混合模拟课程可提高参与者的积极应对压力能力。

Mixed simulation course increases participants' positive stress coping abilities.

机构信息

Division of Clinical Skills Training, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Division of General Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Division of Endocrinology and Metabolism, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Taipei Veterans General Hospital, Taipei, Taiwan, ROC; School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.

Division of General Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Taipei Veterans General Hospital, Taipei, Taiwan, ROC; School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.

出版信息

J Chin Med Assoc. 2018 Jan;81(1):58-63. doi: 10.1016/j.jcma.2017.07.013. Epub 2017 Nov 6.

DOI:10.1016/j.jcma.2017.07.013

PMID:29122538

Abstract

BACKGROUND

Lack of health professional awareness of interprofessional collaborative practice (IPCP) often results in stress and conflicts between team members in the medical system. Our study aimed to compare the effectiveness of mixed simulation-interprofessional education (IPE) courses to enhance coping strategies for IPCP-associated stress.

METHODS

Participants (n = 54) from the disciplines of physicians (n = 12), nurses (n = 28) and pharmacists (n = 14) were enrolled. Over the course of the study period, all participants were asked to complete pre-course (T1), post-course (T2) and end-of-study (T3) questionnaires for self-assessment of perceived stress scale (PSS), stress coping preference scale (SCPS), and IPCP proficiency.

RESULTS

Basically, physicians felt less IPCP-associated stress than did nurses and pharmacists. For physicians, nurses and pharmacists, the mean post-course (T2) PSS scores were significantly lower than pre-course (T1) PSS scores, which indicated decreased IPCP-associated stress after mixed simulation-IPE courses. In comparison with physicians, the greater difference (T2-T1 scores) in the PSS and positive coping SCPS subscales scores were noted among nurses and pharmacists. For nurses and pharmacists, the further improvements in stress coping abilities (PSS scale and positive SCPS subscale) were noted at the end-of-study self-assessment by comparison of post-course scores with end-of-study scores. For IPCP proficiency, all participants gave more positive responses to the specific questions in the end-of-study questionnaires.

CONCLUSION

Our study supports the use of mixed simulation-IPE courses as part of continuing education to enhance positive stress coping strategies.

摘要

背景

医疗专业人员对跨专业协作实践（IPCP）缺乏认识，往往会导致医疗体系团队成员之间的压力和冲突。我们的研究旨在比较混合模拟跨专业教育（IPE）课程对增强应对 IPCP 相关压力的应对策略的有效性。

方法

招募了来自医生（n=12）、护士（n=28）和药剂师（n=14）等学科的参与者（n=54）。在研究期间，所有参与者都被要求在课前（T1）、课后（T2）和学期末（T3）完成问卷，以自我评估感知压力量表（PSS）、压力应对偏好量表（SCPS）和 IPCP 熟练程度。

结果

基本上，医生比护士和药剂师感受到的 IPCP 相关压力较小。对于医生、护士和药剂师，课后（T2）PSS 评分明显低于课前（T1）PSS 评分，这表明混合模拟 IPE 课程后 IPCP 相关压力降低。与医生相比，护士和药剂师的 PSS 和积极应对 SCPS 子量表评分的差异更大（T2-T1 评分）。对于护士和药剂师，与课后评分相比，通过比较期末评分，发现压力应对能力（PSS 量表和积极 SCPS 子量表）进一步提高。对于 IPCP 熟练程度，所有参与者对期末问卷中的具体问题都给予了更积极的回应。