Research and Development of an Online Enteral Nutrition Practitioner Tutorial

在线肠内营养从业者教程的研究与开发

• 批准号: 7622543
• 负责人: Cheryl Winthers Thompson
• 金额: $ 47.53万
• 依托单位: MD INFORMATICS, LLC
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-02-01 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7622543
• 关键词: Address; Adherence; Adult; Adverse event; Algorithms; American; American Medical Association; Behavior; Behavioral Research; Caring; Childhood; Clinical; Collaborations; Complex; Computer software; Costs and Benefits; Credentialing; Critical Illness; Development; Development Plans; Dietitian; Discipline; E-learning; Education; Educational Curriculum; Educational Intervention; Effectiveness; Enteral; Enteral Nutrition; Evaluation; Goals; Guidelines; Healthcare; Incidence; Individual; Informatics; Institute of Medicine (U.S.); Knowledge; Learning; Life; Longevity; Medical; Medical Education; Metabolic; Methods; Mission; Modification; Morbidity - disease rate; Nurse Practitioners; Nurses; Nutrient; Nutritional Study; Online Systems; Operative Surgical Procedures; Outcome; Patient Care; Patients; Pharmacists; Phase; Physician Assistants; Physicians; Practice Guidelines; Production; Programmed Learning; Protocols documentation; Public Health; Recommendation; Reporting; Research; Research Design; Residencies; Resources; Risk; Safety; Sampling; Simulate; Small Business Innovation Research Grant; Societies; System; Teaching Method; Technology; Testing; Text; Thinking; Time; Training; Training Programs; Translating; United States Agency for Healthcare Research and Quality; United States National Institutes of Health; Videotape; Work; base; burden of illness; case-based; clinical application; cost; design; evidence base; feeding; gastrointestinal; improved; innovation; interactive multimedia; lectures; medical schools; meetings; mortality; nutrition; nutrition education; online tutorial; patient home care; patient oriented; patient safety; practical application; programs; prototype; public health relevance; research and development; research to practice; simulation; skills; software development; tube feeding

DESCRIPTION (provided by applicant): Enteral nutrition (EN) provides nutrients through a feeding tube for individuals who cannot meet their nutrition needs orally yet retain adequate digestive and absorptive function. Research has identified numerous medical, nutrition, and cost benefits when EN is used appropriately. However, enterally-fed patients are vulnerable to adverse events when obtaining enteral access or during the delivery of EN (e.g. infectious, metabolic, gastrointestinal, and nutrition complications), which can result in increased morbidity and mortality. Unfortunately, many healthcare practitioners lack up-to-date training to deliver EN in the safest and most effective manner, in part because mastery of evidence-based knowledge and specialized skills can be challenging and time consuming; and a comprehensive, interdisciplinary EN training program is not widely available. The development of the Enteral Nutrition Practitioner Tutorial - An Online Case-Based Learning Program is proposed as a strategy to overcome these challenges. Phase I was highly successful and resulted in: 1) the development of the proposed course curriculum; 2) identification of software features to maximize pedagogical effectiveness, 3) a content development plan for Phase II; 4) creation of the prototype content delivery platforms, with sample content for demonstration; and 5) two rigorous research designs to be conducted in Phase II. For this Phase II SBIR project, MD Informatics (MDI), a medical education technology R&D company, will collaborate with the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N., a professional nutrition support society) to develop the Enteral Nutrition Practitioner Tutorial (ENPT) courseware. MDI will then collaborate with Intermountain Healthcare to validate ENPT's pedagogical approach for effectiveness in long-term knowledge retention and improvement in clinician practice behavior. Completion and evaluation of ENPT in Phase II will provide a much-needed EN training resource for interdisciplinary healthcare practitioners and fulfill the goals of: 1) promoting safe practices to maximize the potential benefits and reduce preventable EN-related complications, and 2) providing a research opportunity to identify educational methods that most effectively influence EN practice behaviors. This proposal is consistent with the mission of NIH by applying medical and behavioral research to reduce the nation's burden of illness. Furthermore, this proposal offers an innovative approach to help fulfill the key healthcare aims set forth by the Institute of Medicine's (IOM) Quality Chasm reports by promoting safe, effective, patient-centered, timely, efficient, and equitable care to the increasing number of patients who require EN in institutional and home care settings. PUBLIC HEALTH RELEVANCE: A fundamental objective of medical education is to assure that healthcare practitioners incorporate best practice research into routine patient care in a timely manner. The product to be developed, an Enteral Nutrition Practitioner Tutorial (ENPT), will offer innovative computer-assisted instruction (CAI) to facilitate healthcare practitioners' ability to translate evidence-based EN research into practice behaviors and system-wide protocols and guidelines. MD Informatics (MDI) believes that: 1) the public health implications of the proposed ENPT will be to maximize the potential benefits, while reducing the incidence of preventable adverse events associated with the delivery of EN, and 2) research conducted in Phase II will demonstrate that use of the tutorial leads to favorable effects on long-term knowledge retention and clinician practice behavior.

描述（由申请人提供）：肠内营养（EN）通过喂养管为无法满足其营养需求但要保留足够的消化和吸收功能的个体提供营养。当适当使用EN时，研究已经确定了许多医疗，营养和成本益处。但是，在获得肠内通道或传递EN期间（例如传染性，代谢，胃肠道和营养并发症）时，肠内食用的患者容易受到不良事件的影响，这可能导致发病率和死亡率增加。不幸的是，许多医疗保健从业人员缺乏最新的培训来以最安全，最有效的方式提供EN，部分原因是掌握了基于证据的知识和专业技能可能具有挑战性且耗时。而且，一项全面的，跨学科的EN培训计划并不广泛。肠内营养从业者教程的开发 - 提出了一个基于在线案例的学习计划，以克服这些挑战。 第一阶段非常成功，并导致：1）拟议课程课程的发展； 2）识别软件功能以最大程度地提高教学效果，3）II期的内容开发计划； 4）创建原型内容传递平台，并具有用于演示的样本内容； 5）在II阶段进行的两种严格的研究设计。 在此II阶段SBIR项目中，医学教育技术研发公司MD Informatics（MDI）将与美国肠胃外和肠内营养学会（A.S.P.E.N.，专业营养支持协会）合作，以开发肠内营养从业者Tutorial（ENP）课程。然后，MDI将与Intermountain Healthcare合作，以验证ENPT的教学方法，以实现长期知识保留和临床医生实践行为改善的有效性。在第二阶段中完成和评估ENPT将为跨学科的医疗保健从业人员提供急需的EN培训资源，并实现以下目标：1）促进安全实践以最大程度地提高潜在的福利并减少可预防的EN相关并发症，2）提供最有效地影响实践行为的教育方法。该提案通过应用医学和行为研究来减轻国家的疾病负担，与NIH的使命一致。此外，该提案提供了一种创新的方法，可以帮助实现医学研究所（IOM）质量质量报告所提出的关键医疗保健目标，通过促进安全，以患者为中心，及时，及时，高效和公平护理，以促进越来越多的机构和家庭护理环境中的EN的患者。公共卫生相关性：医学教育的一个基本目标是确保医疗保健从业者及时将最佳实践研究纳入常规患者护理中。肠内营养从业人员教程（ENPT）将开发的产品将提供创新的计算机辅助教学（CAI），以促进医疗保健从业人员将基于证据的EN研究转化为实践行为和系统范围的协议和指南的能力。 MD信息学（MDI）认为：1）提出的ENPT的公共卫生影响是最大程度地提高潜在的好处，同时减少与EN交付相关的可预防不良事件的发生率； 2）II阶段进行的研究将证明，使用Tutorial Lead对长期知识保留和实验室实践的有利影响。