Professional improvement course in transfuctional therapy for residents in Comprehensive General Medicine
Keywords:
PHYSICIANS, KNOWLEDGE, COURSES, GRADUATE.Abstract
Introduction: professional development should promote the development of competencies for a better work performance. The competent performance of medical personnel in transfusion therapy requires deep theoretical and practical knowledge.
Objective: to evaluate the effectiveness of a training course in transfusion therapy aimed at residents in the specialty of General Comprehensive Medicine (MGI) of the Manuel González Díaz Teaching Polyclinic in Bahía Honda, Artemisa province, during the 2021-2022 academic year.
Methods: an educational intervention study was carried out. The universe was constituted by 44 residents in the specialty of General Comprehensive Medicine linked to the medical assistance of the aforementioned polyclinic and the sample by 39 of them selected according to simple random sampling and exclusion and inclusion criteria. A questionnaire was prepared to collect the variables necessary for the study, the 6-week training course was designed and its impact was finally evaluated.
Results: 41 % of the sample showed low knowledge of the transfusion indication model, 35,9 % of them had some knowledge. There was low knowledge on transfusion in particular physiological situations for 25,6 %. About 74,4 % showed some knowledge. With the improvement course implemented, this knowledge improved considerably in the examined residents, obtaining high knowledge in 94,9 % of the sample.
Conclusions: the improvement course implemented was able to correct the deficiencies found, it corresponds to the normative projections of the postgraduate course for the performance of these physicians in the adequate transfusion therapy.
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1. Torres Romo UR, Fernández Franch N, Menéndez- Cabezas AT, López Lazo SE, López Lamezón S. A professional upgrading program in transfusion medicine for the specialty of anesthesiology and resuscitation. Rev Cubana Hematol Inmunol Hemoter [Internet]. 2020 [citado 09/10/2023]; 36(3): e1129. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0864-02892020000300009&script=sci_abstract&tlng=en
2. Mojca Remskar K, Martina Richtsfeld AD, Johnson Michael L. An Observational Study of 3 Different Transfusion Medicine Teaching Methods for Medical Students. Transfusion Medicine Reviews [Internet]. 2018 [cited 16/01/2023]; 32(2): 117-122. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0887796317301530?via%3Dihub
3. Haspel RL, Lin Y, Mallick R, Tinmouth A, et al. Internal medicine resident knowledge of transfusion medicine: results from the BEST-TEST international education needs assessment. Transfusion [Internet]. 2015 [citado 08/01/2023]; 55: 1355-1361. Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/trf.12968
4. Martins de Vasconcelos M, Cotta de Almeida V, Anastacio L. Transfusion medicine in medical education: ananalysis of curricular grids in Brazil and a review of the current literature. Rev Bras Hematol Hemoter [Internet]. 2016 [citado 08/01/2023]; 38(3): 252–6. Disponible en: https://www.scielo.br/j/rbhh/a/57dsMPtNRgRbzDxLs5q5qgx/?lang=en
5. Graham J, Hayes C, Pendry K. Can Team-Based Learning (TBL) Be Used to Deliver Postgraduate Education in Transfusion Medicine for UK Physicians? Medical Science Educator [Internet]. 2020 [citado 08/01/2023]; 30: 631–642. Available from: https://link.springer.com/article/10.1007/s40670-019-00844-9
6. Diego de la Campa JL, Cabrera Pérez SE, Soler Morejón C, Gutiérrez Rojas AR, López Silva JA, Morales Novo J, et al. Necesidades de aprendizaje de medicina transfusional en residentes noveles. Rev Cubana Hematol Inmunol Hemoter [Internet]. 2017 [citado 08/01/2023]; 36(Supl): 1-7. Disponible en: https://revhematologia.sld.cu/index.php/hih/article/viewFile/846/657
7. Hernández Ávila F, Casanova Moreno MC. A propósito del artículo “La necesidad de identificar las competencias profesionales en el Sistema Nacional de Salud”. Rev Cubana Salud Pública [Internet]. 2018 Dic [citado12/10/2023]; 44(4): 217-219. Disponible en: https://www.scielosp.org/article/rcsp/2018.v44n4/217-219/es/
8. Palma B. Aspectos generales de la transfusión de sangre y sus componentes. Rev Med Vozandes [Internet]. 2018 [citado 08/01/2023]; 29(2): 83-90. Disponible en: https://revistamedicavozandes.com/media/2018/RMV2018v29n1-2_RC_01.pdf
9. Ferrer Castro JE, Despaigne Salazar RE, Rodríguez González Z, Sotelo Salas N, Vega de la Torre G. Características clínico epidemiológicas de pacientes tratados con hemoderivados en un hospital de Santiago de Cuba. MEDISAN [Internet]. 2021 [citado 09/01/2023]; 25(3): 609-623. Disponible en: http://www.medisan.sld.cu/index.php/san/article/view/3572
10. Javadzadeh Shahshahani H. Status of Transfusion Medicine Education in Iran. Arch Iran Med [Internet]. 2016 [citado 09/01/2023]; 19(6): 439-45. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27293061/
11. Colomina MJ, Olmedilla L, Villanueva MÁ, Bisbe E. Valoración del grado de conocimiento de los profesionales sobre el Patient Blood Management en su organización. Modelo y resultados de la encuesta del proyecto MAPBM. Rev Esp Anestesiol Reanim [Internet]. 2019 [citado 09/10/2023]; 66(6): 315-23. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0034935619300623
12. Manzini PM, Dall'Omo AM, D'Antico S, Valfré A, Pendry K, Wikman A, et al. Patient blood management knowledge and practice among clinicians from seven European university hospitals: a multicentre survey. Vox Sang [Internet]. 2018 [citado 09/10/2023]; 113(1): 60-71. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/vox.12599
13. López González E, González Cordero F, Rodríguez Orta C Á, Gámez Pérez A, Cabrea Fernández J, Morales Jiménez L, et al. Propuesta de capacitación y superación profesional para mejorar la seguridad de la transfusión sanguínea. Infodir [Internet]. 2022 [citado 26/01/2023]; (38): e1145. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1996-35212022000200011&script=sci_arttext
14. Vargas- Bermúdez ZM. Guía de cuidados de enfermería para la administración de la sangre y sus componentes (Revisión integrativa). Enfermería Actual de Costa Rica [Internet]. 2019 [citado 26/01/2023]; (37): 168-187. Disponible en: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-45682019000200168
15. Hospital Universitário Lauro Wanderley Unidade de Hematologia e Oncologia. Protocolo de Transfusão Segura de Hemocomponentes [Internet]. Brasil: EBSERH; 2018 [citado 26/01/2023]. Disponible en: http://www2.ebserh.gov.br/documents/220250/3051126/Protocolo+de+Tranfus%C3%A3o+Segura+HULW+2018.pdf/a495501f-531d-4990-a6f7 202f10a08991
16. Ministerio de Salud y Protección Social. Guía de práctica clínica basada en la evidencia para el uso de componentes sanguíneos (Adopción). Primera edición [Inter 2016 [citado 26/01/2023]. Disponible en: http://gpc.minsalud.gov.co/gpc_sites/Repositorio/Otros_conv/GPC_para_uso_componentes_sanguineos/GPC_uso_Componentes_sangu%C3%ADneos.pdf
17. Soler Noda G, Fernández Delgado ND. Adverse events in transfusion practice: immune hemolytic transfusion reaction. Rev Cubana Hematol [Internet]. 2022 Jun [citado 27/01/2023]; 38(2): e1499. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-02892022000200007
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