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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 5 of 5 Research Studies DisplayedShields AD, Vidosh J, Thomson BA
Validation of a simulation-based resuscitation curriculum for maternal cardiac arrest.
The purpose of this study was to evaluate the knowledge, skills, and self-efficacy of health care participants completing a simulation-based blended learning training curriculum on managing maternal medical emergencies and maternal cardiac arrest. The study included a formative assessment of the Obstetric Life Support curriculum. The training consisted of self-guided pre-course work and an instructor-led simulation course using a customized low-fidelity simulator. Eighty-five participants consented to participation in the training (out of 88 invited); 77 participants completed the training over eight sessions. The study found that at baseline, less than 50% of participants were able to achieve a passing score on the cognitive assessment. After the course, mean cognitive assessment scores improved by 13 points, from 69.4% at baseline to 82.4% after the course. The researchers observed significant improvements in participant self-efficacy, and 92.6% of participants agreed or strongly agreed that the course met its educational objectives.
AHRQ-funded; HS026169.
Citation: Shields AD, Vidosh J, Thomson BA .
Validation of a simulation-based resuscitation curriculum for maternal cardiac arrest.
Obstet Gynecol 2023 Nov 1; 142(5):1189-98. doi: 10.1097/aog.0000000000005349..
Keywords: Heart Disease and Health, Cardiovascular Conditions, Maternal Care, Simulation, Training, Education: Continuing Medical Education, Women
Pillado EB, Li RD, Eng JS
Defining sources and ramifications of mistreatment among female vascular surgery trainees.
This study examined mistreatment that occurred during training of vascular surgeon trainees and categorizes and identifies the sources. This cross-sectional study was an anonymous survey administered after the 2021 Vascular Surgery In-Training Examination. The survey represented all 125 vascular surgery training programs with 510 trainees (66.9% male) participating in the survey (83.6% response rate). Mistreatment was reported by 54.8% of trainees, with twice as many women reporting as men (82.3% vs 41.0%). Women reported higher rates of being shouted at (44.1% vs 21.1%); repeatedly reminded of errors (24.3% vs 16.1%); ignored/treated hostilely (28.9% vs 10.5%); subjected to crude/sexually demeaning remarks, stories, or jokes (19.2% vs 2.1%); evaluated by different standards (29.3% vs 2.1%); and mistaken for a non-physician (75.2% vs 3.5%). Patients and their families were given as the most common source of sexual harassment (66.7%), gender discrimination (90.4%), and racial discrimination (74.4%). Compared with men, women more frequently felt unprepared to respond to the behavior in the moment (10.4% vs 4.6%), did not know how to report mistreatment at their institution (7.6% vs 3.2%), and did not believe that their institution would take their mistreatment report seriously (9.0% vs 3.9%).
AHRQ-funded; HS024516.
Citation: Pillado EB, Li RD, Eng JS .
Defining sources and ramifications of mistreatment among female vascular surgery trainees.
J Vasc Surg 2023 Sep; 78(3):797-804. doi: 10.1016/j.jvs.2023.03.504..
Keywords: Provider: Physician, Education: Continuing Medical Education
Tarnutzer AA, Gold D, Wang Z
Impact of clinician training background and stroke location on bedside diagnostic test accuracy in the acute vestibular syndrome - a meta-analysis.
Researchers conducted a systematic review to assess the accuracy of bedside diagnosis of acute dizziness/vertigo to differentiate peripheral vestibular from central neurologic causes. Their review indicated that the Head Impulse, Nystagmus, Test of Skew (HINTS) examination by trained clinicians can differentiate peripheral from central causes and show higher diagnostic accuracy for stroke in the first 24-48 hours than MRI diffusion-weighted imaging. They concluded that these techniques should be disseminated to clinicians evaluating dizziness/vertigo.
AHRQ-funded; HS029350.
Citation: Tarnutzer AA, Gold D, Wang Z .
Impact of clinician training background and stroke location on bedside diagnostic test accuracy in the acute vestibular syndrome - a meta-analysis.
Ann Neurol 2023 Aug; 94(2):295-308. doi: 10.1002/ana.26661..
Keywords: Diagnostic Safety and Quality, Training, Education: Continuing Medical Education, Provider: Clinician, Stroke, Cardiovascular Conditions
Katzman JG, Balbus J, Herring D
AHRQ Author: Bole A
Clinician education on climate change and health: virtual learning community models.
The Climate Change and Human Health Extension for Community Healthcare Outcomes program (Climate ECHO) is a weekly virtual mentoring program for health-care and public health professionals addressing foundational climate and health educational needs for clinicians. The program includes three objectives: 1) to increase knowledge and self-efficacy of climate change; 2) to improve communication among clinicians, community health workers, and patients regarding the health-related effects of climate change; and 3) to advance knowledge on environmental justice and health equity to reduce health disparities. In February 2021 Climate ECHO introduced a pilot program, with contributions from the United Systems Global Change Research Program’s Interagency Crosscutting Group on Climate Change and Human Health. Project ECHO has participants from over 190 countries and builds virtual communities of practice, where peer participants meet consistently to learn from each other and subject matter experts. The U.S. Department of Health and Human Services’ Office of Climate Change and Health Equity, the Centers for Disease Control and Prevention’s Office of Climate and Health, the National Oceanic and Atmospheric Administration’s Climate Program Office, the National Park Service’s One Health Program, and other non-governmental organizations partnered to support the development of multiple programs focused on climate change and health. The first 8-week pilot program included 625 participants from 45 U.S. states and 25 countries. Most participants were health professionals. Participants reported high levels of satisfaction with the program, indicating increased climate-related knowledge and improved communication skills. After the sessions, participants report a greater likelihood of communicating about climate effects with colleagues and patients.
AHRQ-authored.
Citation: Katzman JG, Balbus J, Herring D .
Clinician education on climate change and health: virtual learning community models.
Lancet Planet Health 2023 Jun; 7(6):e444-e46. doi: 10.1016/s2542-5196(23)00087-6..
Keywords: Education: Continuing Medical Education, Training
Sullivan CE, Weber LS, Lamas PV
Expanding APHON's Pediatric Chemotherapy/Biotherapy Provider and Instructor program to Spanish-speaking countries: pilot series development and evaluation.
This article described the process of adapting and implementing Provider and Instructor program courses for standardized, comprehensive pediatric chemotherapy/biotherapy education in Latin American and Caribbean countries, culturally adapted and translated to Spanish by the Association of Pediatric Hematology/Oncology Nurses (APHON). The Spanish APHON Provider program was piloted four times and the Instructor program twice with nurses from Mexico, Central America, the Caribbean, South America, and Spain. Statistical analysis identified factors associated with pass rates. The Spanish APHON program was deemed appropriate for nurses' education and practice levels in Latin American and Caribbean countries.
AHRQ-funded; HS013852.
Citation: Sullivan CE, Weber LS, Lamas PV .
Expanding APHON's Pediatric Chemotherapy/Biotherapy Provider and Instructor program to Spanish-speaking countries: pilot series development and evaluation.
J Pediatr Hematol Oncol Nurs 2023 Mar-Apr; 40(2):119-32. doi: 10.1177/27527530221121729..
Keywords: Children/Adolescents, Education: Continuing Medical Education, Training