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Learning to prescribe intravenous fluids: A scoping review
INTRODUCTION: Prescribing intravenous (IV) fluid therapy is a core skill expected of qualified doctors at the point of graduation, but medical graduates often feel ill-equipped to perform this task. This lack of preparedness contributes to treatment-related patient harm. This scoping review maps the...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Bohn Stafleu van Loghum
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732109/ https://www.ncbi.nlm.nih.gov/pubmed/29119469 http://dx.doi.org/10.1007/s40037-017-0386-5 |
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author | McCrory, Richard F. R. Gormley, Gerard Joseph Maxwell, Alexander Peter Dornan, Tim |
author_facet | McCrory, Richard F. R. Gormley, Gerard Joseph Maxwell, Alexander Peter Dornan, Tim |
author_sort | McCrory, Richard F. R. |
collection | PubMed |
description | INTRODUCTION: Prescribing intravenous (IV) fluid therapy is a core skill expected of qualified doctors at the point of graduation, but medical graduates often feel ill-equipped to perform this task. This lack of preparedness contributes to treatment-related patient harm. This scoping review maps the current state of published evidence about how junior doctors prescribe IV fluid therapy and learn how to do it. METHODS: We searched five electronic databases and grey literature from 1994 until June 2016 for articles describing any aspect of IV fluid prescribing practice or its education. A total of 63 articles were selected for analysis. Using the WHO Guide to Good Prescribing to categorize the extracted findings, our review focuses on prescribing IV fluids in adult generalist settings. RESULTS: Most articles studied IV fluid prescribing from the perspective of the doctor. Junior clinicians struggled to conceptualize IV fluid prescribing as a ‘whole task’ in authentic work settings and lacked support. Educational interventions to improve IV fluid prescribing often focused on enhancing prescriber knowledge about fluid and electrolyte balance rather than execution of the prescribing task. CONCLUSIONS: Our understanding of IV fluid prescribing as a holistic integrated skill is patchy, as is its performance. Current IV fluid prescribing education appears insufficient to foster safe and effective practice. For education to achieve the ultimate goal of safer prescribing in workplaces, we need a clearer understanding of how healthcare professionals prescribe IV fluids in real world practice. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s40037-017-0386-5) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5732109 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Bohn Stafleu van Loghum |
record_format | MEDLINE/PubMed |
spelling | pubmed-57321092017-12-21 Learning to prescribe intravenous fluids: A scoping review McCrory, Richard F. R. Gormley, Gerard Joseph Maxwell, Alexander Peter Dornan, Tim Perspect Med Educ Review Article INTRODUCTION: Prescribing intravenous (IV) fluid therapy is a core skill expected of qualified doctors at the point of graduation, but medical graduates often feel ill-equipped to perform this task. This lack of preparedness contributes to treatment-related patient harm. This scoping review maps the current state of published evidence about how junior doctors prescribe IV fluid therapy and learn how to do it. METHODS: We searched five electronic databases and grey literature from 1994 until June 2016 for articles describing any aspect of IV fluid prescribing practice or its education. A total of 63 articles were selected for analysis. Using the WHO Guide to Good Prescribing to categorize the extracted findings, our review focuses on prescribing IV fluids in adult generalist settings. RESULTS: Most articles studied IV fluid prescribing from the perspective of the doctor. Junior clinicians struggled to conceptualize IV fluid prescribing as a ‘whole task’ in authentic work settings and lacked support. Educational interventions to improve IV fluid prescribing often focused on enhancing prescriber knowledge about fluid and electrolyte balance rather than execution of the prescribing task. CONCLUSIONS: Our understanding of IV fluid prescribing as a holistic integrated skill is patchy, as is its performance. Current IV fluid prescribing education appears insufficient to foster safe and effective practice. For education to achieve the ultimate goal of safer prescribing in workplaces, we need a clearer understanding of how healthcare professionals prescribe IV fluids in real world practice. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s40037-017-0386-5) contains supplementary material, which is available to authorized users. Bohn Stafleu van Loghum 2017-11-08 2017-12 /pmc/articles/PMC5732109/ /pubmed/29119469 http://dx.doi.org/10.1007/s40037-017-0386-5 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Review Article McCrory, Richard F. R. Gormley, Gerard Joseph Maxwell, Alexander Peter Dornan, Tim Learning to prescribe intravenous fluids: A scoping review |
title | Learning to prescribe intravenous fluids: A scoping review |
title_full | Learning to prescribe intravenous fluids: A scoping review |
title_fullStr | Learning to prescribe intravenous fluids: A scoping review |
title_full_unstemmed | Learning to prescribe intravenous fluids: A scoping review |
title_short | Learning to prescribe intravenous fluids: A scoping review |
title_sort | learning to prescribe intravenous fluids: a scoping review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732109/ https://www.ncbi.nlm.nih.gov/pubmed/29119469 http://dx.doi.org/10.1007/s40037-017-0386-5 |
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