目的:及时发现脊柱疾病患者的神经系统恶化,通过脊柱运动评估,对于实现早期干预以降低永久性赤字的风险至关重要。这个项目的启动是为了满足安全的要求,通过建立和满足临床医生的教育需求,及时评估脊柱运动。
方法:通过在线调查和并行焦点小组进行的混合方法研究2022年6月至2023年4月。
方法:干预前在线调查和焦点小组发现,针对识别运动功能变化的教育提供不足,因此,临床医师在完成脊柱疾病患者的评估和护理方面缺乏信心和能力.创建了一个电子学习包,并与其他干预措施一起广泛共享,以支持完成评估。为了确定项目的成功,分发了干预后在线调查。
结果:调查受访者报告说,电子学习方案在某种程度上或很大程度上影响了他们的实践,91%的受访者报告说他们对完成脊柱运动评估的信心增加。干预后的结果还表明,护理脊柱手术患者的信心增加。
结论:通过与临床医生合作建立和解决教育需求,这项质量改进项目成功地提高了脊柱护理这一领域的能力和信心。
■这项研究强调了针对性教育的重要性,以确保临床医生具有适当的技能来识别神经系统恶化,并证明了数字教育在提供这种教育方面的有效性。
结论:这项研究解决了及时识别脊柱病患恶化的问题。研究结果是成功地利用数字教育来提高临床医生的信心和能力,从而提高患者的安全性。这项研究将对临床领域的脊柱疾病患者的护理产生影响。
■SQUIRE指南。
■没有患者或公众捐款。
OBJECTIVE: Timely identification of neurological deterioration in patients with spinal disorders, through spinal motor assessment, is paramount in achieving early intervention to reduce the risk of permanent deficits. This project was initiated to meet the requirement for safe, timely spinal motor assessment through establishing and addressing clinician\'s educational needs.
METHODS: Mixed methods study conducted through online survey and concurrent focus groups June 2022-April 2023.
METHODS: Pre-intervention online survey and focus groups identified insufficient provision of education targeted at identifying changes in motor function and as a result, clinicians lacked confidence and competence in completing assessments and caring for patients with spinal disorders. An e-learning package was created and shared widely along with additional interventions to support assessment completion. To establish the success of the project a post-intervention online survey was distributed.
RESULTS: Survey respondents reported that the e-learning package has influenced their practice to either some extent or to a great extent with 91% reporting increased confidence in completing a spinal motor assessment. Post-intervention results also demonstrated an increase in confidence in caring for spinal surgery patients.
CONCLUSIONS: Through engaging with clinicians to establish and address educational needs, this quality improvement project has successfully increased competence and confidence in this area of spinal care.
UNASSIGNED: This study highlights the importance of targeted education to ensure that clinicians are appropriately skilled to identify neurological deterioration and demonstrates the effectiveness of digital education in providing this.
CONCLUSIONS: This study addressed concerns around timely identification of deterioration of spinal patients. Study findings were the success in utilizing digital education to increase clinician\'s confidence and competence and thus enhance patient safety. This research will have an impact on clinical areas caring for patients with spinal disorders.
UNASSIGNED: SQUIRE guidelines.
UNASSIGNED: No patient or public contribution.