Developing Memory Clinics in Primary Care: An Evidence-Based Interprofessional Program of Continuing Professional Development
Developing Memory Clinics in Primary Care: An Evidence-Based Interprofessional Program of Continuing Professional Development
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DOI：
10.1002/chp.21163
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发表时间：
2013-12-01
影响因子：
1.8
通讯作者：
Hillier, Loretta M.
中科院分区：
文献类型：
--
作者：
Lee, Linda;Weston, W. Wayne;Hillier, Loretta M.
引言：初级保健面临着满足痴呆症患者需求的挑战。一个培训计划的制定，以提高能力，通过发展家庭健康小组（FHT）为基础的跨专业记忆诊所痴呆症护理。跨专业培训计划包括为期2天的研讨会，为期1天的实习和为期2天的导师计划。研究方法：参与者在培训研讨会之前完成了一项在线调查，并在完成该计划后至少6个月进行了一项类似的调查，以测量与评估和管理记忆问题的知识，能力和信心相关的感知变化，以及与患者和护理人员谈论有关痴呆症的担忧时的舒适度。与会者还在讲习班和研讨会结束时完成了一份书面反应调查。结果：22个FHT，124名卫生专业人员，参加了这项计划。在随访中，自我报告的认知障碍的知识和评估和管理认知障碍的能力、信心、与患者谈论记忆问题的舒适度以及参与者的FHT独立管理认知障碍的能力在统计学上显著增加。参与痴呆症护理实践活动增加后，该计划。除了一个FHT成功地形成了一个记忆诊所。讨论内容：这项培训计划是一个重要的机会，通过能力发展计划，以支持初级保健提供者在初级保健实践中维持大部分痴呆症护理，从而实现循证实践的变革。提供实用的知识和资源，并结合最佳教学实践，以最大限度地提高知识转移有助于该计划的成功。
Introduction: Primary care is challenged to meet the needs of patients with dementia. A training program was developed to increase capacity for dementia care through the development of Family Health Team (FHT)-based interprofessional memory clinics. The interprofessional training program consisted of a 2-day workshop, 1-day observership, and 2-day mentorship program. Methods: An online survey was completed by participants prior to the training workshop and a similar survey at least 6 months following completion of the program to measure perceived changes related to knowledge, ability, and confidence to assess and manage memory problems, and comfort in speaking to patients and caregivers about concerns regarding dementia. Participants also completed a paper-based reaction survey at the end of the workshop and observership day. Results: Twenty-two FHTs, with 124 health professionals, participated in this program. At follow-up there were statistically significant increases in self-reported knowledge of and ability to assess and manage cognitive impairment, confidence, comfort level in speaking to patients about memory problems, and the ability of participants' FHT to manage cognitive impairment independently. Engagement in dementia care practice activities increased following the program. All but one FHT successfully formed a memory clinic. Discussion: This training program represents a significant opportunity to bring about evidence-based practice change through a capacity development initiative to support primary care providers to maintain the majority of dementia care within primary care practice. The provision of practical knowledge and resources and incorporating best teaching practices to maximize knowledge transfer contributed to the success of this program.