Lounsbery Jody L, Moon Jean, Prasad Shailendra
University of Minnesota North Memorial Family Medicine Residency Program.
Fam Med. 2015 May;47(5):397-400.
As health care embraces an interprofessional team approach toward care delivery, examples quantifying team members' collaboration in care delivery are limited. Our study objective was to determine the type of and satisfaction with collaboration that occurs between family medicine residents and pharmacy residents during an interprofessional paired visit.
For 1 half day a week for 10 months, residents were paired to see patients together and complete an evaluation tool. The tool asked participants to rank the contribution of each team member on medication-related patient care tasks and to evaluate the interprofessional pairs' skills on four interprofessional competencies for collaborative practice (values and ethics for interprofessional practice, roles and responsibilities, interprofessional communication, and team and teamwork). Residents participated in focus groups 2 months after the conclusion of the paired visits, and responses were analyzed for common themes.
There were 38 half days of paired visits over the 10 months. Shared contribution was found on all tasks, both for self-assessment and of the interprofessional partner. Resident evaluation of the pairs' skills on four interprofessional competencies averaged in the 4 range of the scale (good skills, above average ability). Themes from the focus groups focused on provider experience, perceived impact on patient care, and considerations for ongoing use of paired visits.
Participants of the interprofessional paired visits were able to identify mutual contributions to patient care tasks at the point of care. Focus groups identified potential benefits, impact on patient care, and areas for improvement of paired visits.
随着医疗保健采用跨专业团队的护理方式,量化团队成员在护理过程中协作的实例有限。我们的研究目的是确定家庭医学住院医师与药学住院医师在跨专业配对访视期间协作的类型及满意度。
在10个月的时间里,每周安排半天,住院医师两两配对共同诊治患者并完成一份评估工具。该工具要求参与者对每个团队成员在与药物相关的患者护理任务中的贡献进行排名,并评估跨专业配对在协作实践的四项跨专业能力(跨专业实践的价值观与伦理、角色与职责、跨专业沟通以及团队与团队合作)方面的技能。配对访视结束2个月后,住院医师参加焦点小组讨论,并对反馈进行分析以找出共同主题。
在这10个月中,共有38个半天的配对访视。在所有任务中都发现了共同贡献,包括自我评估和对跨专业伙伴的评估。住院医师对配对在四项跨专业能力方面技能的评估平均处于量表的4分范围(技能良好,能力高于平均水平)。焦点小组讨论的主题集中在提供者的体验、对患者护理的感知影响以及配对访视持续使用的考量。
跨专业配对访视的参与者能够在护理现场确定对患者护理任务的共同贡献。焦点小组讨论确定了配对访视的潜在益处、对患者护理的影响以及改进领域。