A competency-based framework for preventing blood-borne pathogen occupational exposures in medical students: literature review and Delphi study
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| Publicado en: | BMC Medical Education vol. 25 (2025), p. 1-16 |
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| Otros Autores: | , , |
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Springer Nature B.V.
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| Acceso en línea: | Citation/Abstract Full Text Full Text - PDF |
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| 022 | |a 1472-6920 | ||
| 024 | 7 | |a 10.1186/s12909-025-07620-x |2 doi | |
| 035 | |a 3236996284 | ||
| 045 | 2 | |b d20250101 |b d20251231 | |
| 084 | |a 58506 |2 nlm | ||
| 100 | 1 | |a Wang, Pingping | |
| 245 | 1 | |a A competency-based framework for preventing blood-borne pathogen occupational exposures in medical students: literature review and Delphi study | |
| 260 | |b Springer Nature B.V. |c 2025 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a Section BackgroundBlood-borne pathogen occupational exposures pose significant hazard to medical students during clinical internships, with needlestick injuries being the primary transmission vector for blood-borne pathogens (hepatitis B virus, hepatitis C virus, human immunodeficiency virus). Current prevention guidelines lack tailored frameworks for this vulnerable population.AbstractSection MethodsA two-phase method was conducted: literature review and Delphi method. Phase one conducted a literature review across PubMed, Web of Science, Embase, and Cochrane Library (2000–2024). Data were extracted to form an initial framework. During phase two, a modified Delphi method was employed with a multidisciplinary expert panel across two rounds to refine the initial framework developed from the literature review. Consensus thresholds required ≥ 70% agreement on 5-point Likert scale.AbstractSection ResultsThe literature review initially identified 1,477 records, with 200 articles retained after search and selection process. During the modified Delphi process, a multidisciplinary panel of 25 experts (71.4% initial response rate; 65.7% retention) iteratively refined prevention strategies. The finalized framework comprises 13 actionable elements, stratified across prevention tiers: primary prevention (7 items), secondary prevention (4 items), and tertiary prevention (2 items).AbstractSection ConclusionThis study provides the first competency-based framework for medical students to prevent blood-borne pathogen occupational exposures during clinical internships. The framework, informed by evidence-based strategies in conjunction with expert consensus, is a significant step forward in ensuring the occupational safety of medical students. | |
| 653 | |a Internships | ||
| 653 | |a Pathogens | ||
| 653 | |a Medical education | ||
| 653 | |a Questionnaires | ||
| 653 | |a Occupational safety | ||
| 653 | |a Medical students | ||
| 653 | |a Hepatitis C | ||
| 653 | |a Hepatitis B | ||
| 653 | |a Human immunodeficiency virus--HIV | ||
| 653 | |a Inclusion | ||
| 653 | |a Prevention | ||
| 653 | |a Nosocomial infections | ||
| 653 | |a Hospitals | ||
| 653 | |a Public health | ||
| 653 | |a Needlestick injuries | ||
| 653 | |a Literature reviews | ||
| 653 | |a Delphi method | ||
| 653 | |a Guidelines | ||
| 653 | |a Competence | ||
| 653 | |a Validity | ||
| 653 | |a Researchers | ||
| 653 | |a Internship Programs | ||
| 653 | |a Medical Evaluation | ||
| 653 | |a Occupational Safety and Health | ||
| 653 | |a Vocational Followup | ||
| 653 | |a Injuries | ||
| 653 | |a Feedback (Response) | ||
| 653 | |a Search Strategies | ||
| 653 | |a Scientific Research | ||
| 653 | |a Information Seeking | ||
| 653 | |a Delphi Technique | ||
| 653 | |a Data Analysis | ||
| 653 | |a Evidence Based Practice | ||
| 653 | |a Outcomes of Education | ||
| 653 | |a Content Validity | ||
| 700 | 1 | |a Cai, Minhong | |
| 700 | 1 | |a Yu, Lv | |
| 700 | 1 | |a Qian Xiang | |
| 773 | 0 | |t BMC Medical Education |g vol. 25 (2025), p. 1-16 | |
| 786 | 0 | |d ProQuest |t Healthcare Administration Database | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3236996284/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text |u https://www.proquest.com/docview/3236996284/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3236996284/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |