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Adequate emergency department resource usage: Applying simulation-based workshop to improve teaching competence among elementary and junior high school teachers in Taiwan

INTRODUCTION: More than 80% of patients who visited Emergency Department (ED) was not urgent in Taiwan in 2019. It causes insufficient medical services and a latent fiscal threat to the Nation Health Insurance (NHI). This study adopted simulation-based educating modules to explore the effect in teac...

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Autores principales: Lin, Geng-Shiau, Tseng, Pei-Ling, Chang, Chia-Chen, Yiang, Giou-Teng, Yen, Zui-Shen, Jian, Jang-Wei, Tung, Chen-Yin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448039/
https://www.ncbi.nlm.nih.gov/pubmed/34664876
http://dx.doi.org/10.1097/MD.0000000000027258
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author Lin, Geng-Shiau
Tseng, Pei-Ling
Chang, Chia-Chen
Yiang, Giou-Teng
Yen, Zui-Shen
Jian, Jang-Wei
Tung, Chen-Yin
author_facet Lin, Geng-Shiau
Tseng, Pei-Ling
Chang, Chia-Chen
Yiang, Giou-Teng
Yen, Zui-Shen
Jian, Jang-Wei
Tung, Chen-Yin
author_sort Lin, Geng-Shiau
collection PubMed
description INTRODUCTION: More than 80% of patients who visited Emergency Department (ED) was not urgent in Taiwan in 2019. It causes insufficient medical services and a latent fiscal threat to the Nation Health Insurance (NHI). This study adopted simulation-based educating modules to explore the effect in teaching competence among primary and middle school teachers for efficient AEDRU (adequate emergency department resource usage) education in the future. METHOD: The subjects were 414 elementary and junior high school teachers in Taiwan. 214 participants attended the simulation-based workshop as the simulation-based group, whereas 200 participants took an online self-learning module as the self-learning group. The workshop was created by an expert panel for decreasing the unnecessary usage amount of ED medial resources. The materials are lecture, board games, miniature ED modules, and simulation-based scenarios. A teaching competence questionnaire including ED knowledge, teaching attitude, teaching skills, and teaching self-efficacy was conducted among participants before and after the intervention. Data were analyzed via McNemar, paired t test and the generalized estimating equations (GEE). RESULTS: The study showed that teachers who participated in the simulation-based workshop had improved more in teaching competence than those who received the online self-learning module. In addition, there were significant differences between the pre-test and post-test among the two groups in teaching competence. CONCLUSION: The simulation-based workshop is effective and it should be spread out. When students know how to use ED medical resources properly, they could affect their families. It can help the ED service to be used properly and benefits the finance of the NHI. The health care cost will be managed while also improving health.
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spelling pubmed-84480392021-09-20 Adequate emergency department resource usage: Applying simulation-based workshop to improve teaching competence among elementary and junior high school teachers in Taiwan Lin, Geng-Shiau Tseng, Pei-Ling Chang, Chia-Chen Yiang, Giou-Teng Yen, Zui-Shen Jian, Jang-Wei Tung, Chen-Yin Medicine (Baltimore) 6600 INTRODUCTION: More than 80% of patients who visited Emergency Department (ED) was not urgent in Taiwan in 2019. It causes insufficient medical services and a latent fiscal threat to the Nation Health Insurance (NHI). This study adopted simulation-based educating modules to explore the effect in teaching competence among primary and middle school teachers for efficient AEDRU (adequate emergency department resource usage) education in the future. METHOD: The subjects were 414 elementary and junior high school teachers in Taiwan. 214 participants attended the simulation-based workshop as the simulation-based group, whereas 200 participants took an online self-learning module as the self-learning group. The workshop was created by an expert panel for decreasing the unnecessary usage amount of ED medial resources. The materials are lecture, board games, miniature ED modules, and simulation-based scenarios. A teaching competence questionnaire including ED knowledge, teaching attitude, teaching skills, and teaching self-efficacy was conducted among participants before and after the intervention. Data were analyzed via McNemar, paired t test and the generalized estimating equations (GEE). RESULTS: The study showed that teachers who participated in the simulation-based workshop had improved more in teaching competence than those who received the online self-learning module. In addition, there were significant differences between the pre-test and post-test among the two groups in teaching competence. CONCLUSION: The simulation-based workshop is effective and it should be spread out. When students know how to use ED medical resources properly, they could affect their families. It can help the ED service to be used properly and benefits the finance of the NHI. The health care cost will be managed while also improving health. Lippincott Williams & Wilkins 2021-09-17 /pmc/articles/PMC8448039/ /pubmed/34664876 http://dx.doi.org/10.1097/MD.0000000000027258 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 6600
Lin, Geng-Shiau
Tseng, Pei-Ling
Chang, Chia-Chen
Yiang, Giou-Teng
Yen, Zui-Shen
Jian, Jang-Wei
Tung, Chen-Yin
Adequate emergency department resource usage: Applying simulation-based workshop to improve teaching competence among elementary and junior high school teachers in Taiwan
title Adequate emergency department resource usage: Applying simulation-based workshop to improve teaching competence among elementary and junior high school teachers in Taiwan
title_full Adequate emergency department resource usage: Applying simulation-based workshop to improve teaching competence among elementary and junior high school teachers in Taiwan
title_fullStr Adequate emergency department resource usage: Applying simulation-based workshop to improve teaching competence among elementary and junior high school teachers in Taiwan
title_full_unstemmed Adequate emergency department resource usage: Applying simulation-based workshop to improve teaching competence among elementary and junior high school teachers in Taiwan
title_short Adequate emergency department resource usage: Applying simulation-based workshop to improve teaching competence among elementary and junior high school teachers in Taiwan
title_sort adequate emergency department resource usage: applying simulation-based workshop to improve teaching competence among elementary and junior high school teachers in taiwan
topic 6600
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448039/
https://www.ncbi.nlm.nih.gov/pubmed/34664876
http://dx.doi.org/10.1097/MD.0000000000027258
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