Department of Medical Psychology and Medical Sociology, University of Freiburg, Freiburg, Germany.
Patient Educ Couns. 2012 Oct;89(1):122-8. doi: 10.1016/j.pec.2012.04.008. Epub 2012 May 28.
The aim of the study was to evaluate the interprofessional SDM training program "Fit for SDM" in medical rehabilitation, which was implemented in two steps: (1) university staff trained providers in executive positions as trainers and (2) the providers trained their staff.
For the evaluation of the first step a questionnaire for shared decision-making (SDM) skills and satisfaction with the training was completed by the providers in executive positions. A staff survey was used in a cluster-randomized controlled study to determine the overall impact of the train-the-trainer program on internal and external participation in the team.
The providers in the six clinics evaluated their SDM competences and satisfaction very positively after training (step 1). External participation was enhanced by application of the training content, with significant changes recorded for females and nurses in particular. However, it had no direct influence on internal participation.
This is the first interprofessional SDM train-the-trainer program in Germany to bridge interprofessionalism (internal participation) and SDM (external participation); it was implemented successfully and evaluated positively.
Establishing interprofessional SDM training programs should be encouraged for all health care professionals. Implementation in the interprofessional setting should consider interprofessional team factors.
本研究旨在评估医学康复领域的跨专业共享决策(SDM)培训计划“Fit for SDM”,该计划分两步实施:(1)大学工作人员培训担任培训师的执行职位提供者;(2)提供者培训其工作人员。
为了评估第一步,担任执行职务的提供者完成了一份关于共享决策(SDM)技能和培训满意度的问卷。一项员工调查在一项整群随机对照研究中使用,以确定培训师培训计划对团队内部和外部参与的总体影响。
六家诊所的提供者在培训后(第 1 步)对其 SDM 能力和满意度给予了非常积极的评价。培训内容的应用增强了外部参与,女性和护士的变化尤为显著。然而,它对内部参与没有直接影响。
这是德国首个跨专业 SDM 培训师培训计划,它弥合了跨专业主义(内部参与)和 SDM(外部参与)之间的差距;它已成功实施并得到积极评价。
应鼓励所有医疗保健专业人员建立跨专业 SDM 培训计划。在跨专业环境中实施时,应考虑跨专业团队因素。