Halabisky Brenda, Humbert Jennie, Stodel Emma J, MacDonald Colla J, Chambers Larry W, Doucette Suzanne, Dalziel William B, Conklin James
University of Ottawa Nurse Practitioner Program, Ottawa, Ontario, Canada.
Comput Inform Nurs. 2010 Sep-Oct;28(5):264-73. doi: 10.1097/NCN.0b013e3181ec28b9.
Interprofessional collaboration is vital to the delivery of quality care in long-term care settings; however, caregivers in long-term care face barriers to participating in training programs to improve collaborative practices. Consequently, eLearning can be used to create an environment that combines convenient, individual learning with collaborative experiential learning. Findings of this study revealed that learners enjoyed the flexibility of the Working Together learning resource. They acquired new knowledge and skills that they were able to use in their practice setting to achieve higher levels of collaborative practice. Nurses were identified as team leaders because of their pivotal role in the long-term care home and collaboration with all patient care providers. Nurses are ideal as knowledge brokers for the collaborative practice team. Quantitative findings showed no change in learner's attitudes regarding collaborative practice; however, interviews provided examples of positive changes experienced. Face-to-face collaboration was found to be a challenge, and changes to organizations, systems, and technology need to be made to facilitate this process. The Working Together learning resource is an important first step toward strengthening collaboration in long-term care, and the pilot implementation provides insights that further our understanding of both interprofessional collaboration and effective eLearning.
跨专业协作对于长期护理机构提供高质量护理至关重要；然而，长期护理机构的护理人员在参与培训项目以改善协作实践方面面临障碍。因此，电子学习可用于创建一个将便捷的个人学习与协作体验式学习相结合的环境。本研究结果表明，学习者喜欢“共同协作”学习资源的灵活性。他们获得了新知识和技能，并能够在实践环境中运用这些知识和技能，以实现更高水平的协作实践。由于护士在长期护理机构中起着关键作用，且与所有患者护理提供者进行协作，因此被确定为团队领导者。护士是协作实践团队理想的知识传播者。定量研究结果显示，学习者对协作实践的态度没有变化；然而，访谈提供了所经历的积极变化的实例。面对面协作被认为是一项挑战，需要对组织、系统和技术进行变革以促进这一过程。“共同协作”学习资源是加强长期护理协作的重要第一步，试点实施提供了见解，进一步加深了我们对跨专业协作和有效电子学习的理解。
