skills

技能
  • 文章类型: Journal Article
    除颤是处理心脏急症的关键干预措施,然而,医护人员(HCWs)使用除颤器的准备工作仍然不足,特别是在低收入和中等收入国家。此质量改进项目旨在评估和增强HCW的知识,技能,以及通过1小时除颤器研讨会在急诊科(ED)使用除颤器的态度。
    在三级护理医院的ED内进行了观察性临床审核。研讨会前和研讨会后的数据是使用结构化的人口统计问卷从参与者那里收集的,知识评估(20道选择题),技能评估(十步检查表),和态度评估(李克特量表陈述)。研讨会包括理论指导和实践,一周后进行了研讨会后评估。数据分析采用描述性统计和配对t检验,而道德考虑确保了机密性和同意。
    该研究包括38名参与者,证明了除颤器知识的巨大差距,技能,和研讨会前的态度。研讨会后评估显示,知识得分有显著提高(P<0.05),态度(P<0.05),实际技能(P<0.05)。参与者对管理心脏紧急情况的信心和准备显著增加,表明研讨会在解决已发现的缺陷方面的效力。
    1小时除颤器车间有效地增强了HCWs的能力和使用ED除颤器的准备。观察到的改进强调了有针对性的教育干预措施在弥合知识差距和培养对应急管理的积极态度方面的重要性。应定期进行培训课程,以维持这些增强功能并改善ED患者的预后。
    UNASSIGNED: Defibrillation is a critical intervention in managing cardiac emergencies, yet healthcare workers (HCWs) preparation for utilizing defibrillators remains inadequate, particularly in low and middle-income countries. This quality improvement project aimed to assess and enhance HCWs\' knowledge, skills, and attitudes toward defibrillator use in the emergency department (ED) through a 1-h defibrillator workshop.
    UNASSIGNED: An observational clinical audit was conducted within the ED of a tertiary care hospital. Pre- and post-workshop data were collected from the participants using structured questionnaires for demographics, knowledge assessment (20 multiple-choice questions), skills assessment (10-step checklist), and attitude evaluation (Likert-scale statements). The workshop included theoretical instruction and hands-on practice, with a post-workshop assessment conducted one week later. Data analysis employed descriptive statistics and paired t-tests, while ethical considerations ensured confidentiality and consent.
    UNASSIGNED: The study included 38 participants, demonstrating significant gaps in defibrillator knowledge, skills, and attitudes pre-workshop. Post-workshop assessments revealed a marked improvement in knowledge scores (P<0.05), attitudes (P<0.05), and practical skills (P<0.05). Participants\' confidence and preparation for managing cardiac emergencies notably increased, indicating the workshop\'s efficacy in addressing the identified deficiencies.
    UNASSIGNED: The 1-h defibrillator workshop effectively enhanced HCWs\' competence and readiness to utilize ED defibrillators. The observed improvements underscore the importance of targeted educational interventions in bridging knowledge gaps and fostering proactive attitudes toward emergency management. Regular training sessions should be conducted to sustain these enhancements and improve patient outcomes in the ED.
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  • 文章类型: Journal Article
    背景:模拟在急诊医学中的价值是无可争议的,因为它允许培训和获取许多技术和非技术技能(TS和NTS)。在法国,没有关于在急诊医学住院医师期间使用模拟作为教学工具的课程。这项研究的目的是为急诊医学住院医师计划设计基于国家模拟的课程的内容。
    方法:德尔菲法在2022年3月至6月间进行。问卷分为三个部分:TS,NTS和临床情况作为起点(SSP)。建立了一个由急诊医师组成的模拟教育专家小组。进行了一项在线调查,要求他们得分,在李克特四点量表上,在急诊医学住院医师期间,通过模拟课程教授技能和SSP的适用性。根据专家对其他项目的意见或建议,在每一轮之间对问卷进行了修订。
    结果:66位专家完成了Delphi流程。初始问卷包括64TS,37个NTS和103个SSP。专家的评论导致增加了12个TS,24个NTS和6个SSPs。经过三轮谈判达成共识。专家们选择了24个TS和20个NTS作为急诊医学住院医师期间模拟的优先课程,和15个要优先使用的SSP。
    结论:使用德尔菲法,法国基于模拟的急诊医学教育专家选择了24项技术和20项非技术技能作为优先课程,对急诊医学居民进行基于模拟的培训。
    BACKGROUND: The value of simulation in emergency medicine is indisputable because it allows training and acquisition of many technical and non-technical skills (TS and NTS). In France, there are no curriculum regarding the use of simulation as a teaching tool during emergency medicine residency. The aim of this study was to design the content of a national simulation-based curriculum for emergency medicine residency programs.
    METHODS: The Delphi method was conducted between March and June 2022. The questionnaire was divided into three sections: TS, NTS and clinical situations as starting points (SSPs). A panel of emergency physicians\' experts on simulation education was established. An online survey was conducted in which they were asked to score, on a four-point Likert scale, the suitability of skills and SSPs to be taught through simulation courses during the emergency medicine residency. The questionnaire was revised between each round following comments or suggestions for additional items from the experts.
    RESULTS: Sixty-six experts completed the Delphi process. The initial questionnaire included 64 TS, 37 NTS and 103 SSPs. The experts\' comments led to the addition of 12 TS, 24 NTS and 6 SSPs. Consensus was obtained after three rounds. The experts selected 24 TS and 20 NTS to be taught as a priority through simulation during the emergency medicine residency, and 15 SSPs to be used in priority.
    CONCLUSIONS: With a Delphi method, French experts in simulation-based emergency medicine education have selected 24 technical and 20 non-technical skills to be taught as a priority with simulation-based training to emergency medicine residents.
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  • 文章类型: Journal Article
    冰球需要两个级别的特定敏捷性,涉及不同的能力,其中敏捷性水平及其约束可能因性能水平而异。因此,本研究旨在比较青年曲棍球运动员在两个成绩水平上的冰上和非冰上方向速度(COD)变化之间的关系水平。这项研究是在曲棍球赛季进行的,包括U16精英玩家(n=40)和U16次精英玩家(n=23)。两组都进行了特定的冰上适应性测试(4-m加速度,30米冲刺,和6x54-m测试,有和没有冰球的伊利诺伊州冰上敏捷性测试)和非冰上测试,包括非臂摆动反向跳跃(CMJ),广泛的跳跃,和引体向上。皮尔逊相关性显示,精英球员的加速表现与CMJ(r=-0.46)和跳远(r=-0.31)有关。次精英球员表现出对CMJ(r=-0.77)和跳远(r=-0.43)的30米冲刺的更强依赖性,拉升(r=-0.62)和CMJ(r=-0.50)与6x54-m试验的关系,但与加速度无关。精英玩家在非冰上和冰上性能限制之间存在差异,与次精英选手相比,他们的滑冰冲刺与垂直和水平起飞能力的关系较小。亚精英玩家\'冰外力量决定了他们的冲刺和重复冲刺表现。精英和次精英玩家的COD表现基于不同的条件约束。
    Ice hockey requires two levels of specific agility, involving different abilities, where the level of agility and their constraints might vary by the performance level. Therefore, this study aimed to compare the relationship level between on-ice and off-ice change of directional speed (COD) of youth hockey players at two performance levels. The study was conducted during the hockey season, including U16 elite players (n = 40) and U16 sub-elite players (n = 23). Both groups performed specific on-ice fitness tests (4-m acceleration, 30-m sprint, and 6 x 54-m tests, an on-ice Illinois agility test with and without a puck) and off-ice tests consisting of non-arm swing countermovement jumps (CMJs), broad jumps, and pull-ups. Pearson correlation showed that the acceleration performance of elite players was related to the CMJ (r = -0.46) and the broad jump (r = -0.31). Sub-elite players showed stronger dependence of the 30-m sprint on the CMJ (r = -0.77) and the broad jump (r = -0.43), the relation of pulls ups (r = -0.62) and the CMJ (r = -0.50) to the 6 x 54-m test, yet no association to acceleration. Elite players differ between off-ice and on-ice performance constraints, where their skating sprint is less related to their vertical and horizontal take-off abilities than in sub-elite players. Sub-elite players\' off-ice power determines their sprint and repeated sprint performance. COD performance of elite and sub-elite players is based on different conditioning constraints.
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  • 文章类型: Journal Article
    本系统综述的目的是对网球运动员的技术和战术能力这一主题的文献进行基于证据的综合,并回答以下研究问题:(1)技术和战术能力的研究现状如何(即,技能和知识)和网球;(2)与网球运动员的技术和战术能力有关的最重要的主题是什么。
    在WebofScience中进行了电子搜索,PubMED和SPORTDiscus(2023年8月至9月)。本系统审查是根据PRISMA指南进行的。为了降低风险,我们检索了所有已发表的文献,并纳入了主要研究.搜索词包括技能或能力,比赛或比赛,运动员和网球以及对非竞争性网球运动员的排除研究-符号分析,人工智能方法,工具的系统审查和验证。
    在这些搜索中找到的390个出版物中,13篇文章被认为是相关的,并包括在本研究中。他们分为三类:(1)技战术技能,(2)匹配情况和(3)匹配表现。有明确的证据表明,有一种分析战术技术技能的测试工具具有足够的信度和效度,对网球教练具有实用价值。战术技术技能的发展受方法(技能之间/内部的可变性)的影响,条件(法院规模,球型)和发展领域(态势感知,期待,决策)。不同质量组之间的比赛和中风表现存在差异(专业人员,juniors),这也会受到精神力量的影响。为了全面研究网球运动员的能力,在未来,使用现代技术是可能和必要的。未来的研究应该集中在建立网球运动员比赛水平的能力模型上,其中至少包括三个关键要素:(1)关键能力,(2)标准说明,(3)证据。
    UNASSIGNED: The aim of this systematic review is to provide an evidence-based synthesis of the literature on the topic of technical and tactical competencies of tennis players and to answer the following research questions: (1) What is the state of the art of research on technical and tactical competencies (i.e., skills and knowledge) and tennis; (2) What are the most important topics related to technical and tactical competencies in tennis players.
    UNASSIGNED: Electronic searches were conducted in Web of Science, PubMED and SPORTDiscus (August to September 2023). This systematic review was conducted in accordance with PRISMA guidelines. To reduce risk, all published literature was searched and primary studies were included. The search terms included skills or competencies, match or play, player and tennis and excluded studies on non-competitive tennis players-notation analysis, AI method, systematic review and validation of tools.
    UNASSIGNED: Of the 390 publications found in these searches, 13 articles were considered relevant and included in this study. They were divided into three categories: (1) technical-tactical skills, (2) match situations and (3) match performance. There was clear evidence that there is a test instrument for analyzing tactical-technical skills that has sufficient reliability and validity and is of practical value to tennis coaches. The development of tactical-technical skills is influenced by method (variability between/within skills), conditions (court size, ball type) and areas of development (situational awareness, anticipation, decision making). There are differences in match and stroke performance between different quality groups (professionals, juniors), which can also be influenced by mental strength. For a comprehensive study of tennis players\' abilities, the use of modern technologies is possible and necessary in the future. Future research should focus on the creation of competency models for the playing level of tennis players, which could include at least three key elements: (1) key competencies, (2) description of standards, (3) evidence.
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  • 文章类型: Journal Article
    背景:可能影响进行复苏的医疗保健专业人员表现的因素包括压力,社会概况,疲劳,同理心,和韧性。人际交往技能需要更好的表现。这项研究旨在评估卫生专业人员的同理心和心理韧性的变化,这些专业人员在成功完成认证的培训/干预课程后具有教练潜力,并希望发展/认证为课程讲师。
    方法:医疗保健专业人员参加了通用讲师课程(GIC),来自不同培训课程的为期两天的培训讲师候选人。测量了成人医疗保健专业培训师的同理心和心理韧性的培养,以调查参与模拟培训过程是否会影响培训师的这些特征以及这些特征如何与培训过程相互作用。记录了四个测量值:(i)基线(GIC课程之前),(ii)课程结束后,(iii)一个月后的随访,(iv)三个月后的随访。
    结果:GIC课程的90名参与者是研究样本。参与者在参加GIC后表现出更高的同理心与基线,一个月,和三个月的随访(p=0.023)。弹性没有显示任何统计学差异,参与GIC和随访测量后(p=0.084)。对于这两个变量(移情和韧性),人口统计学与变量没有任何关联。
    结论:除了培训和认证未来复苏课程的讲师的主要目标之外,GIC也对参与者的移情产生了积极的影响。
    BACKGROUND: Factors that may affect the performance of healthcare professionals performing resuscitation include stress, social profile, fatigue, empathy, and resilience. Interpersonal skills are required for better performance. This study aimed at evaluating the change in empathy and mental resilience in health professionals who have the status of instructor potential achieved after successfully completing a certified training/intervention course and want to develop/certify as course instructors.
    METHODS: Healthcare professionals attended the Generic Instructor Course (GIC), a two-day course training instructor candidates from different training courses. Empathy and the cultivation of mental resilience of adult healthcare professional trainers were measured in order to investigate whether participation in a simulated training process can influence these characteristics of the trainer and how these characteristics interact with the training process. Four measurements were recorded: (i) baseline (before the GIC course), (ii) after the course, (iii) follow-up after one month, and (iv) follow-up after three months.
    RESULTS: Ninety participants in the GIC course were the study sample. Participants showed statistically higher empathy after participation in the GIC vs. baseline, one-month, and three-month follow-up (p = 0.023). Resilience did not reveal any statistical difference, after the participation in the GIC and follow-up measurements (p = 0.084). For both variables (empathy and resilience), demographics did not have any association with the variables.
    CONCLUSIONS: Besides its primary aim of training and certifying future instructors in resuscitation courses, the GIC also had a positive impact on the participants\' empathy.
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  • 文章类型: Journal Article
    批判性思维(CT)的发展已成为高等教育的普遍目标。对文献进行了系统回顾,以评估当前使用的教学实践在培养本科医学生的CT/临床推理(CR)/临床判断(CJ)技能和/或倾向方面的有效性。
    PubMed,从2010年1月到2021年4月,使用预定义的布尔表达式搜索了WebofScience和Scopus数据库。
    在最初确定的3221篇文章中,使用PICOS方法纳入33篇文章。从这些,21(64%)报告了CR教学实践,12(36%)报告了CT教学实践。
    总的来说,教学实践,如认知/视觉表现,模拟,文学曝光,测试增强和基于团队的学习,临床病例讨论,基于错误的学习,基于游戏的学习似乎可以增强CT/CR技能和/或倾向。需要进一步的研究来确定最佳时机,在医学教育中有效促进CT/CR的教学干预的持续时间和方式。
    UNASSIGNED: The development of critical thinking (CT) has been a universal goal in higher education. A systematic review of the literature was conducted to evaluate the effectiveness of currently used pedagogical practices to foster CT/ clinical reasoning (CR)/ clinical judgment (CJ) skills and/or dispositions in undergraduate medical students.
    UNASSIGNED: PubMed, Web of Science and Scopus databases were searched from January 2010 to April 2021 with a predefined Boolean expression.
    UNASSIGNED: Of the 3221 articles originally identified, 33 articles were included by using PICOS methodology. From these, 21 (64%) reported CR pedagogical practices and 12 (36%) CT pedagogical practices.
    UNASSIGNED: Overall, pedagogical practices such as cognitive/visual representation, simulation, literature exposure, test-enhancing and team-based learning, clinical case discussion, error-based learning, game-based learning seem to enhance CT/CR skills and/or dispositions. Further research is required to identify the optimal timing, duration and modality of pedagogical interventions for effectively foster CT/CR in medical education.
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  • 文章类型: Journal Article
    未来卫生管理员的教育需求,优先考虑他们的需求,发展这些需求与社区需求之间的关系对于提供更好的响应能力非常重要。我们旨在确定医疗保健管理学生作为健康社区未来管理者所需的知识和技能。
    在这篇系统的文献综述中,1990年至2021年之间进行的所有研究都在MEDLINE等数据库中进行了搜索,Scopus,WebofScience,ProQuest伊朗Medex,马吉兰和科学信息数据库(SID),并采用专题分析方法对收集的数据进行分析。
    本研究的结果分为两个主要类别和十四个子类别,包括与知识相关的因素(对健康和管理科学知识领域的结构和过程的认识)和与技能相关的因素(计划,协调,组织,领导力,控制和评估,财务资源和预算管理,服务管理,通信和信息管理,人力资源管理,实施参与性和团体活动,危机管理,创业,创新,市场营销,决策,和决策)。
    通过识别学生需要的知识和技能,有可能通过必要的教育赋予他们权力。因此,通过提供反应灵敏的教育,发展技能,提高能力,我们可以采取有效措施提高卫生系统的服务质量。
    UNASSIGNED: The educational needs of future health administrators, prioritizing their needs, and developing a relationship between these needs and the needs of the community are very important to provide better responsiveness. We aimed to identify the knowledge and skills required for health care management students as future managers of the health community.
    UNASSIGNED: In this systematic literature review, all studies conducted between 1990 and 2021 were searched in such databases as MEDLINE, Scopus, Web of Science, ProQuest Iran Medex, Magiran and Scientific Information Database (SID), and the collected data were analyzed via the thematic analysis method.
    UNASSIGNED: Findings of this study were divided into two main categories and fourteen subcategories, including knowledge-related factors (awareness of the structure and processes in the field of health and knowledge of management science) and skill-related factors (planning, coordination, organization, leadership, control and evaluation, management of financial resources and budgeting, service management, communication and information management, human resource management, implementation of participatory and team activities, crisis management, entrepreneurship, innovation, marketing, policymaking, and decision-making).
    UNASSIGNED: By identifying the knowledge and skills that students need, it is possible to empower them through necessary education. Therefore, by providing responsive education, developing skills, and improving capabilities, we can take an effective step to improve the quality of health system services.
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  • 文章类型: Journal Article
    在线学习改变了教育环境,并可能影响护理技能的发展,掌握,和学生的能力。
    该研究旨在调查护理专业学生如何获得程序技能,实现掌握,通过在线学习建立能力,考虑到医疗教育中越来越多地使用技术。
    本研究采用了定性描述性研究方法,调查了32名来自护理部的护理专业学生进行在线程序学习的经验。进行了半结构化访谈以收集深入的见解。目的抽样用于收集对现象有深刻理解的数据。数据分析包括有条理的内容分析编码过程。独立研究人员审查了结果以验证发现。
    对数据的内容分析确定了三个关键主题:通过在线学习获得护理程序知识,通过在线学习的力量实现护理程序技能,并通过在线社交和协作学习获得程序能力。
    在线学习在塑造和增强护理程序知识方面发挥了重要作用,技能,和能力,强调整合技术培训模块和不断更新新兴技术的重要性。
    UNASSIGNED: Online learning has changed the educational environment and may influence the development of nursing skills, mastery, and competence in students.
    UNASSIGNED: The study aimed to investigate how nursing students acquire procedural skills, achieve mastery, and build competence through online learning, considering the growing use of technology in healthcare education.
    UNASSIGNED: This study utilized a qualitative descriptive research approach to investigate the experiences of 32 nursing students from the Nursing Department who had undergone online procedural learning. Semistructured interviews were conducted to collect in-depth insights. Purposive sampling was used to gather data with a profound understanding of the phenomenon. The data analysis encompassed a methodical content analysis coding procedure. Independent researchers reviewed the results to validate the findings.
    UNASSIGNED: Content analysis of the data identified three key themes: achieving nursing procedural knowledge through online learning, achieving nursing procedural skills with the power of online learning, and gaining procedural competence through online social and collaborative learning.
    UNASSIGNED: Online learning played a significant role in shaping and enhancing nursing procedural knowledge, skills, and competence, emphasizing the importance of integrating technology training modules and staying updated with emerging technologies.
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  • 文章类型: Journal Article
    医疗机构面临的挑战需要有效的领导者。领导力在医学和护理中得到了广泛的研究,但它在物理治疗中受到限制。这项研究的目的是了解和分析已发表的有关物理治疗领导力特征的研究。
    根据PRISMA扩展指南进行了范围审查。MEDLINE,科克伦图书馆,PEDro,Embase,CINAHL,WebOfScience和Scopus数据库在2000年1月1日至2022年6月30日之间进行了审查。选择了所有针对物理治疗中领导力特征的定量研究。使用包含作者的表进行数据提取,出版年份,原产国,title,目标,测量仪器,样本和主要发现。
    获得的结果是在Bolman和Deal设计的领导力研究框架内构建的。
    选择了8项研究。物理治疗师最重视或使用的特征是沟通,渴望不断学习和改进,信誉和专业性。
    领导力对于物理治疗师来说非常重要,和物理治疗,作为职业,他们认为有远见和领导变革非常重要。沟通技巧是最受推崇的特征。
    UNASSIGNED: The challenges faced by healthcare organizations require effective leaders. Leadership has been extensively studied in medicine and nursing, but it is limited in physiotherapy. The objective of this study is to know and analyze the published research on the characteristics of leadership in physiotherapy.
    UNASSIGNED: A scoping review was conducted following the PRISMA extension guidelines. MEDLINE, The Cochrane Library, PEDro, Embase, CINAHL, Web Of Science and Scopus databases were reviewed between 01/01/2000 and 30/06/2022.All quantitative studies addressing the characteristics of leadership in physiotherapy were selected. Data extraction was performed using a table including author, year of publication, country of origin, title, objective, measurement instrument, sample and main findings.
    UNASSIGNED: The results obtained were framed within the framework for the study of leadership designed by Bolman and Deal.
    UNASSIGNED: Eight studies were selected. The characteristics most valued or used by physiotherapists are communication, desire for continuous learning and improvement, credibility and professionalism.
    UNASSIGNED: Leadership is very important for physiotherapists, and for physiotherapy, as profession they consider it very important to have vision and to lead change. Communication skills are the most highly regarded characteristic.
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  • 文章类型: Journal Article
    在全球范围内促进年轻人参与健康研究。我们探讨了柬埔寨农村地区青年卫生和研究参与咨询小组(YAGHRE)的成果。2021年5月,Mahidol牛津热带医学研究单位(MORU)与当地卫生中心和一所中学合作,建立了一个青年参与小组。十名学生接受了培训,并在学校和社区领导了健康参与活动。活动被记录为现场笔记和视听材料,并使用变革理论进行了内容分析,并与YAGHRE成员和利益相关者进行了反复讨论。确定了五个主要结果:1。增加尊重。根据学生和利益相关者的投入制定的参与活动可能会引起更大的尊重。2.建立信任和关系。经常访问MORU的实验室以及与研究人员的互动似乎有助于建立信任和关系。3.提高健康和研究素养。学习新的健康和研究课题,通过参与性活动可以提高识字率;4.改善健康和研究干预措施的吸收。健康促进活动和与研究参与者的沟通可能会增加干预措施的吸收;5.改善社区健康。YAGHRE的健康促进干预措施可能有助于增强社区的健康。
    Engaging young people in health research has been promoted globally. We explored the outcomes of youth advisory group on health and research engagement (YAGHRE) in rural Cambodia. In May 2021, the Mahidol Oxford Tropical Medicine Research Unit (MORU) partnered with a local health centre and a secondary school to establish a youth engagement group. Ten students underwent training and led health engagement activities in schools and communities. Activities were documented as field notes and audio-visual materials which underwent content analysis using theory of change supplemented by iterative discussions with YAGHRE members and stakeholders. Five major outcomes were identified: 1. Increased respect. Engagement activities developed based on input from students and stakeholders may have fostered greater respect. 2. Built trust and relationships. Frequent visits to MORU\'s laboratory and interactions with researchers appeared to contribute to the building of trust and relationship. 3. Improved health and research literacy. Learning new health and research topics, through participatory activities may have improved literacy; 4. Improved uptake of health and research interventions. Health promotional activities and communication with research participants potentially increased the uptake of interventions; 5. Improved community health. YAGHRE\'s health promotional interventions may have contributed in enhancing community\'s health.
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