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跨专业临床培训提高了医疗保健学生的自我效能感。

Interprofessional clinical training improves self-efficacy of health care students.

机构信息

Department of Orthopaedic Surgery, Kolding Hospital, Skovvangen 2-8, Kolding, Denmark.

出版信息

Med Teach. 2013 Jun;35(6):e1235-42. doi: 10.3109/0142159X.2012.746452. Epub 2013 Jan 29.

Abstract

BACKGROUND

Interprofessional collaboration potentially enhances patient safety and satisfaction, and reduces tensions and conflicts among health professionals. However, health professionals often lack sufficient knowledge of other professional roles and competences to engage in interprofessional teamwork. The aim of this study was to assess the impact of an interprofessional training programme on students' perceived self-efficacy.

METHODS

A quasi-experimental study with an intervention group (239 students) and a control group (405 students). The intervention was an interprofessional clinical study (ICS) unit including students from nursing, medicine, physiotherapy, occupational therapy, laboratory technology and radiography. Data on students' perceived self-efficacy were collected through web-based questionnaires. Aspects of self-efficacy measured were: (1) collaboration with other professions in planning goals and actions for patients; (2) collaboration with other professions for rehabilitation; (3) identifying the functions of other professions and (4) assessing and describing patients' needs and problems.

RESULTS

All scores of perceived self-efficacy for the ICS group improved over time although one score change was non-significant (p = 0.08). After adjustment for baseline differences and the score change for the control group, the ICS group's self-efficacy score gain remained statistically significant.

CONCLUSION

The study showed that interprofessional training improved students' perception of self-efficacy more than traditional clinical training.

摘要

背景

专业间的合作可以提高患者的安全性和满意度,并减少医疗专业人员之间的紧张和冲突。然而,医疗专业人员通常缺乏足够的其他专业角色和能力的知识,无法参与专业间的团队合作。本研究旨在评估跨专业培训方案对学生感知自我效能的影响。

方法

采用准实验研究设计,设有干预组(239 名学生)和对照组(405 名学生)。干预措施为包括护理、医学、物理治疗、职业治疗、实验室技术和放射学专业学生的跨专业临床学习(ICS)单元。通过基于网络的问卷收集学生感知自我效能的数据。测量的自我效能方面包括:(1)与其他专业合作规划患者的目标和行动;(2)与其他专业合作进行康复;(3)识别其他专业的职能;以及(4)评估和描述患者的需求和问题。

结果

虽然有一个得分变化不显著(p=0.08),但 ICS 组的所有自我效能得分均随时间推移而提高。在调整对照组的基线差异和得分变化后,ICS 组的自我效能得分增益仍然具有统计学意义。

结论

该研究表明,跨专业培训比传统的临床培训更能提高学生的自我效能感。

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