[Evaluation of a training model for health professionals in the care of critical patients: AIPCAP Study].

Autor:	Cánovas Zaldúa Y; Centro de Atención Primaria Passeig de Sant Joan, Barcelona, España. Electronic address: ycanovas.bcn.ics@gencat.cat., Casabella Abril B; Centro de Atención Primaria Raval Sud, Barcelona, España., Martín Cantera C; Unidad de Soporte a la Investigación, Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Barcelona, España., González García F; Centro de Atención Primaria Casernes, Barcelona, España., Moreno Escribá S; Centro de Urgencias de Atención Primaria Gracia, Barcelona, España., Del Val García JL; Unidad de Soporte a la Investigación, Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Barcelona, España.
Jazyk:	Spanish; Castilian
Zdroj:	Atencion primaria [Aten Primaria] 2020 Mar; Vol. 52 (3), pp. 151-158. Date of Electronic Publication: 2019 Jan 10.
DOI:	10.1016/j.aprim.2018.08.009
Abstrakt:	Objective: To evaluate the validity, acceptability, and impact on the level of knowledge and skills of Primary Care health professionals of a training model aimed at improving the care of critical patients. Design: A quasi-experimental interventional, multicentre study. Location: Eight health care teams in Barcelona. Participants: A total of 272 professionals. Interventions: A training program consisting of 48 simulations of acute myocardial infarction and stroke. Main Measurements: A checklist was used to evaluate critical patient skills, effect of training on the knowledge of the participants, and a satisfaction survey. The training was carried out after 2 series of simulations (AMI+Stroke). In the second series, 3evaluations were made: in situ, one week after, and at 3weeks. Concordance and reliability were measured. The differences in means were analysed using the Student t test for paired data. Results: A total of 449 knowledge tests were answered, with a higher score being obtained at the end of each simulation (3.89 -SD 1.01 vs. 3.21 -SD 1.09). Doctors obtained better medical scores than nurses (3.81 - SD 0.87 vs. 3.32 - SD 1.15), and professionals with a specialty completed scored more than those in training (MIR) (3.6 - SD 1.08 vs. 3.4 - SD 1.18). The mean score was 7.7 points (SD 1.56) in the first evaluation, and improved to 9.1 points (SD 0.78). The kappa index was greater than 0.40 in all cases. Conclusions: A training methodology in the management of emergencies in Primary Care based on simulations is valid, reliable and well accepted, achieving an improvement in the level of knowledge and skills of the participating professionals. (Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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