Heflin Mitchell T, Pinheiro Sandro O, Konrad Thomas R, Egerton Emily O, Thornlow Deirdre K, White Heidi K, McConnell Eleanor J
a Division of Geriatrics, Department of Medicine , Duke University School of Medicine; Duke University Center for the Study of Aging and Human Development; and Durham Veterans Affairs Medical Center, Geriatrics Research, Education, and Clinical Center (GRECC) , Durham , North Carolina , USA.
Gerontol Geriatr Educ. 2014;35(1):41-63. doi: 10.1080/02701960.2013.831349. Epub 2013 Nov 26.
Effective management of care transitions for older adults require the coordinated expertise of an interprofessional team. Unfortunately, different health care professions are rarely educated together or trained in teamwork skills. To address this issue, a team of professionally diverse faculty from the Duke University Geriatric Education Center designed an interprofessional course focused on improving transitions of care for older adults. This innovative prelicensure course provided interactive teaching sessions designed to promote critical thinking and foster effective communication among health care professionals, caregivers, and patients. Students were assessed by in-class and online participation, performance on individual assignments, and team-based proposals to improve care transitions for older patients with congestive heart failure. Twenty students representing six professions completed the course; 18 completed all self-efficacy and course evaluation surveys. Students rated their self-efficacy in several domains before and after the course and reported gains in teamwork skills (p < .001), transitions of care (p < .001), quality improvement (p < .001) and cultural competence (p < .001). Learner feedback emphasized the importance of enthusiastic and well-prepared faculty, interactive learning experiences, and engagement in relevant work. This course offers a promising approach to shifting the paradigm of health professions education to empower graduates to promote quality improvement through team-based care.
对老年人的护理过渡进行有效管理需要跨专业团队的协调专业知识。不幸的是,不同的医疗保健专业很少一起接受教育或接受团队合作技能培训。为了解决这个问题,来自杜克大学老年教育中心的一组专业背景各异的教员设计了一门跨专业课程,重点是改善老年人的护理过渡。这一创新的预执业课程提供了互动式教学环节,旨在促进批判性思维,并培养医疗保健专业人员、护理人员和患者之间的有效沟通。通过课堂和在线参与、个人作业表现以及基于团队的改善充血性心力衰竭老年患者护理过渡的提案对学生进行评估。来自六个专业的20名学生完成了该课程;18名学生完成了所有自我效能感和课程评估调查。学生们在课程前后对自己在几个领域的自我效能感进行了评分,并报告称在团队合作技能(p < .001)、护理过渡(p < .001)、质量改进(p < .001)和文化能力(p < .001)方面有所提高。学习者的反馈强调了热情且准备充分的教员、互动式学习体验以及参与相关工作的重要性。本课程提供了一种很有前景的方法,可转变卫生专业教育模式,使毕业生有能力通过基于团队的护理来促进质量改进。