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利用标准化病人向牙科学生传授跨专业能力。

Using Standardized Patients to Teach Interprofessional Competencies to Dental Students.

作者信息

Anders Patrick L, Scherer Yvonne Krall, Hatton Michael, Antonson Donald, Austin-Ketch Tammy, Campbell-Heider Nancy

机构信息

Dr. Anders is Clinical Associate Professor, Oral Diagnostic Sciences, University at Buffalo School of Dental Medicine; Dr. Scherer is Associate Professor, University at Buffalo School of Nursing; Dr. Hatton is Clinical Associate Professor, Oral Diagnostic Sciences, University at Buffalo School of Dental Medicine; Dr. Antonson is Professor, Restorative Dentistry, University at Buffalo School of Dental Medicine; Dr. Austin-Ketch is Clinical Professor, University at Buffalo School of Nursing; and Dr. Campbell-Heider is Associate Professor, University at Buffalo School of Nursing.

出版信息

J Dent Educ. 2016 Jan;80(1):65-72.

Abstract

The aims of this study were to develop, implement, and evaluate a novel interprofessional standardized patient exercise (ISPE) with oral-systemic and interprofessional collaborative practice (IPCP) components. Dental students and doctor of nursing practice (DNP) students at one U.S. university participated in the simulation, which was primarily designed to test their teamwork skills. In spring 2014, DNP students worked in the dental clinics with dental students under the supervision of nursing and dental faculty members. To test the teamwork outcomes for both groups of students, a standardized patient (SP) scenario was designed to include multiple chronic medical diagnoses and an oral-systemic component. The exercise was filmed for later review. Outcomes measures included SP and student self-evaluations and faculty evaluation of student documentation. The primary outcome of interest from a dental standpoint was faculty evaluation of IPCP competencies derived from the Core Competencies of Interprofessional Collaborative Practice and were deemed to be observable by faculty when viewing the videotaped scenario. Eight teams of students participated with an SP trained in the scenario. Each team consisted of a DNP student, a fourth-year dental student, and a second-year dental student. All eligible students in the DNP class (n=20) and eight students from each dental class (approximately 110 each) participated. The results showed that the teams scored highest on the role/responsibilities subscale, indicating students were respectful of each other's roles and expertise and effectively engaged each other to develop strategies to meet the patient's needs. Scores on the three other subscales (values/ethics, interprofessional communication, and teams/teamwork) were also high. These findings appeared to support IPCP as a method to foster knowledge and respect for other roles and responsibilities, improve appreciation of teamwork, and encourage better communication among health care providers. The ISPE scenario provided an effective way to evaluate IPCP competencies.

摘要

本研究的目的是开发、实施和评估一种新型的跨专业标准化患者练习(ISPE),该练习包含口腔 - 全身和跨专业协作实践(IPCP)组件。美国一所大学的牙科学生和护理实践博士(DNP)学生参与了此次模拟,其主要目的是测试他们的团队合作技能。2014年春季,DNP学生在护理和牙科教员的监督下,与牙科学生在牙科诊所合作。为了测试两组学生的团队合作成果,设计了一个标准化患者(SP)场景,其中包括多种慢性医学诊断和一个口腔 - 全身组件。该练习被拍摄下来以供后续审查。结果测量包括SP和学生的自我评价以及教员对学生文档的评估。从牙科角度来看,主要关注的结果是教员对源自跨专业协作实践核心能力的IPCP能力的评估,并且教员在观看录像场景时认为这些能力是可观察到的。八组学生与一名在该场景中接受过培训的SP一起参与。每个团队由一名DNP学生、一名四年级牙科学生和一名二年级牙科学生组成。DNP班级中所有符合条件的学生(n = 20)以及每个牙科班级的八名学生(每个班级约110名)都参与了。结果显示,各团队在角色/职责子量表上得分最高,表明学生尊重彼此的角色和专业知识,并有效地相互协作以制定满足患者需求的策略。其他三个子量表(价值观/伦理、跨专业沟通和团队/团队合作)的得分也很高。这些发现似乎支持将IPCP作为一种促进对其他角色和职责的了解与尊重、提高对团队合作的认识并鼓励医疗保健提供者之间更好沟通的方法。ISPE场景提供了一种评估IPCP能力的有效方式。

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