Hospital at home - developing a simulation induction programme for junior doctors.

Autor: Watson G; Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK., Paveley A; Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK., Chin K; Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK., Lindsay-Perez A; Population Health Science, University of Bristol, Bristol, United Kingdom., Schiff R; Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK; Faculty and Life Sciences and Medicine, Kings College London, London, United Kingdom. Electronic address: rebekah.schiff@kcl.ac.uk.
Jazyk: angličtina
Zdroj: Clinical medicine (London, England) [Clin Med (Lond)] 2024 Nov; Vol. 24 (6), pp. 100259. Date of Electronic Publication: 2024 Oct 28.
DOI: 10.1016/j.clinme.2024.100259
Abstrakt: Hospital at Home (HaH) provides hospital-level care within patients' homes. With services expanding, a London HaH service embedded new junior doctor posts. Currently, gaps exist in the under- and postgraduate curriculum to develop clinical skills required to deliver care in this context. HaH simulation (HaH-SIM) was developed, through a multi-cycle QIP, to improve early-career doctors' confidence in providing care in this unfamiliar environment. Surveys before and after HaH-SIM assessed confidence in practical, clinical and communication skills; ranked concerns; rated sessions and gained qualitative feedback. 41 doctors participated over 2 years. It currently includes six low-fidelity stations and three high-fidelity stations. Confidence improved, particularly in managing end of life, decision-making around hospital admission and administering intravenous medications/fluids. High-fidelity scenarios, practical skills and prescribing stations were most highly rated. As HaH services expand, HaH-SIM is a feasible, effective and transferable way of improving early-career doctors' confidence and skills to provide care in patients' homes.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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