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跨专业模拟培训,以促进心理健康服务中与家庭及网络的合作。

Interprofessional Simulation Training to Promote Working With Families and Networks in Mental Health Services.

作者信息

Kowalski Christopher, Attoe Chris, Ekdawi Isabelle, Parry Claire, Phillips Sabrina, Cross Sean

机构信息

Medical-Psychiatry Alliance, Centre for Addiction and Mental Health, Toronto, ON, Canada.

Maudsley Simulation, London, UK.

出版信息

Acad Psychiatry. 2018 Oct;42(5):605-612. doi: 10.1007/s40596-017-0840-z. Epub 2017 Nov 2.

Abstract

OBJECTIVE

Working with the families and networks of patients with mental illness has significant benefits. There are, however, numerous barriers to this way of working, meaning that it is not universally privileged in mental healthcare services. This study evaluated the impact of an interprofessional simulation (IPS) course on working with families and networks on participants' confidence, attitudes, and perceived future clinical practice.

METHODS

A one-day IPS course pairing high-fidelity scenarios with reflective debriefs was developed. Simulated patients were engaged to portray patients and family members. Participants were mental health professionals from a variety of medical, nursing, and allied health professional backgrounds (n = 105). A mixed-methods approach to data collection was adopted, comprising pre- and post-course quantitative data on confidence and attitudes towards working with families and networks, and post-course qualitative data on participant experience and learning. Paired samples t tests and thematic analysis were conducted on the respective data sets.

RESULTS

Participants' overall confidence and attitude scores showed statistically significant improvements with large and medium effect sizes, respectively. Thematic analyses identified several perceived improvements in areas related to the following: personal professional development, interprofessional and team working, and patient care and experience. Key pedagogical features of IPS were also highlighted.

CONCLUSIONS

These findings support the use of IPS to improve clinicians' capabilities in undertaking systemic work while also supporting its ability to alter clinicians' ways of working in general. The importance of interprofessional and team working for this was also highlighted. Longitudinal evaluation of the training's impact on clinical practice is warranted.

摘要

目的

与患有精神疾病患者的家庭及社交网络合作具有显著益处。然而,这种工作方式存在诸多障碍,这意味着它在精神卫生保健服务中并非普遍受到重视。本研究评估了跨专业模拟(IPS)课程对与家庭及社交网络合作方面的影响,包括对参与者信心、态度以及对未来临床实践的认知。

方法

开发了一个为期一天的IPS课程,将高保真场景与反思性汇报相结合。安排模拟患者扮演患者及其家庭成员。参与者为来自各种医学、护理和相关健康专业背景的精神卫生专业人员(n = 105)。采用混合方法收集数据,包括课程前后关于与家庭及社交网络合作的信心和态度的定量数据,以及课程后关于参与者体验和学习的定性数据。对相应数据集进行配对样本t检验和主题分析。

结果

参与者的总体信心和态度得分分别显示出具有统计学意义的显著提高,效应量较大和中等。主题分析确定了在以下相关领域的一些明显改善:个人专业发展、跨专业和团队合作、患者护理及体验。还强调了IPS的关键教学特征。

结论

这些发现支持使用IPS来提高临床医生进行系统工作的能力,同时也支持其改变临床医生总体工作方式的能力。还强调了跨专业和团队合作对此的重要性。有必要对该培训对临床实践的影响进行纵向评估。

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