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What effect does an educational intervention have on interns' confidence and knowledge regarding acute dyspnea management?

dc.contributor.authorReittinger, Tracy M.en_US
dc.contributor.authorKaufman, Samuel R.en_US
dc.contributor.authorSaint, Sanjayen_US
dc.date.accessioned2007-09-20T18:04:53Z
dc.date.available2008-01-03T16:22:50Zen_US
dc.date.issued2006-11en_US
dc.identifier.citationReittinger, Tracy M.; Kaufman, Samuel R.; Saint, Sanjay (2006). "What effect does an educational intervention have on interns' confidence and knowledge regarding acute dyspnea management?." Journal of Hospital Medicine 1(6): 339-343. <http://hdl.handle.net/2027.42/55916>en_US
dc.identifier.issn1553-5592en_US
dc.identifier.issn1553-5606en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/55916
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17219526&dopt=citationen_US
dc.description.abstractBACKGROUND Though acute dyspnea is commonly encountered in hospitalized patients, interns often receive only informal instruction in managing such patients. We hypothesized that formal instruction would improve interns' knowledge and confidence in managing patients with acute dyspnea. METHODS Twenty-six internal medicine interns were randomized to receive either standard education or standard education plus the educational intervention. The educational intervention included two small-group, case-based discussions on acute dyspnea management. All participants completed pre- and post-intervention surveys over four months that assessed their knowledge and confidence in managing patients with acute dyspnea. RESULTS Of the 16 interns in the intervention group, 14 attended one of the two small-group sessions while seven attended both sessions. Mean confidence increased by 21.2% in the intervention group and 14.4% in the control group. The trend over time for both groups was significant ( P < .001); the effect of the intervention was not ( P = .19). Mean knowledge scores increased 7.6% in the intervention group and 5.5% in the control group. Again, the trend over time for both groups was significant ( P < .01), but the effect of the intervention was not ( P = .65). A per-protocol analysis revealed a trend toward significance with mean scores increasing 15.6% ( P = .067). CONCLUSIONS Our trial found that intern confidence and knowledge about acute dyspnea management increased significantly over time; however, no significant differences between the intervention and control groups were seen. The complete intervention was not administered to the majority of the intervention group, thereby skewing results to the null. The per-protocol analysis suggests attendance at educational sessions may improve knowledge. Future interventions should use a more sensitive testing instrument, a larger sample, and a more powerful intervention. Journal of Hospital Medicine 2006;1:339–343. © 2006 Society of Hospital Medicine.en_US
dc.format.extent72962 bytes
dc.format.extent3118 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherWiley Subscription Services, Inc., A Wiley Companyen_US
dc.subject.otherLife and Medical Sciencesen_US
dc.subject.otherHospital Medicineen_US
dc.titleWhat effect does an educational intervention have on interns' confidence and knowledge regarding acute dyspnea management?en_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDivision of General Medicine, University of Michigan Department of Internal Medicine, Ann Arbor, Michigan ; Cogent Healthcare of Iowa, St. Luke's Hospital, 1026 A Avenue NE, Cedar Rapids, IA 52406-3026; Fax: (319) 368-5973en_US
dc.contributor.affiliationumDivision of General Medicine, University of Michigan Department of Internal Medicine, Ann Arbor, Michigan ; VA/UM Patient Safety Enhancement Program, Ann Arbor, Michiganen_US
dc.contributor.affiliationumCenter for Practice Management and Outcomes Research, Ann Arbor VA Health Services Research & Development Center of Excellence, Ann Arbor, Michigan ; Division of General Medicine, University of Michigan Department of Internal Medicine, Ann Arbor, Michigan ; VA/UM Patient Safety Enhancement Program, Ann Arbor, Michiganen_US
dc.identifier.pmid17219526en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/55916/1/134_ftp.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1002/jhm.134en_US
dc.identifier.sourceJournal of Hospital Medicineen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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