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最佳实践跨专业卒中护理协作与模拟:学生视角

Best practice interprofessional stroke care collaboration and simulation: The student perspective.

作者信息

MacKenzie Diane, Creaser Gail, Sponagle Kim, Gubitz Gordon, MacDougall Peter, Blacquiere Dylan, Miller Stephen, Sarty Gordon

机构信息

a School of Occupational Therapy, Faculty of Health , Dalhousie University , Halifax , Nova Scotia , Canada.

b School of Physiotherapy, Faculty of Health , Dalhousie University , Halifax , Nova Scotia , Canada.

出版信息

J Interprof Care. 2017 Nov;31(6):793-796. doi: 10.1080/13561820.2017.1356272. Epub 2017 Sep 1.

Abstract

Interprofessional practice (IPP) is the accepted standard of care for clients following a stroke. A brief, embedded and evidence-based IPP team simulation was designed to address stroke care knowledge and IPP competencies for students within limited curriculum space. Each team was required to construct a collaborative care plan for their patient during the simulation and submit the care plan for evaluation of best practice stroke care knowledge and implementation with evidence of interprofessional collaboration (IPC). A total of 302 students (274 on-site, 28 by distance technology) representing four professions comprised of 55 teams took part in this experience. Post-simulation, voluntary and anonymous programme evaluations were completed using the standardised interprofessional collaborative competency assessment scale (ICCAS) and open-ended free-text responses to five questions. There was a significant improvement for all pre-post ratings on the ICCAS regardless of profession or previous interprofessional experience. Additionally, the open-ended responses indicated perceived changes to role clarification, communication, and teamwork. The combined interpretation of the programme evaluation results supports interprofessional team simulation as an effective and efficient learning experience for students regardless of previous interprofessional experience, and demonstrated positive changes in stroke best-practice knowledge and IPC competencies.

摘要

跨专业实践(IPP)是中风患者公认的护理标准。设计了一个简短、嵌入式且基于证据的IPP团队模拟,以在有限的课程空间内解决学生的中风护理知识和IPP能力问题。在模拟过程中,每个团队都需要为其患者制定一份协作护理计划,并提交该护理计划,以评估最佳实践中风护理知识以及跨专业协作(IPC)的实施情况。共有来自四个专业的302名学生(274名现场学生,28名通过远程技术参与)组成55个团队参加了此次活动。模拟结束后,使用标准化的跨专业协作能力评估量表(ICCAS)以及对五个问题的开放式自由文本回复完成了自愿且匿名的项目评估。无论专业或之前的跨专业经验如何,ICCAS上所有前后评分均有显著提高。此外,开放式回复表明在角色澄清、沟通和团队合作方面有了明显变化。对项目评估结果的综合解读支持跨专业团队模拟是一种对学生有效且高效的学习体验,无论其之前的跨专业经验如何,并展示了中风最佳实践知识和IPC能力的积极变化。

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