Nelson Sioban, White Catriona F, Hodges Brian D, Tassone Maria
S. Nelson is vice provost, academic, and professor, Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. C.F. White is a registered nurse, University Health Network, Toronto, Ontario, Canada. B.D. Hodges is executive vice president, University Health Network, and professor, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. M. Tassone is senior director, Collaborative and Transformative Learning, University Health Network, director, Centre for Interprofessional Education, University of Toronto, and assistant professor, Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Acad Med. 2017 May;92(5):709-716. doi: 10.1097/ACM.0000000000001435.
The authors undertook a descriptive analysis review to gain a better understanding of the various approaches to and outcomes of team training initiatives in prelicensure curricula since 2000.
In July and August 2014, the authors searched the MEDLINE, PsycINFO, Embase, Business Source Premier, and CINAHL databases to identify evaluative studies of team training programs' effects on the team knowledge, communication, and skills of prelicensure students published from 2000 to August 2014. The authors identified 2,568 articles, with 17 studies meeting the selection criteria for full text review.
The most common study designs were single-group, pre/posttest studies (n = 7), followed by randomized controlled or comparison trials (n = 6). The Situation, Background, Assessment, Recommendation communication tool (n = 5); crisis resource management principles (n = 6); and high-fidelity simulation (n = 4) were the most common curriculum bases used. Over half of the studies (n = 9) performed training with students from more than one health professions program. All but three used team performance assessments, with most (n = 8) using observed behavior checklists created for that specific study. The majority of studies (n = 16) found improvements in team knowledge, communication, and skills.
Team training appears effective in improving team knowledge, communication, and skills in prelicensure learners. Continued exploration of the best method of team training is necessary to determine the most effective way to move forward in prelicensure interprofessional team education.
作者进行了一项描述性分析综述,以更好地了解自2000年以来,在执照前课程中开展团队培训计划的各种方法及成果。
2014年7月和8月,作者检索了MEDLINE、PsycINFO、Embase、商业资源全文数据库和护理学与健康领域数据库,以确定2000年至2014年8月间发表的关于团队培训计划对执照前学生团队知识、沟通和技能影响的评估研究。作者共识别出2568篇文章,其中17项研究符合全文综述的选择标准。
最常见的研究设计是单组前后测研究(n = 7),其次是随机对照试验或比较试验(n = 6)。情境、背景、评估、建议沟通工具(n = 5)、危机资源管理原则(n = 6)和高保真模拟(n = 4)是最常用的课程基础。超过一半的研究(n = 9)对来自多个健康专业课程的学生进行培训。除三项研究外,所有研究都采用了团队绩效评估,其中大多数(n = 8)使用了为该特定研究创建的观察行为清单。大多数研究(n = 16)发现团队知识、沟通和技能有所提高。
团队培训似乎能有效提高执照前学习者的团队知识、沟通和技能。有必要继续探索最佳的团队培训方法,以确定在执照前跨专业团队教育中前进的最有效方式。