Mowat Stephanie, Hein Casey, Walsh Tanya, MacDonald Laura, Grymonpre Ruby, Sisler Jeffrey
Ms. Mowat is Study Coordinator, Clinical Psychology Unit, Department of Psychology, University of Western Ontario; at the time of this study, she was Research and Evaluation Lead in Medical Education, Rady Faculty of Health Sciences, University of Manitoba; Prof. Hein is Assistant Clinical Professor, Department of Periodontics, College of Dentistry, as well as Director of Education, International Centre for Oral-Systemic Health, Director of Continuing Professional Development Dentistry and Dental Hygiene, and former Director of Continuing Interprofessional Education, Rady Faculty of Health Sciences, University of Manitoba; Ms. Walsh is Educational Specialist, International Centre for Oral-Systemic Health, Rady Faculty of Health Sciences, University of Manitoba; Prof. MacDonald is Associate Professor, School of Dental Hygiene, College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba; Dr. Grymonpre is Professor, College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba; and Dr. Sisler is Professor, Department of Family Medicine, and Vice Dean of Continuing Competency and Assessment, Rady Faculty of Health Sciences, University of Manitoba.
J Dent Educ. 2017 Dec;81(12):1421-1429. doi: 10.21815/JDE.017.102.
Integration of oral-systemic science into clinical care holds promise for improving patient outcomes and presenting opportunities for individuals in various health care professions to learn with, from, and about each other. The aim of this study was to examine whether an interprofessional continuing education program dedicated to oral-systemic health improved participants' attitudes toward interprofessional education and collaboration between dental and non-dental health care professionals and whether it influenced the physicians' practice of screening for debilitating oral diseases. The study took place in 2014 and used a mixed-methods approach, consisting of Readiness for Interprofessional Learning Scale (RIPLS) surveys conducted before, immediately after, and six months after the intervention, as well as surveys of self-reported practice behaviors and semi-structured interviews. A total of 231 health care professionals participated in the lectures and roundtable discussions. Of those, 134 responded to the pre-program survey (58% response rate), 110 responded to the post-program survey (48% response rate), and 58 responded to the survey six months after the program (25% response rate). The participants' median total RIPLS score at baseline was 76.5, which increased significantly immediately following the program (81.0) but returned to baseline six months later (76.5). Participants' RIPLS domain scores also increased significantly by profession from before to after the event, with effects returning to baseline after six months. Significantly more physicians reported screening for caries and periodontal disease after the intervention. An overall theme of "learning with, from, and about each other" was drawn from the interviews with 15 participants. The physicians took away a message of "just look in the mouth," while the dental professionals reported feeling valued as members of the health care team. Although reported improvements in oral-systemic health practice immediately after the intervention were encouraging, further research is necessary to understand why collaborative behaviors were not sustained.
将口腔-全身科学融入临床护理有望改善患者治疗效果，并为各医疗行业的人员提供相互学习、相互借鉴以及了解彼此的机会。本研究的目的是检验一个专注于口腔-全身健康的跨专业继续教育项目是否能改善参与者对跨专业教育以及牙科和非牙科医疗专业人员之间合作的态度，以及该项目是否会影响医生对使人衰弱的口腔疾病进行筛查的实践。该研究于2014年开展，采用了混合方法，包括在干预前、干预后立即以及干预后六个月进行的跨专业学习准备量表（RIPLS）调查，以及自我报告的实践行为调查和半结构化访谈。共有231名医疗专业人员参加了讲座和圆桌讨论。其中，134人回复了项目前的调查（回复率为58%），110人回复了项目后的调查（回复率为48%），58人回复了项目后六个月的调查（回复率为25%）。参与者在基线时的RIPLS总得分中位数为76.5，在项目结束后立即显著提高（81.0），但六个月后又回到了基线水平（76.5）。按专业划分，参与者的RIPLS领域得分在活动前后也显著提高，六个月后效果回到基线水平。干预后，报告对龋齿和牙周疾病进行筛查的医生显著增多。对15名参与者的访谈得出了一个“相互学习、相互借鉴以及了解彼此”的总体主题。医生们得到的信息是“看看口腔就行”，而牙科专业人员报告称作为医疗团队的成员感到受到重视。尽管干预后立即报告的口腔-全身健康实践改善令人鼓舞，但有必要进行进一步研究以了解为何合作行为未能持续。
