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跨专业教育增加了知识,促进了团队建设,并改变了帕金森病护理中的实践。

Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson's disease.

作者信息

Cohen Elaine V, Hagestuen Ruth, González-Ramos Gladys, Cohen Hillel W, Bassich Celia, Book Elaine, Bradley Kathy P, Carter Julie H, Di Minno Mariann, Gardner Joan, Giroux Monique, González Manny J, Holten Sandra, Joseph Ricky, Kornegay Denise D, Simpson Patricia A, Tomaino Concetta M, Vandendolder Richard P, Walde-Douglas Maria, Wichmann Rosemary, Morgan John C

机构信息

National Parkinson Foundation, Miami, FL, USA; Parkinson and Movement Disorders Center, New York University Langone School of Medicine, New York, NY, USA.

National Parkinson Foundation, Miami, FL, USA; Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA.

出版信息

Parkinsonism Relat Disord. 2016 Jan;22:21-7. doi: 10.1016/j.parkreldis.2015.11.001. Epub 2015 Nov 6.

Abstract

OBJECTIVE

Examine outcomes for the National Parkinson Foundation (NPF) Allied Team Training for Parkinson (ATTP), an interprofessional education (IPE) program in Parkinson's disease (PD) and team-based care for medicine, nursing, occupational, physical and music therapies, physician assistant, social work and speech-language pathology disciplines.

BACKGROUND

Healthcare professionals need education in evidence-based PD practices and working effectively in teams. Few evidence-based models of IPE in PD exist.

METHODS

Knowledge about PD, team-based care, the role of other disciplines and attitudes towards healthcare teams were measured before and after a protocol-driven training program. Knowledge, attitudes and practice changes were again measured at 6-month post-training. Trainee results were compared to results of controls.

RESULTS

Twenty-six NPF-ATTP trainings were held across the U.S. (2003-2013). Compared to control participants (n = 100), trainees (n = 1468) showed statistically significant posttest improvement in all major outcomes, including self-perceived (p < 0.001) and objective knowledge (p < 0.001), Understanding Role of Other Disciplines (p < 0.001), Attitudes Toward Health Care Teams Scale (p < 0.001), and the Attitudes Toward Value of Teams (p < 0.001) subscale. Despite some decline, significant improvements were largely sustained at six-month post-training. Qualitative analyses confirmed post-training practice changes.

CONCLUSIONS

The NPF-ATTP model IPE program showed sustained positive gains in knowledge of PD, team strategies and role of other disciplines, team attitudes, and important practice improvements. Further research should examine longer-term outcomes, objectively measure practice changes and mediators, and determine impact on patient outcomes.

摘要

目的

研究美国国家帕金森基金会(NPF)的帕金森联合团队培训(ATTP)项目的效果。该项目是针对帕金森病(PD)开展的跨专业教育(IPE)项目,涉及医学、护理、职业治疗、物理治疗、音乐治疗、医师助理、社会工作以及言语语言病理学等多学科团队协作护理。

背景

医疗保健专业人员需要接受基于证据的帕金森病实践教育,并学会在团队中高效协作。目前帕金森病领域基于证据的跨专业教育模式较少。

方法

在一个遵循协议的培训项目前后,对有关帕金森病的知识、团队协作护理、其他学科的作用以及对医疗团队的态度进行测量。在培训结束6个月后,再次测量知识、态度和实践的变化。将培训学员的结果与对照组的结果进行比较。

结果

2003年至2013年期间,美国各地共举办了26次NPF-ATTP培训。与对照组参与者(n = 100)相比,学员(n = 1468)在所有主要结果方面均有统计学意义的后测改善,包括自我认知(p < 0.001)和客观知识(p < 0.001)、对其他学科作用的理解(p < 0.001)、对医疗团队的态度量表(p < 0.001)以及对团队价值的态度(p < 0.001)子量表。尽管有所下降,但在培训后6个月,显著改善基本得以维持。定性分析证实了培训后的实践变化。

结论

NPF-ATTP模式的跨专业教育项目在帕金森病知识、团队策略、其他学科的作用、团队态度以及重要的实践改进方面显示出持续的积极成果。进一步的研究应考察长期结果,客观衡量实践变化和中介因素,并确定对患者结果的影响。

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