Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Tác động của công cụ mHealth hỗ trợ ra quyết định chung đối với nhận thức tình huống của nhóm nhân viên chăm sóc, hiệu quả giao tiếp và hiệu suất trong quá trình hồi sức tim phổi ở trẻ em: giao thức nghiên cứu của một thử nghiệm ngẫu nhiên có đối chứng theo cụm
Tóm tắt
Giao tiếp hiệu quả giữa các thành viên trong nhóm, phối hợp và nhận thức tình huống (SA) là những yếu tố quan trọng trong việc thực hiện hồi sức tim phổi (CPR) một cách tối ưu. Sự phức tạp trong việc chăm sóc trong quá trình CPR, sự tham gia của nhiều nhà cung cấp dịch vụ, sự hiểu lầm trong giao tiếp và các yếu tố ngoại sinh khác có thể làm ảnh hưởng đến việc chăm sóc bệnh nhân, từ đó đe dọa đến khả năng sống sót của bệnh nhân. Chúng tôi nhằm điều tra xem liệu một công cụ hỗ trợ mHealth (Ứng dụng Di động Liên Kết và Tập Trung vào Môi Trường Chăm Sóc Bệnh Nhân [InterFACE]) được phát triển như một nền tảng hợp tác nhằm hỗ trợ các nhân viên cung cấp CPR trong thời gian thực và chia sẻ thông tin tập trung vào bệnh nhân có làm tăng SA trong quá trình hồi sức tim phổi ở trẻ em hay không. Chúng tôi sẽ thực hiện một thử nghiệm ngẫu nhiên theo cụm, có kiểm soát, với mỗi nhóm 6 người tham gia tại một khoa cấp cứu nhi khoa tuyến ba (33.000 lượt khám/năm) với các bác sĩ và y tá nhi khoa. Chúng tôi sẽ so sánh tác động của công cụ InterFACE với các phương pháp giao tiếp truyền thống về SA và giao tiếp hiệu quả trong nhóm trong một tình huống ngừng tim chuẩn hóa ở trẻ em trong bệnh viện và một mô phỏng đa chấn thương với độ tin cậy cao. Bốn mươi tám người tham gia sẽ được phân ngẫu nhiên (1:1) để liên tiếp thực hiện hai kịch bản ghi hình dài 20 phút sử dụng hoặc công cụ mHealth hoặc các phương pháp truyền thống. Điểm chính được đo là điểm SA, được đo bằng công cụ Đánh giá Toàn cầu về Nhận thức Tình huống (SAGAT). Việc tuyển chọn sẽ bắt đầu vào cuối năm 2020 và phân tích dữ liệu vào đầu năm 2021. Chúng tôi dự kiến rằng can thiệp sẽ được hoàn tất vào đầu năm 2021 và kết quả nghiên cứu sẽ được gửi vào giữa năm 2021 để xuất bản. Thử nghiệm lâm sàng này sẽ đánh giá tác động của một công cụ mHealth hợp tác trong việc nâng cao nhận thức tình huống và giao tiếp hiệu quả trong quá trình hồi sức trên bệnh nhi nội viện. Do nghiên cứu trong lĩnh vực này còn hiếm, các kết quả được tạo ra bởi nghiên cứu này có thể trở thành vấn đề quan trọng trong việc cải thiện chăm sóc cho trẻ em nhận hồi sức tim phổi tại bệnh viện, trong thời đại công nghệ truyền thông ngày càng phát triển. ClinicalTrials.gov NCT04464603 Được đăng ký vào ngày 9 tháng 7 năm 2020.
Từ khóa
#hồi sức tim phổi #nhận thức tình huống #mHealth #giao tiếp #nghiên cứu lâm sàngTài liệu tham khảo
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