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精神卫生实践中的跨专业教育发展:适应莱斯特模式。

Development of interprofessional education in mental health practice: adapting the Leicester Model.

机构信息

Department of Medical and Social Care Education, University of Leicester, Leicester, UK.

出版信息

J Interprof Care. 2012 May;26(3):189-97. doi: 10.3109/13561820.2011.647994. Epub 2012 Jan 17.

DOI:10.3109/13561820.2011.647994
PMID:22250705
Abstract

Mental health provides a unique opportunity for health and social care students to experience interprofessional team working and collaborative practice. We tested whether we could introduce interprofessional learning into this area of collaborative practice by choosing to adapt and use a robust practice-based interprofessional education model. We outline the steps taken to adopt and adapt the model, which includes using action research principles. The research phase consisted of three cycles of teaching and evaluation. Both qualitative and quantitative data were collected from all stakeholders, patients (n = 6), students (n = 300) and facilitators (n = 6). Qualitative data (focus groups, interviews and free text questionnaires) were analyzed using principles from grounded theory Stages 1 and 2; quantitative data were analyzed using SPSS. Problems and difficulties which led to changes in the course structure and delivery were identified. In the final phase, all students significantly achieved their learning outcomes (p < 0.01 to p < 0.001). The action learning approach for implementation helped to modify the course content and develop shared ownership by students, patients, clinicians and educators. The model provided a guide for replication and the final course adhered to interprofessional principles because patients with complex mental health problems were central to the learning, it overcame the theory-practice gap, the students gained insights into the realities of everyday team working and the experience of clinical uncertainty and, in addition, the learning interfaced with uniprofessional knowledge concerning mental health. The research findings highlight that patients with mental health problems can contribute to interprofessional teaching in the community.

摘要

心理健康为健康和社会护理专业的学生提供了一个独特的机会,让他们体验跨专业团队合作和协作实践。我们通过选择适应和使用强大的基于实践的跨专业教育模式,测试了我们是否可以将跨专业学习引入到这个协作实践领域。我们概述了采用和适应该模式所采取的步骤,其中包括使用行动研究原则。研究阶段包括三轮教学和评估。所有利益相关者(患者 n=6、学生 n=300 和教师 n=6)都从定性和定量两方面收集数据。使用扎根理论的第 1 阶段和第 2 阶段的原则分析定性数据(焦点小组、访谈和自由文本问卷);使用 SPSS 分析定量数据。确定了导致课程结构和交付方式发生变化的问题和困难。在最后阶段,所有学生都显著实现了他们的学习成果(p<0.01 至 p<0.001)。实施的行动学习方法有助于修改课程内容,并培养学生、患者、临床医生和教育者之间的共同所有权。该模式为复制提供了指导,最终课程坚持了跨专业原则,因为有复杂心理健康问题的患者是学习的核心,它克服了理论与实践之间的差距,学生深入了解了日常团队合作的现实以及临床不确定性的体验,此外,学习与有关心理健康的单专业知识相衔接。研究结果表明,有心理健康问题的患者可以为社区中的跨专业教学做出贡献。

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Reflecting on the Spectrum of Involvement: How do we involve patients as partners in education?反思参与范围:我们如何让患者作为伙伴参与教育?
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Inter-Professional Education Interventions, and Practice Outcomes Related to Healthcare Setting and Patients Within Mental Healthcare: A Scoping Review.
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Improved patient-reported outcomes after interprofessional training in mental health: a nonrandomized intervention study.跨专业精神健康培训后患者报告结局的改善:一项非随机干预研究。
BMC Psychiatry. 2020 May 14;20(1):236. doi: 10.1186/s12888-020-02616-x.
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