Impacto de un entrenamiento digital en Estudiantes de Medicina para Detección de Delirium en UCI

Vista sencilla de ítem
dc.contributor.advisorNieto Estrada, Víctor Hugo
dc.contributor.authorDaza Morelli, María Isabel
dc.contributor.authorDelgado Quiroz, Natalia Alexandra
dc.contributor.authorGloria Lozano, Tatiana
dc.contributor.authorMatamoros Quintero, Shaiel Siled
dc.contributor.authorPachón Mendieta, Daniela Francisca
dc.contributor.authorSaade Arias, Valentina
dc.date.accessioned2024-05-09T22:18:07Z
dc.date.available2024-05-09T22:18:07Z
dc.date.issued2024-04
dc.description.abstractLa creación de una herramienta pedagógica para la detección temprana de Delirium en Unidades de Cuidado Intensivo enfocado hacia profesionales de la salud en formación, específicamente, estudiantes de séptimo semestre de pregrado de la Universidad El Bosque, se basa en una necesidad de intervención frente a la problemática de la baja tasa de detección. Se ha reportado en la literatura, que alrededor del 12% de los pacientes en UCI llegan a ser evaluados para un diagnóstico temprano de delirium, dentro de las razones, se explica que el personal de la UCI no cuenta con un conocimiento y entrenamiento adecuado del tema (1). Este proyecto se establece con el propósito de crear y estandarizar una herramienta de enseñanza para el personal de salud en formación que permita un enfoque correcto de esta entidad patológica que afecta en un 41 y 87% de los adultos mayores que se encuentran en UCI y usualmente es subdiagnosticado (2). La propuesta de este protocolo está basado en una prueba piloto con un modelo de aprendizaje de E-learning para el análisis y diagnóstico de Delirium, aplicada en la población a estudio, fortaleciendo así conocimientos previamente adquiridos dentro del plan de estudios académico y por tanto a futuro, logren identificar y tratar eficazmente esta entidad.
dc.description.abstractenglishThe creation of a teaching tool for the early detection of Delirium in Intensive Care Units focused on health professionals in training, specifically, seventh semester undergraduate students at Universidad El Bosque, is based on a need for intervention against the problem of low detection rate, as reported in the literature, where only 12% of ICU patients are evaluated for early diagnosis of Delirium, such results showed that the ICU staff does not have adequate knowledge and training for this (1). This project is established with the purpose of creating and standardizing a teaching tool that allows a correct and early diagnosis of a pathological entity that affects between 41 and 87% of older adults in the ICU and is usually underdiagnosed (2). The proposal of this protocol is based on a pilot test with an E-learning learning model for the analysis and diagnosis of Delirium, applied in the selected population, thus strengthening knowledge previously acquired within the academic curriculum and therefore, in the future, they will be able to identify and effectively treat this entity
dc.description.degreelevelPregradospa
dc.description.degreenameMédico Cirujanospa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/12095
dc.language.isoes
dc.publisher.facultyFacultad de Medicinaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programMedicinaspa
dc.relation.referencesKotfis K, Marra A, Ely EW. ICU delirium ― a diagnostic and therapeutic challenge in the intensive care unit. Anestezjol Intens Ter. 2018 Jun 28;50(2).
dc.relation.referencesChambers B, Meyer M, Peterson M. Training students to detect delirium: An interprofessional pilot study. Nurse Educ Today. 2018 Jun;65.
dc.relation.referencesBaessler F, Ciprianidis A, Rizvi AZ, Weidlich J, Wagner FL, Klein SB, et al. Delirium: Medical Students’ Knowledge and Effectiveness of Different Teaching Methods. The American Journal of Geriatric Psychiatry [Internet]. 2019 Jul [cited 2021 Apr 17];27(7). Available from: https://www.sciencedirect.com/science/article/abs/pii/S1064748119302829?via%3Dihub
dc.relation.referencesSchiemann A, Hadzidiakos D, Spies C. Managing ICU delirium. Curr Opin Crit Care [Internet]. 2011 Apr [cited 2021 Apr 16];17(2). Available from: https://journals.lww.com/co-criticalcare/Abstract/2011/04000/Managing_ICU_delirium.8.aspx
dc.relation.referencesBounds M, Kram S, Speroni KG, Brice K, Luschinski MA, Harte S, et al. Effect of ABCDE Bundle Implementation on Prevalence of Delirium in Intensive Care Unit Patients. American Journal of Critical Care. 2016 Nov 1;25(6).
dc.relation.referencesMitchell G, Scott J, Carter G, Wilson CB. Evaluation of a delirium awareness podcast for undergraduate nursing students in Northern Ireland: a pre−/post-test study. BMC Nurs [Internet]. 2021 Dec 1 [cited 2021 Apr 17];20(1):20. Available from: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-021-00543-0
dc.relation.referencesZhang H, Yuan J, Chen Q, Cao Y, Wang Z, Lu W, et al. Development and validation of a predictive score for ICU delirium in critically ill patients. BMC Anesthesiol. 2021 Dec 1;21(1).
dc.relation.referencesHerrera Herrera JL, Oyola López E, Llorente Pérez YJ. Delirium en pacientes de la Unidad de Cuidados Intensivos de una institución de salud en Montería, Colombia. Revista Científica de la Sociedad Española de Enfermería Neurológica. 2020 Jan;51:7–12.
dc.relation.referencesSieber M, Rudiger A, Schüpbach R, Bernard Krüger, Schubert M, Bettex D. Delirium In ICU Patients With Malignancy: Patient Characteristics, Resource Utilization and Outcomes. Res Sq [Internet]. 2021 Feb [cited 2021 Nov 17]; Available from: file:///Users/mariaisabeldaza/Downloads/Delirium_In_ICU_Patients_With_Malignancy_Patient_C.pdf
dc.relation.referencesGonzález Tugas M, Valdés Miyar M, de Pablo Rabassó J. Delirium Adaptación de un instrumento de detección y evaluación del pronóstico vital asociado . [Barcelona]: Universitat de Barcelona ; 2003.
dc.relation.referencesAdamis D, Treloar A, Martin FC, Macdonald AJD. A brief review of the history of delirium as a mental disorder. Hist Psychiatry. 2007 Dec 25;18(4):459–69.
dc.relation.referencesGarcía Antelo MJ. Síndrome confusional agudo. Cadernos de Atención Primaria [Internet]. 2012 [cited 2021 Nov 16];18:33–5. Available from: https://www.agamfec.com/wp/wp-content/uploads/2014/07/18_4_Parasaber_1_Cadernos.pdf
dc.relation.referencesNational Institute for Health and Care Excellence. Delirium: prevention, diagnosis and management. NICE, editor. 2023. 1–140 p
dc.relation.referencesDelirium: pre Delirium: prevention, diagnosis and ention, diagnosis and management management Clinical guideline. 2010.
dc.relation.referencesTamm S. Take a Trip Through the History of E-Learning. E-student.org. 2019 Dec 21;
dc.relation.referencesPrakash SS, Muthuraman N, Anand R. Short-duration podcasts as a supplementary learning tool: perceptions of medical students and impact on assessment performance. BMC Med Educ [Internet]. 2017 Dec 18 [cited 2021 Nov 17];17(1):167. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604391/pdf/12909_2017_Article_1001.pdf
dc.relation.referencesLiberta Bonilla BE. Impacto, impacto social y evaluación del impacto. ACIMED.
dc.relation.referencesRengel KF, Pandharipande PP, Hughes CG. Postoperative delirium. Presse Med. 2018 Apr;47(4):e53–64.
dc.relation.referencesInouye SK. Delirium in Older Persons. New England Journal of Medicine [Internet]. 2006 Mar 16 [cited 2021 Nov 20];354(11):1157–65. Available from: https://pubmed.ncbi.nlm.nih.gov/16540616/
dc.relation.referencesVasilevskis EE, Han JH, Hughes CG, Ely EW. Epidemiology and risk factors for delirium across hospital settings. Best Pract Res Clin Anaesthesiol. 2012 Sep;26(3):277–87.
dc.relation.referencesCastillo Morales LM, Cárdenas Bolívar YR. Prevalencia de Delirium en población adulta en cuidado intensivo [Internet]. [Bogotá, Bogotá D.C.]: Universidad El Rosario; 2015 [cited 2021 Nov 20]. Available from: https://repository.urosario.edu.co/bitstream/handle/10336/10644/CastilloMorales-Laura-2015.pdf?sequence=1&isAllowed=y
dc.relation.referencesCeraso DH, Dueñas-Castel C, Raimondi N, Celis E, Carrillo R, Ugarte Ubiergo S, et al. Encuesta iberoamericana sobre delirium en pacientes críticos. Med Intensiva [Internet]. 2010 Nov [cited 2021 Nov 20];34(8):495–505. Available from: https://www.medintensiva.org/es-encuesta-iberoamericana-sobre-delirium-pacientes-articulo-resumen-S0210569110001087
dc.relation.referencesRojas Gambasica JA, Valencia Moreno AA. Incidencia de delirium en las unidades de cuidados intensivos de adultos de las clínicas de la organización Sanitas en Bogotá, Colombia. Revista Médica Sanitas [Internet]. 2012 Apr [cited 2021 Nov 20];15(2). Available from: https://revistas.unisanitas.edu.co/index.php/RMS/article/view/407/324
dc.relation.referencesSánchez JC, González MI, Gutiérrez JC. Delírium en pacientes mayores de 60 años en un hospital público de tercer nivel en la ciudad de Pereira (Colombia): subdiagnóstico y subregistro. Rev Colomb Psiquiatr. 2013;
dc.relation.referencesAlonso Ganuza Z, González-Torres MÁ, Gaviria M. El Delirium: Una revisión orientada a la práctica clínica. Revista de la Asociación Española de Neuropsiquiatría [Internet]. 2012 Jun [cited 2021 Nov 17];32(114):247–59. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0211-57352012000200003
dc.relation.referencesRamírez Solano M, Umaña Venegas A. Delirio: una visión global. Revista Medica Sinergia. 2021 May 8;6(5):e672.
dc.relation.referencesTrzepacz P, Breitbart W, Franklin J, Levenson J, Martini R, Wang P. PRACTICE GUIDELINE FOR THE Treatment of Patients With Delirium. AMERICAN PSYCHIATRIC ASSOCIATION STEERING COMMITTEE ON PRACTICE GUIDELINES. 2010;
dc.relation.referencesMacLullich AMJ, Beaglehole A, Hall RJ, Meagher DJ. Delirium and long-term cognitive impairment. International Review of Psychiatry [Internet]. 2009 Jan 11 [cited 2021 Nov 18];21(1):30–42. Available from: https://www.tandfonline.com/doi/full/10.1080/09540260802675031
dc.relation.referencesConstaín GA, Ocampo Saldarriaga MV, Velásquez Tirado JD, Rodríguez–Gázquez M de los Á, Betancur Morales LM, Rico Escobar JJ, et al. La persistencia de delirium a los 3 meses del egreso de los pacientes ancianos hospitalizados en una clínica universitaria. Rev Colomb Psiquiatr. 2018 Jan;47(1):37–45.
dc.relation.referencesEly EW, Inouye SK, Bernard GR, Gordon S, Francis J, May L, et al. Delirium in Mechanically Ventilated Patients. JAMA [Internet]. 2001 Dec 5 [cited 2021 Nov 17];286(21):2703. Available from: https://pubmed.ncbi.nlm.nih.gov/11730446/
dc.relation.referencesEly EW, Margolin R, Francis J, May L, Truman B, Dittus R, et al. Evaluation of delirium in critically ill patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Crit Care Med [Internet]. 2001 Jul [cited 2021 Nov 17];29(7):1370–9. Available from: https://pubmed.ncbi.nlm.nih.gov/11445689/
dc.relation.referencesTobar E, Romero C, Galleguillos T, Fuentes P, Cornejo R, Lira MT, et al. Método para la evaluación de la confusión en la unidad de cuidados intensivos para el diagnóstico de delírium: adaptación cultural y validación de la versión en idioma español. Med Intensiva [Internet]. 2010 Jan [cited 2021 Nov 18];34(1):4–13. Available from: https://scielo.isciii.es/pdf/medinte/v34n1/original1.pdf
dc.relation.referencesGrover S. Assessment scales for delirium: A review. World J Psychiatry [Internet]. 2012 [cited 2021 Nov 17];2(4):58. Available from: https://pubmed.ncbi.nlm.nih.gov/24175169/
dc.relation.referencesBoettger S, Meyer R, Richter A, Fernandez SF, Rudiger A, Schubert M, et al. Screening for delirium with the Intensive Care Delirium Screening Checklist (ICDSC): Symptom profile and utility of individual items in the identification of delirium dependent on the level of sedation. Palliat Support Care [Internet]. 2019 Feb 24 [cited 2021 Nov 17];17(1):74–81. Available from: https://docs.google.com/document/d/1NT_e64bEyTzoc0PGfPtg7NcNph04duYn/edit?pli=1#heading=h.whp9mm9bl9sc
dc.relation.referencesMarra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit Care Clin. 2017 Apr;33(2).
dc.relation.referencesSessler CN, Gosnell MS, Grap MJ, Brophy GM, O’Neal P V., Keane KA, et al. The Richmond Agitation–Sedation Scale. Am J Respir Crit Care Med [Internet]. 2002 Nov 15 [cited 2021 Nov 17];166(10):1338–44. Available from: https://www.researchgate.net/publication/11044078_Sessler_CN_Gosnell_M_Grap_MJ_et_al_The_Richmond_Agitatio-sedation_scale_Validity_and_reliability_in_adult_ICU_patients_Am_J_Respir_Crit_Care_Med_166_1338-1344
dc.relation.referencesFrade Mera MJ, Guirao Moya A, Esteban Sánchez ME, Rivera Álvarez J, Cruz Ramos AM, Bretones Chorro B, et al. Análisis de 4 escalas de valoración de la sedación en el paciente crítico. Enferm Intensiva [Internet]. 2009 Jul [cited 2021 Nov 17];20(3):88–94. Available from: https://www.elsevier.es/es-revista-enfermeria-intensiva-142-epub-13141479
dc.relation.referencesGómez Peñalver J, García-Camba de la Muela E. Revisión de diagnóstico y actualización en el manejo del delirium. Siglatana: Psicosomática y psiquiatría [Internet]. 2017 Jul [cited 2021 Nov 20];42–52. Available from: https://psicosomaticaypsiquiatria.com/wp-content/uploads/2017/09/psicosom_psiquiatr_201712_42_52.pdf
dc.relation.referencesAmerican Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders [Internet]. American Psychiatric Association; 2013 [cited 2021 Nov 17]. Available from: https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
dc.relation.referencesHuang CD, Tseng HM, Jenq CC, Ou LS. Active learning of medical students in Taiwan: a realist evaluation. BMC Med Educ [Internet]. 2020 Dec 3 [cited 2021 Nov 17];20(1):487. Available from: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-020-02392-y#citeas
dc.relation.referencesTorralba KD, Doo L. Active Learning Strategies to Improve Progression from Knowledge to Action. Rheumatic Disease Clinics of North America [Internet]. 2020 Feb [cited 2021 Nov 17];46(1):1–19. Available from: https://pubmed.ncbi.nlm.nih.gov/31757278/
dc.relation.referencesBodagh N, Blommfield J, Birch P, Ricketts W. Problem-based learning: a review. Br J Hosp Med. 2017 Nov;78(11).
dc.relation.referencesZhao B, Potter DD. Comparison of Lecture-Based Learning vs Discussion-Based Learning in Undergraduate Medical Students. J Surg Educ [Internet]. 2016 Mar [cited 2021 Nov 17];73(2):250–7. Available from: https://pubmed.ncbi.nlm.nih.gov/26572094/
dc.relation.referencesHerrmann-Werner A, Gramer R, Erschens R, Nikendei C, Wosnik A, Griewatz J, et al. Peer-assisted learning (PAL) in undergraduate medical education: An overview. Z Evid Fortbild Qual Gesundhwes [Internet]. 2017 Apr [cited 2021 Nov 17];121:74–81. Available from: https://pubmed.ncbi.nlm.nih.gov/28545616/
dc.relation.referencesMitchell G, McVeigh C, Carlisle S, Brown-Wilson C. Evaluation of a co-produced delirium awareness programme for undergraduate nursing students in Northern Ireland: a pre-test/post-test study. BMC Nurs [Internet]. 2020 Dec 26 [cited 2021 Nov 21];19(1):34. Available from: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-020-00427-9
dc.rightsAttribution 4.0 Internationalen
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2
dc.rights.localAcceso abiertospa
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDelirium
dc.subjectUCI
dc.subjectDetección
dc.subjectEquipo multidisciplinario
dc.subjectE-learning
dc.subjectMétodos de enseñanza
dc.subject.keywordsDelirium
dc.subject.keywordsICU
dc.subject.keywordsDetection
dc.subject.keywordsMultidisciplinary team
dc.subject.keywordsE-learning
dc.subject.keywordsTeaching methods
dc.subject.nlmW100
dc.titleImpacto de un entrenamiento digital en Estudiantes de Medicina para Detección de Delirium en UCI
dc.title.translatedImpact of digital training on medical students for Delirium detection in ICU
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Pregradospa

Archivos

Bloque original
Mostrando 1 - 1 de 1
Miniatura
Nombre:
Trabajo de grado.pdf
Tamaño:
564.19 KB
Formato:
Adobe Portable Document Format
Descargar

Colecciones

Medicina