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交互记忆系统作为老年医学团队协作实践的一种衡量指标:对持续专业间教育的启示

Transactive memory system as a measure of collaborative practice in a geriatrics team: implications for continuing interprofessional education.

作者信息

Tan Keng Teng, Adzhahar Fadzli Bin Baharom, Lim Issac, Chan Mark, Lim Wee Shiong

机构信息

Department of Pharmacy, Tan Tock Seng Hospital , Singapore .

出版信息

J Interprof Care. 2014 May;28(3):239-45. doi: 10.3109/13561820.2014.901938. Epub 2014 Apr 2.

Abstract

The interprofessional team meeting is a model of care in which members of the interprofessional team come together with their individual expertise to provide holistic care for the patient. Additionally, interprofessional team meetings serve as a platform for continuing interprofessional education as healthcare professionals come together to learn with, from, and about each other to enhance collaboration and patient care. Utilizing the transactive memory system (TMS) framework, this paper aims to demonstrate the utility of TMS as a measure of interprofessional collaborative practice based on a pilot study in an interprofessional geriatrics team. Questionnaires were administered to 78 members who regularly participated in the interprofessional team meetings. The quality of perceived TMS was measured by the cumulative scores on two previously validated scales. Logistic regression analyses revealed that TMS was a significant predictor of satisfaction with interprofessional team meeting experience and clinical work, whereas TMS scores significantly increased with greater number of interprofessional team meetings attended. Reliability analysis indicated high internal consistency while in factor analysis, each scale was predicated on a dual factor structure instead of the original tri-dimensional structure. Our results indicate the novel use of TMS as a valid and reliable measure of interprofessional collaborative practice. Implications for the role of TMS in continuous interprofessional education, collaborative practice, and patient care are also presented.

摘要

跨专业团队会议是一种护理模式,跨专业团队成员凭借各自的专业知识汇聚一堂,为患者提供全面护理。此外,跨专业团队会议还充当持续跨专业教育的平台,因为医疗保健专业人员聚集在一起,相互学习、相互借鉴并了解彼此,以加强协作和改善患者护理。本文利用交互记忆系统(TMS)框架,旨在基于一项针对跨专业老年医学团队的试点研究,证明TMS作为跨专业协作实践衡量指标的效用。对78名经常参加跨专业团队会议的成员进行了问卷调查。通过两个先前验证过的量表的累积得分来衡量感知到的TMS质量。逻辑回归分析显示,TMS是对跨专业团队会议体验和临床工作满意度的重要预测指标,而参加的跨专业团队会议次数越多,TMS得分显著越高。可靠性分析表明内部一致性较高,而在因子分析中,每个量表基于双因素结构而非原来的三维结构。我们的结果表明,TMS可作为跨专业协作实践的有效且可靠的衡量指标,具有创新性。本文还阐述了TMS在持续跨专业教育、协作实践和患者护理中的作用。

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