Schwindt Rhonda, McNelis Angela M, Agley Jon, Hudmon Karen S, Lay Kathy, Wilgenbusch Bev
a School of Nursing , George Washington University , Washington, DC , US.
b School of Public Health , Indiana University , Bloomington, Indiana , US.
J Interprof Care. 2019 Mar-Apr;33(2):200-208. doi: 10.1080/13561820.2018.1534808. Epub 2018 Oct 18.
The high prevalence of smoking among persons with mental illness and co-occurring substance use disorders has not changed in the past decade despite a decline in smoking among the general population. Interprofessional collaborative care offers clinicians the opportunity to engage their patients in tobacco cessation treatment that is coordinated and comprehensive. Investigators applied a 1-group, pre/post-test design with qualitative and quantitative descriptive analyses to estimate the impact of an interprofessional tobacco education program on perceived self-efficacy and self-reported counseling abilities of graduate nursing, social work, and pharmacy (PharmD) students (N = 36; nursing, n = 13, n = 9 PharmD, n = 14 social work) to treat tobacco dependence among this subpopulation of smokers, and to assess their perceptions of interprofessional education. All participants completed a 2-h web-based module, a 3-h classroom training, a simulation with a standardized patient, and a group audio-recorded debriefing session with faculty. Emergent themes from qualitative analyses were valuing simulations, demystifying disciplines, reflecting on and critiquing practice, and lessons learned. Participants' perceived self-efficacy, self-rated counseling ability, intention to ask about tobacco use, and intention to provide counseling for tobacco cessation increased significantly. Teaching students an interprofessional team approach appears to be effective in enhancing counseling abilities and self-efficacy and may positively influence health professions students' perceptions of interprofessional education. Larger studies are recommended to validate the results of this pilot study.
尽管普通人群吸烟率有所下降，但在过去十年中，患有精神疾病和并发物质使用障碍的人群中吸烟率居高不下。跨专业协作护理为临床医生提供了机会，使他们能够让患者参与到协调且全面的戒烟治疗中。研究人员采用单组前后测试设计，并进行定性和定量描述性分析，以评估跨专业烟草教育项目对护理、社会工作和药学（药学博士）专业研究生（N = 36；护理专业13人，药学博士专业9人，社会工作专业14人）在治疗该亚群吸烟者烟草依赖方面的自我效能感和自我报告咨询能力的影响，并评估他们对跨专业教育的看法。所有参与者完成了一个2小时的网络模块、一个3小时的课堂培训、一次与标准化患者的模拟以及一次与教师进行的小组录音汇报会。定性分析中出现的主题包括重视模拟、消除学科神秘感、反思和批判实践以及吸取的经验教训。参与者的自我效能感、自我评估咨询能力、询问烟草使用情况的意愿以及提供戒烟咨询的意愿均显著提高。向学生传授跨专业团队方法似乎在提高咨询能力和自我效能感方面有效，并且可能对健康专业学生对跨专业教育的看法产生积极影响。建议开展更大规模的研究来验证这项试点研究的结果。
