Fornari Alice, Tortez Leanne M, Lay Monika, Hirsch Bruce, Tanzi Donna, Friedman Isabel, Ricardo Alison P, Pekmezaris Renee, Branch William
Dr. Fornari: Professor, Department of Science Education, Hofstra Northwell School of Medicine, Hempstead, NY. Dr. Tortez: Health Services Researcher, Department of Medicine, Northwell Health, Great Neck, NY. Ms. Lay: Fourth-Year Medical Student, Hofstra Northwell School of Medicine, Hempstead, NY. Dr. Hirsch: Attending Physician, Division of Infectious Diseases, Northwell Health, Great Neck, NY. Ms. Tanzi: Magnet Project Director, Department of Nursing Education, Northwell Health, Great Neck, NY. Dr. Friedman: Director of Clinical Initiatives, Department of Clinical Transformation, Northwell Health, Great Neck, NY. Ms. Ricardo: Fourth-Year Medical Student, Hofstra Northwell School of Medicine, Hempstead, NY. Dr. Pekmezaris: Vice President of Community Health and Health Services Research, Department of Medicine, Northwell Health, Great Neck, NY. Dr. Branch: Professor of Medicine, Division of General Medicine, Emory University School of Medicine, Atlanta, GA.
J Contin Educ Health Prof. 2018 Winter;38(1):66-72. doi: 10.1097/CEH.0000000000000184.
This study evaluated the effectiveness of the Mentoring and Professionalism in Training (MAP-IT) program, a longitudinal, interprofessional faculty development curriculum designed to enhance clinicians' humanistic mentoring skills, specifically nurses and physicians.
During 2014 to 2016, two consecutive cohorts of nurses and physicians completed the MAP-IT program. Participants included 169 high potential mentors (HPMs) and 61 facilitator leaders. Each 10-month program consisted of small group work, experiential learning, and critical reflection aimed at enhancing humanistic mentoring skills. Throughout the program, facilitator leaders served as mentors for the HPMs. Both quantitative and qualitative data were collected to measure changes in skill levels specific to humanistic teaching practices, as well as overall evaluation of the program's curriculum and logistics. Quantitative data were analyzed using the Wilcoxon signed-rank test, descriptive statistics, and Fisher exact test, as appropriate. Qualitative data assessing the overall impact and applicability of the program to the clinical setting were analyzed using content analysis methodology.
Across cohorts, HPMs demonstrated significant increases in perceptions of humanistic teaching skills. During objective structured teaching simulations, significant increases were also found in HPMs' self-reported mentoring skills and their skills as rated by a standardized RN/MD. Qualitative analyses revealed themes of the program to be skill development and application, mentorship, humanism, mindfulness, self-care, and acknowledgment of overlapping interprofessional roles.
Utilizing an interprofessional education approach, the MAP-IT program was determined to be a feasible strategy to positively impact the personal and professional development of nurses and physicians.
本研究评估了培训中的指导与职业精神(MAP-IT)项目的有效性,该项目是一个纵向的跨专业教师发展课程,旨在提高临床医生,特别是护士和医生的人文指导技能。
在2014年至2016年期间,连续两批护士和医生完成了MAP-IT项目。参与者包括169名高潜力指导者(HPM)和61名促进者领导者。每个为期10个月的项目包括小组工作、体验式学习和批判性反思,旨在提高人文指导技能。在整个项目中,促进者领导者担任HPM的指导者。收集了定量和定性数据,以衡量人文教学实践特定技能水平的变化,以及对该项目课程和后勤的总体评价。定量数据采用Wilcoxon符号秩检验、描述性统计和Fisher精确检验进行分析(视情况而定)。使用内容分析方法对评估该项目对临床环境的总体影响和适用性的定性数据进行了分析。
在不同批次中,HPM对人文教学技能的认知有显著提高。在客观结构化教学模拟中,HPM自我报告的指导技能以及由标准化护士/医生评定的技能也有显著提高。定性分析揭示了该项目的主题包括技能发展与应用、指导、人文主义、正念、自我护理以及对跨专业角色重叠的认可。
采用跨专业教育方法,MAP-IT项目被确定为对护士和医生的个人和职业发展产生积极影响的可行策略。