Nikendei C, Huhn D, Pittius G, Trost Y, Bugaj T J, Koechel A, Schultz J-H
University of Heidelberg Medical Hospital, Department of General Internal and Psychosomatic Medicine, Heidelberg, Germany.
Louise von Marillac-School for Health Professions, Heidelberg, Germany.
GMS J Med Educ. 2016 Apr 29;33(2):Doc14. doi: 10.3205/zma001013. eCollection 2016.
Ward rounds are an essential activity for interprofessional teams in hospital settings and represent complex tasks requiring not only medical knowledge but also communication skills, clinical technical skills, patient management skills and team-work skills. The present study aimed to analyse final year students', nurses' as well as physiotherapists' views on a simulation-based interprofessional ward round training.
In two successive passes a total number of 29 final year students, nursing students and physiotherapy students (16 in the first run, 13 in the second) volunteered to participate in two standardized patient ward round scenarios: (1) patient with myocardial infarction, and (2) patient with poorly controlled diabetes. Views on the interprofessional ward round training were assessed using focus groups.
Focus group based feedback contained two main categories (A) ward round training benefits and (B) difficulties. Positive aspects enfolded course preparation, setting of the training, the involvement of the participants during training and the positive learning atmosphere. Difficulties were seen in the flawed atmosphere and realization of ward rounds in the daily clinical setting with respect to inter-professional aspects, and course benefit for the different professional groups.
The presented inter-professional ward round training represents a well received and valuable model of interprofessional learning. Further research should assess its effectiveness, processes of interprofessional interplay and transfer into clinical practice.
查房是医院环境中跨专业团队的一项重要活动,是一项复杂的任务,不仅需要医学知识,还需要沟通技巧、临床技术技能、患者管理技能和团队合作技能。本研究旨在分析最后一年的学生、护士以及物理治疗师对基于模拟的跨专业查房培训的看法。
在连续两轮中,共有29名最后一年的学生、护理专业学生和物理治疗专业学生(第一轮16名,第二轮13名)自愿参加两个标准化患者查房场景:(1)心肌梗死患者;(2)糖尿病控制不佳患者。使用焦点小组评估对跨专业查房培训的看法。
基于焦点小组的反馈包含两个主要类别:(A)查房培训的益处和(B)困难。积极方面包括课程准备、培训设置、培训期间参与者的参与以及积极的学习氛围。在日常临床环境中,就跨专业方面而言,查房的氛围和实施存在缺陷,以及该课程对不同专业群体的益处方面存在困难。
所呈现的跨专业查房培训是一种广受好评且有价值的跨专业学习模式。进一步的研究应评估其有效性、跨专业互动过程以及向临床实践的转化。