Berggren Erika, Ödlund Olin Ann, Orrevall Ylva, Strang Peter, Johansson Sven-Erik, Törnkvist Lena
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Academic Primary Health Care Centre, Stockholm County Council, Sweden.
SAGE Open Med. 2017 Aug 18;5:2050312117726465. doi: 10.1177/2050312117726465. eCollection 2017.
Teamwork is important in early palliative home care, and interprofessional education is required to achieve teamwork. It is thus crucial to ensure that interprofessional education works well for the members of all participating professions because levels of knowledge and educational needs may vary.
To evaluate, by profession, the effectiveness of an interprofessional educational intervention for district nurses and general practitioners on three areas of nutritional care for patients in a palliative phase.
A quasi-experimental study that used a computer-based, study-specific questionnaire to evaluate the effectiveness of the intervention. The continuing education in primary health care (ConPrim) model was used to create the intervention. ConPrim includes a web-based program, a practical exercise and a case seminar, all with interprofessional training.
Primary health care centers in Stockholm County, Sweden. Intervention group (n = 87; 48 district nurses, 39 general practitioners); control group (n = 53; 36 district nurses, 17 general practitioners).
The total intervention effect was significant in all three areas, p = 0.000-0.004. The intervention effects were similar and significant for both professions in areas 1 and 2. In area 3, the intervention effects were significant for general practitioners but not for district nurses.
The intervention seems promising, as it may create better prerequisites for teamwork and caring for patients living at home. However, it needs to be optimized to better increase district nurses' level of knowledge (area 3).
团队合作在早期姑息家庭护理中很重要，需要开展跨专业教育以实现团队合作。因此，至关重要的是要确保跨专业教育对所有参与专业的成员都能有效发挥作用，因为知识水平和教育需求可能各不相同。
按专业评估针对地区护士和全科医生的跨专业教育干预在姑息阶段患者营养护理三个领域的效果。
一项准实验研究，使用基于计算机的特定研究问卷来评估干预效果。采用初级卫生保健继续教育（ConPrim）模式来创建干预措施。ConPrim包括一个基于网络的项目、一次实践练习和一次案例研讨会，均具有跨专业培训内容。
瑞典斯德哥尔摩县的初级卫生保健中心。干预组（n = 87；48名地区护士，39名全科医生）；对照组（n = 53；36名地区护士，17名全科医生）。
在所有三个领域，总体干预效果均显著，p = 0.000 - 0.004。在领域1和2中，两个专业的干预效果相似且显著。在领域3中，干预对全科医生有显著效果，但对地区护士没有显著效果。
该干预措施似乎很有前景，因为它可能为团队合作和在家照顾患者创造更好的前提条件。然而，需要进行优化，以更好地提高地区护士的知识水平（领域3）。
