Enteral Nutrition Practitioner Tutorial - An Online Case-Based Learning Program

肠内营养从业者教程 - 基于案例的在线学习计划

• 批准号: 7219828
• 负责人: Cheryl Winthers Thompson
• 金额: $ 9.72万
• 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 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7219828
• 关键词: Active Learning; Adverse event; Advocacy; American; Award; Behavior; Behavioral Research; Caring; Clinical; Collaborations; Complex; Comprehension; Computer Assisted; Computer software; Costs and Benefits; Credentialing; Critical Illness; Development; Development Plans; Dietitian; Distance Learning; E-learning; Education; Educational Curriculum; Educational process of instructing; Effectiveness; Enteral Nutrition; Evaluation; Feedback; Fostering; Foundations; Goals; Government; Guidelines; Health Personnel; Health system; Healthcare; Human; Incidence; Individual; Institute of Medicine (U.S.); Knowledge; Learning; Measures; Medical; Medical Education; Metabolic; Methods; Mission; Modification; Morbidity - disease rate; Motion; Numbers; Nurse Practitioners; Nurses; Nutrient; Nutritional Study; Online Systems; Operative Surgical Procedures; Outcome; Patient Care; Patient Simulation; Patients; Pharmacists; Phase; Physician Assistants; Physicians; Practice Guidelines; Process; Programmed Learning; Protocols documentation; Provider; Public Health; Purpose; Rate; Recommendation; Reporting; Research; Research Personnel; Resources; Risk; Safety; Simulate; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Societies; Standards of Weights and Measures; Students; System; Technology; Testing; Time; Training; Training Programs; Translating; United States Agency for Healthcare Research and Quality; United States National Institutes of Health; base; burden of illness; case-based; clinical application; concept; design; evidence based guidelines; experience; gastrointestinal; improved; innovation; interactive multimedia; knowledge base; mortality; nutrition; online tutorial; patient home care; patient oriented; patient safety; practical application; programs; prototype; research and development; research to practice; skills; 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. These patients are vulnerable to EN-related adverse events (e.g. infectious, metabolic, gastrointestinal, and nutrition complications) that can result in increased morbidity and mortality. Nonetheless, research has identified numerous medical, nutrition, and cost benefits when EN is used appropriately. A government report concluded the use of early EN in critically ill and surgical patients has great potential to improve patient outcomes and there is strong evidence to support its widespread implementation. Yet, many healthcare practitioners lack up-to-date training to deliver EN in the safest and most effective manner. In part, this is because mastery of evidence-based knowledge and specialized skills can be challenging and time consuming to learn; and a comprehensive, interdisciplinary EN training program is not widely available. For this Phase I SBIR proposal, Medantic Technology ([MT], a medical education software company) will collaborate with the American Society for Parenteral and Enteral Nutrition ([A.S.P.E.N.], a professional nutrition society) to develop the prototype of a Web-based, self-directed Enteral Nutrition Practitioner Tutorial (ENPT). ENPT will employ principles of active learning in a multi-modal distance-learning platform using evidence-based didactic presentations, interactive patient simulations, applications of clinical reasoning skills, and formative feedback to enhance end users' core competencies for the best practice delivery of EN. This Phase I effort will provide proof-of-feasibility and lay the foundations for Phase II development of the ENPT product and research of its pedagogical effectiveness. The specific aims of the Phase I project are to 1) design the ENPT curriculum, 2) identify key software features, 3) prepare the content development plan, 4) build and demonstrate the ENPT prototype, and 5) design the Phase II research plans. Completion and evaluation of ENPT in Phase II will provide a much-needed training resource for 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-related practice behaviors. By applying medical and behavioral research to help reduce the nation's burden of illness, this project is consistent with the mission of NIH. 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. Project 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. Medantic Technology (MT) believes that: 1) the most dramatic public health implications of the proposed ENPT will be to maximize the potential benefits of EN, 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 practice behavior.

描述（由申请人提供）：肠内营养（EN）通过饲管为无法满足口服营养需求但仍保留足够消化和吸收功能的个体提供营养。这些患者容易发生 EN 相关不良事件（例如感染、代谢、胃肠道和营养并发症），从而导致发病率和死亡率增加。尽管如此，研究已经发现，适当使用 EN 会带来许多医疗、营养和成本效益。一份政府报告得出结论，在危重病和手术患者中使用早期 EN 具有改善患者预后的巨大潜力，并且有强有力的证据支持其广泛实施。然而，许多医疗保健从业人员缺乏最新的培训，无法以最安全、最有效的方式提供 EN。部分原因是，掌握循证知识和专业技能可能具有挑战性且耗时；综合性、跨学科的 EN 培训计划尚未广泛普及。对于这一第一阶段 SBIR 提案，Medantic Technology（[MT]，一家医学教育软件公司）将与美国肠外和肠内营养学会（[ASPP.E.N.]，一家专业营养学会）合作，开发基于网络的原型，自我指导的肠内营养从业者教程（ENPT）。 ENPT 将在多模式远程学习平台中采用主动学习原则，利用循证教学演示、交互式患者模拟、临床推理技能的应用和形成性反馈来增强最终用户提供 EN 最佳实践的核心能力。第一阶段的工作将为 ENPT 产品的第二阶段开发及其教学有效性研究提供可行性证明并奠定基础。第一阶段项目的具体目标是 1) 设计 ENPT 课程，2) 确定关键软件功能，3) 准备内容开发计划，4) 构建和演示 ENPT 原型，5) 设计第二阶段研究计划。第二阶段 ENPT 的完成和评估将为医疗保健从业者提供急需的培训资源，并实现以下目标：1）促进安全实践，以最大限度地提高潜在效益并减少可预防的 EN 相关并发症，2）提供研究机会确定最有效影响 EN 相关实践行为的教育方法。通过应用医学和行为研究来帮助减轻国家的疾病负担，该项目与 NIH 的使命是一致的。此外，该提案提供了一种创新方法，通过向越来越多的患者提供安全、有效、以患者为中心、及时、高效和公平的护理，帮助实现医学研究所 (IOM) 质量差距报告中提出的关键医疗保健目标。在机构和家庭护理环境中需要 EN 的患者。项目相关性：医学教育的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。即将开发的产品是肠内营养从业者教程 (ENPT)，将提供创新的计算机辅助指导 (CAI)，以提高医疗保健从业者将基于证据的 EN 研究转化为实践行为和全系统协议和指南的能力。 Medantic Technology (MT) 认为：1) 拟议 ENPT 最显着的公共卫生影响将是最大限度地发挥 EN 的潜在益处，同时减少与 EN 相关的可预防不良事件的发生率；2) 在第二阶段将证明教程的使用会对练习行为产生有利的影响。