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一项针对精神卫生服务中饮食失调培训的跨专业教育试点项目评估

Evaluation of a pilot interprofessional education programme for eating disorder training in mental health services.

作者信息

McDevitt S, Passi V

机构信息

1HSE,CAMHS,Cork,Ireland.

2Warwick Medical School,University of Warwick,Coventry,UK.

出版信息

Ir J Psychol Med. 2018 Dec;35(4):289-299. doi: 10.1017/ipm.2015.61.

Abstract

OBJECTIVE

To evaluate the effectiveness of an Interprofessional Education (IPE) programme in eating disorders for mental health practitioners using a case-based learning approach.

METHODS

A total of 25 mental health clinicians were asked to evaluate their IPE programme as part of training for the National Clinical Programme in Eating Disorders. They completed a Readiness for Interprofessional Learning Scale (RIPLS), a learner reaction questionnaire after each session and a final open evaluation at 4 months. Non-parametric statistical analysis was employed to analyse learner attitudes and reactions, and qualitative information was coded.

RESULTS

A total of 23 (92%) clinicians from five disciplines participated. Baseline attitudes towards IPE were positive on all RIPLS subscales, and those with prior IPE experience had most positive views as to its benefits for teamwork and patient care (p=0.036). Learner reactions on content, delivery, outcome and structure indicated that individual learning experience was strongly positively endorsed. Change in clinical practice behaviour was reported in terms of communication, clinical activity, outcome evaluation and confidence. Barriers included other demands on time, organisational support, not having enough patients or co-workers to practice skills, and knowledge differentials between learners.

CONCLUSIONS

IPE using a case based learning approach is an effective and acceptable means of developing specialist training across existing service, team and professional boundaries. It has potential for positive impact on knowledge, clinical behaviour and service delivery. Recommendations include the introduction of IPE group guidelines, wider circulation of learning points and content, and the use of self-competency ratings and reflective logs.

摘要

目的

采用基于案例的学习方法,评估一项针对心理健康从业者的跨专业教育(IPE)项目在饮食失调方面的有效性。

方法

共有25名心理健康临床医生被要求评估他们参与的IPE项目,作为饮食失调国家临床项目培训的一部分。他们完成了一份跨专业学习准备量表(RIPLS),在每次课程后填写一份学习者反应问卷,并在4个月时进行最终的开放式评估。采用非参数统计分析来分析学习者的态度和反应,并对定性信息进行编码。

结果

来自五个学科的23名(92%)临床医生参与其中。在RIPLS所有子量表上,对IPE的基线态度都是积极的,并且那些有过IPE经验的人对其在团队合作和患者护理方面的益处看法最为积极(p = 0.036)。学习者对内容、授课方式、结果和结构的反应表明,个人学习体验得到了强烈的积极认可。报告了在沟通、临床活动、结果评估和信心方面临床实践行为的变化。障碍包括时间上的其他需求、组织支持、没有足够的患者或同事来练习技能,以及学习者之间的知识差异。

结论

采用基于案例的学习方法的IPE是一种在现有服务、团队和专业界限内开展专业培训的有效且可接受的方式。它对知识、临床行为和服务提供有积极影响的潜力。建议包括引入IPE小组指南、更广泛地传播学习要点和内容,以及使用自我能力评级和反思日志。

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