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混合方法研究:一个为期一周的国际服务项目提高了医疗保健能力。

Mixed methods study: a one-week international service project enhances healthcare competencies.

机构信息

Department of Physical Therapy, University of South Alabama, Health Sciences Building, Enhancing Interprofessional Education Across the Health Sciences , HAHN , USA.

Department of Physical Therapy, University of Dayton, Fitz Hall, Room 2029, 300 College Park Ave , Dayton , OH , USA.

出版信息

J Interprof Care. 2019 Sep-Oct;33(5):437-445. doi: 10.1080/13561820.2018.1544547. Epub 2018 Nov 16.

DOI:10.1080/13561820.2018.1544547
PMID:30444151
Abstract

Interprofessional Education Collaborative (IPEC) core competencies are widely accepted as a guide to prepare healthcare professionals. Two competency domains, values/ethics and roles and responsibilities, have specific relevance when investigating the effectiveness of a transcultural interprofessional experience. Participants were University of South Alabama students from the Colleges of Allied Health Professions, Medicine, and Nursing, who volunteered for a 7-day service learning experience in Trinidad. A convergent mixed methods research design was used. Students completed two Likert scale surveys, the Interprofessional Education Collaborative Competency Survey (IPECC) and the Transcultural Self-Efficacy Tool- Multidisciplinary Healthcare Provider Version (TSET-MHP), prior to and following the experience. A Wilcoxon Sign Test was used to analyze quantitative data. Qualitative data, guided by the Critical Incident Technique, was obtained from diary entries during the trip and a selected member focus group post-trip. There was a significant improvement in all three cultural competency domains of the TSET-MHP (p < .001). The most frequently reported IPEC sub-competencies were the ability to work in cooperation with those who receive, provide, and support care; and the ability to engage diverse healthcare providers to complement one's own professional expertise. Based on participant report, an international interprofessional clinical experience appears to be effective in enhancing health care competencies.

摘要

跨专业教育协作 (IPEC) 核心能力被广泛认为是培养医疗保健专业人员的指南。在调查跨文化跨专业体验的有效性时,有两个能力领域,价值观/道德和角色和责任,具有特定的相关性。参与者是来自阿拉巴马大学南方分校联合健康职业学院、医学院和护理学院的学生,他们自愿参加在特立尼达为期 7 天的服务学习体验。采用了收敛混合方法研究设计。学生在体验前后完成了两份李克特量表调查,即跨专业教育协作能力调查 (IPECC) 和跨文化自我效能工具-多学科医疗保健提供者版本 (TSET-MHP)。使用 Wilcoxon 符号检验分析定量数据。在旅行期间的日记条目和选定的成员焦点小组旅行后,获得了定性数据,这些数据由关键事件技术指导。TSET-MHP 的所有三个文化能力领域都有显著改善(p<.001)。报告频率最高的 IPEC 子能力是与接受、提供和支持护理的人合作的能力;以及与不同的医疗保健提供者合作以补充自己专业知识的能力。根据参与者的报告,国际跨专业临床体验似乎有效地增强了医疗保健能力。

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