Steiner Jeanne L, Ponce Allison N, Styron Thomas, Aklin Edna E, Wexler Bruce E
Connecticut Mental Health Center, New Haven, CT, USA.
Acad Psychiatry. 2008 May-Jun;32(3):255-8. doi: 10.1176/appi.ap.32.3.255.
National policy makers and psychiatric educators have established the goals of teaching and promoting interdisciplinary care as high priorities. This article describes the implementation of an interprofessional seminar for which the dual aims were to provide a knowledge base for treating individuals with serious mental illness and to teach how to work collaboratively with other disciplines.
A seminar, the "Treatment of chronic or recurrent mental illness: recovery, rehabilitation and interdisciplinary collaboration," was developed in an academic community mental health center. Pre- and postseminar surveys were administered in order to test the hypothesis that the seminar would have a positive impact on trainees' attitudes about working with the seriously mentally ill and within an interdisciplinary team. A combination of 5-point Likert scales and open-ended questions were used to gather the data. Paired samples t tests were conducted to test for significant differences between the pre- and postmeasures.
The seminar participants included 24 students from psychiatry, nursing, social work, and psychology with a wide range of experience. Complete pre- and postseminar data were obtained from 14 participants. Although participants valued the seminar experience, they reported that the actual interdisciplinary work with the seriously mentally ill was less gratifying than expected. They described several advantages and challenges of care-oriented collaboration and shared learning.
Bringing together a diverse group of graduate and postgraduate trainees to learn together and to learn about each other's disciplines appeared to be a successful venture, but the authors were not able to detect a positive impact on their actual work life during the course of the year. Further development of strategies to inspire professionals to engage in and promote interdisciplinary care of the seriously mentally ill is needed.
国家政策制定者和精神科教育工作者已将教学和推广跨学科护理的目标列为高度优先事项。本文描述了一个跨专业研讨会的实施情况,该研讨会的双重目标是为治疗严重精神疾病患者提供知识基础,并教授如何与其他学科协作。
在一个学术社区心理健康中心举办了一场名为“慢性或复发性精神疾病的治疗:康复、复原及跨学科协作”的研讨会。在研讨会前后进行了调查,以检验该研讨会会对学员在与严重精神疾病患者合作以及在跨学科团队中工作的态度产生积极影响这一假设。采用5点李克特量表和开放式问题相结合的方式收集数据。进行配对样本t检验以检测前后测量之间的显著差异。
研讨会参与者包括来自精神病学、护理、社会工作和心理学的24名学生,他们有着广泛的经验。从14名参与者那里获得了完整的研讨会前后数据。尽管参与者重视研讨会经历,但他们报告称,与严重精神疾病患者实际开展的跨学科工作不如预期那样令人满意。他们描述了以护理为导向的协作和共同学习的若干优点及挑战。
将不同的研究生和博士后学员聚集在一起共同学习并了解彼此的学科,这似乎是一次成功的尝试,但作者在这一年中未能发现其对学员实际工作生活产生积极影响。需要进一步制定策略,以激励专业人员参与并推广对严重精神疾病患者的跨学科护理。