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跨专业教育对基层医疗专业人员协作态度、技能和行为的影响。

Impact of interprofessional education on collaboration attitudes, skills, and behavior among primary care professionals.

作者信息

Robben Sarah, Perry Marieke, van Nieuwenhuijzen Leontien, van Achterberg Theo, Rikkert Marcel Olde, Schers Henk, Heinen Maud, Melis René

机构信息

Department of Geriatric Medicine, Radboud University Nijmegen Medical Centre.

出版信息

J Contin Educ Health Prof. 2012 Summer;32(3):196-204. doi: 10.1002/chp.21145.

Abstract

INTRODUCTION

Care for the frail elderly is often provided by several professionals. Collaboration between them is essential, but remains difficult to achieve. Interprofessional education (IPE) can improve this collaboration. We developed a 9-hour IPE program for primary care professionals from 7 disciplines caring for the frail elderly, and aimed to establish whether the program improved professionals' interprofessional attitudes and attitudes toward collaboration, collaboration skills, and collaborative behavior. We also evaluated learners' reactions to the program.

METHODS

Before-after study, using the Interprofessional Attitudes Questionnaire (IAQ, score:1 to 7); Attitudes Toward Health Care Teams Scale (ATHCTS, score: 0 to 105); and Team Skills Scale (TSS, score:17 to 85). Additionally, semistructured interviews were conducted with 10 selected participants.

RESULTS

Participants' (N = 80) overall interprofessional attitudes improved (IAQ baseline: 5.49; follow-up: 5.67, p = 0.001); attitudes toward geriatric teams did not change (ATHCTS baseline: 69.9; follow-up: 69.1, p = 0.32). Participants' self-reported team skills improved (TSS baseline: 45.7; follow-up: 48.1, p = 0.001). In the interviews, many interviewees reported increased collaboration with professionals of other disciplines due to the program. Interviewees considered the program's interprofessional nature and attending the program with local professionals important contributing factors to the experienced improvements in collaboration. However, they also noted that not all parts of the program had met the needs of all participating disciplines, due to differences in professional background and knowledge.

DISCUSSION

A brief IPE program can improve interprofessional attitudes, collaboration skills, and collaborative behavior. That such a program allows professionals to get acquainted with each other and each other's viewpoints appears to be as important as the educational content.

摘要

引言

对体弱老年人的护理通常由多名专业人员提供。他们之间的协作至关重要,但仍难以实现。跨专业教育(IPE)可以改善这种协作。我们为来自7个学科的初级保健专业人员开发了一个为期9小时的IPE项目,这些专业人员负责照顾体弱老年人,旨在确定该项目是否改善了专业人员的跨专业态度、对协作的态度、协作技能和协作行为。我们还评估了学习者对该项目的反应。

方法

前后对照研究,使用跨专业态度问卷(IAQ,评分:1至7);对医疗保健团队的态度量表(ATHCTS,评分:0至105);以及团队技能量表(TSS,评分:17至85)。此外,对10名选定的参与者进行了半结构化访谈。

结果

参与者(N = 80)的总体跨专业态度得到改善(IAQ基线:5.49;随访:5.67,p = 0.001);对老年护理团队的态度没有变化(ATHCTS基线:69.9;随访:69.1,p = 0.32)。参与者自我报告的团队技能有所提高(TSS基线:45.7;随访:48.1,p = 0.001)。在访谈中,许多受访者表示,由于该项目,他们与其他学科的专业人员之间的协作有所增加。受访者认为该项目的跨专业性质以及与当地专业人员一起参加该项目是协作经验改善的重要促成因素。然而,他们也指出,由于专业背景和知识的差异,该项目并非所有部分都满足了所有参与学科的需求。

讨论

一个简短的IPE项目可以改善跨专业态度、协作技能和协作行为。这样一个项目能让专业人员相互了解以及彼此的观点,这似乎与教育内容同样重要。

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