论原位模拟可以在心理健康环境中非常有用。

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