Cardiac Point-of-care Ultrasound Clinical Training Pathway Implementation and Impact Assessment for Advanced Practice Providers in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 75
- 试验地点
- 2
- 主要终点
- Aim 1: Assess the feasibility of implementing a just-in-time cardiac point-of-care ultrasound (POCUS) clinical training pathway for advanced practice providers (APPs) using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework.
研究概览
简要总结
The aim of this study is to assess emergency medicine physician and advanced practice provider (APP) knowledge and technical skill in performance of a point-of-care ultrasound simulation and just-in-time training pathway to determine the feasibility, acceptability, and usability of the ultrasound training program. By performing this study, we hope to create a standardized training model which could potentially facilitate point-of-care ultrasound (POCUS) clinical performance and thereby improve patient care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •advanced practice providers (APPs) currently working in our ED, with additional APPs as they are hired (expected to be about 75 APPs total within the next 3 years due to expanding staffing needs and coverage models).
排除标准
- •non-APPs such as physicians, nurses, or other clinical staff
研究组 & 干预措施
Advanced Practice Provider (APP) Cohort
Advanced Practice Providers (APPs) are nonphysicians essential to the emergency department workforce, especially in rural and community hospitals.
干预措施: Cardiac point-of-care ultrasound (POCUS) training and clinical pathway (Behavioral)
结局指标
主要结局
Aim 1: Assess the feasibility of implementing a just-in-time cardiac point-of-care ultrasound (POCUS) clinical training pathway for advanced practice providers (APPs) using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework.
时间窗: 1-2 years for each study site
Participants will complete a cardiac POCUS simulation session and a hands-on structured clinical skill exam post-training (OSCE) led by ultrasound-trained faculty. Then as part of standard clinical care, APPs will perform POCUS while supervised by EM attending physicians. The primary outcome assesses program feasibility and acceptability. Participants will complete a pre/post and 6-month post-survey and semi-structured interview. Survey questions are structured based on the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) survey tool. This is scored on a Likert scale from 1-5.
Aim 1: Acceptability of the Intervention as measured by the Acceptability of Intervention Measure (AIM)
时间窗: 1-2 years for each study site
The AIM is scored on a Likert scale from 1 to 5, where a higher score indicates greater acceptability.
Aim 1: Appropriateness of the Intervention as measured by the Intervention Appropriateness Measure (IAM)
时间窗: 1-2 years for each study site
The IAM is scored on a Likert scale from 1 to 5, where a higher score indicates greater appropriateness.
Aim 1: Feasibility of the Intervention as measured by the Feasibility of Intervention Measure (FIM) survey tool
时间窗: 1-2 years for each study site
The FIM is scored on a Likert scale from 1 to 5, where a higher score indicates greater appropriateness.
次要结局
- Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - image quality(1-2 years for each study site)
- Aim 2: Educational impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance(1-2 years for each study site)
- Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - number of clinical POCUSs performed(1-2 years for each study site)
- Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - diagnostic accuracy(1-2 years for each study site)
- Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - emergency department length-of-stay(1-2 years for each study site)
- Aim 2: Impact of the training model on cost-effectiveness(1-2 years for each study site)
- Aim 1: Feasibility of implementing a just-in-time cardiac point-of-care ultrasound (POCUS) clinical training pathway for advanced practice providers (APPs) using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework.(1-2 years for each study site)
- Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - time to initial cardiology consult(1-2 years for each study site)