Giuliante Maryanne M, Greenberg Sherry A, McDonald Margaret V, Squires Allison, Moore Ronnie, Cortes Tara A
a Hartford Institute for Geriatric Nursing , New York University Rory Meyers College of Nursing , New York , NY , USA.
b Memorial Sloan Kettering Cancer Center , MSKCC Regional Network - Westchester , W. Harrison , NY , USA.
J Interprof Care. 2018 Sep;32(5):629-633. doi: 10.1080/13561820.2018.1457630. Epub 2018 Apr 6.
Interprofessional collaborative education and practice has become a cornerstone of optimal person-centered management in the current complex health care climate. This is especially important when working with older adults, many with multiple chronic conditions and challenging health care needs. This paper describes a feasibility study of the Geriatric Interdisciplinary Team Training 2.0 (GITT 2.0) program focused on providing interprofessional care to complex and frail older adults with multiple chronic conditions. A concurrent triangulation mixed-methods design facilitated program implementation and evaluation. Over three years (2013-2016), 65 graduate students from nursing, midwifery, social work, and pharmacy participated along with 25 preceptors. Participants were surveyed on their attitudes toward interprofessional collaboration pre and post-intervention and participated in focus groups. While attitudes toward interprofessional collaboration did not change quantitatively, focus groups revealed changes in language and enhanced perspectives of participants. Based on the evaluation data, the GITT 2.0 Toolkit was refined for use in interprofessional education and practice activities related to quality initiatives.
在当前复杂的医疗环境中，跨专业协作教育与实践已成为以患者为中心的最佳管理模式的基石。在为老年人提供服务时，这一点尤为重要，因为许多老年人患有多种慢性病且医疗需求复杂。本文描述了一项针对老年跨学科团队培训2.0（GITT 2.0）项目的可行性研究，该项目旨在为患有多种慢性病的复杂体弱老年人提供跨专业护理。采用同步三角测量混合方法设计促进了项目的实施与评估。在三年时间（2013 - 2016年）里，来自护理、助产、社会工作和药学专业的65名研究生以及25名带教老师参与其中。在干预前后对参与者进行了关于他们对跨专业协作态度的调查，并让他们参加焦点小组讨论。虽然对跨专业协作的态度在数量上没有变化，但焦点小组讨论揭示了参与者语言上的变化以及观点的提升。基于评估数据，对GITT 2.0工具包进行了完善，以便用于与质量改进计划相关的跨专业教育和实践活动。
