Virtual adaptation of traditional healthcare quality improvement training in response to COVID-19: a rapid narrative review.
Virtual adaptation of traditional healthcare quality improvement training in response to COVID-19: a rapid narrative review.
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DOI：
10.1186/s12960-020-00527-2
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发表时间：
2020-10-28
影响因子：
4.5
通讯作者：
McAuliffe E
中科院分区：
文献类型：
--
作者：
Khurshid Z;De Brún A;Moore G;McAuliffe E
资讯及通讯科技在确保新型冠状病毒疫情期间医疗服务的持续性方面发挥重要作用。疫情亦扰乱了医护专业人员的医疗质素改善培训及教育，因此有需要重新思考提供医疗质素改善培训及教育的方式。这种快速证据审查的目的是快速，但全面地整理研究，以确定在使用远程学习模式提供QI培训和教育方面哪些有效，哪些无效。沿着检索了3个医疗保健数据库，并使用灰色文献来源检索了2015年至2020年期间发表的研究。纳入了针对医疗保健专业人员和学生的QI培训计划或课程的研究，其中至少有一个在线提供的计划组成部分。共有19项研究被纳入该综述。大多数研究采用混合方法设计，并使用混合学习方法，结合在线和面对面的交付模式。大多数纳入的研究报告实现了预期的结果，包括改善参与者的QI知识，技能和态度以及改善患者的临床结局。在线QI培训交付的一些好处包括所需资源更少，减少对现场讲师的需求，增加计划覆盖面，以及对参与者学习时间的更多控制和灵活性。在线交付模式的一些局限性包括有限的学习和联网机会、功能和技术问题以及内容改编和定制的筹备时间长。审查强调，远程学习方法QI有助于克服传统QI培训的障碍。对于那些希望使传统课程适应虚拟环境的人来说，一些重要的考虑因素包括平衡虚拟和非虚拟方法，使用合适的技术解决方案，定制辅导支持，以及使用多种标准进行课程评估。虚拟QI和医疗保健专业人员和学生的培训是传统QI教育的可行，高效和有效的替代方案，将在建立他们的能力和信心方面发挥至关重要的作用，以改善后COVID环境中的医疗保健系统。
Information and communication technology are playing a major role in ensuring continuity of healthcare services during the COVID-19 pandemic. The pandemic has also disrupted healthcare quality improvement (QI) training and education for healthcare professionals and there is a need to rethink the way QI training and education is delivered. The purpose of this rapid evidence review is to quickly, but comprehensively collate studies to identify what works and what does not in delivering QI training and education using distance learning modalities. Three healthcare databases were searched along with grey literature sources for studies published between 2015 and 2020. Studies with QI training programmes or courses targeting healthcare professionals and students with at least one component of the programme being delivered online were included. A total of 19 studies were included in the review. Most studies had a mixed methods design and used blended learning methods, combining online and in-person delivery modes. Most of the included studies reported achieving desired outcomes, including improved QI knowledge, skills and attitudes of participants and improved clinical outcomes for patients. Some benefits of online QI training delivery include fewer required resources, reduced need for on-site instructors, increased programme reach, and more control and flexibility over learning time for participants. Some limitations of online delivery modes include limited learning and networking opportunities, functional and technical problems and long lead time for content adaptation and customisation. The review highlights that distance learning approaches to QI help in overcoming barriers to traditional QI training. Some important considerations for those looking to adapt traditional programmes to virtual environments include balancing virtual and non-virtual methods, using suitable technological solutions, customising coaching support, and using multiple criteria for programme evaluation. Virtual QI and training of healthcare professionals and students is a viable, efficient, and effective alternative to traditional QI education that will play a vital role in building their competence and confidence to improve the healthcare system in post-COVID environment.
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影响因子：
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是时候挑战系统评价的系统性层次结构了吗？
影响因子：
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作者：
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通讯作者：
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