Chen Alissa S, Yau Bernice, Revere Lee, Swails Jennifer
McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA.
George McMillan Fleming Center for Healthcare Management, School of Public Health, The University of Texas Health Science Center, Houston, TX, USA.
J Interprof Care. 2019 Nov-Dec;33(6):795-804. doi: 10.1080/13561820.2019.1594729. Epub 2019 Apr 22.
The ability to effectively work in interprofessional teams is listed as one of the five core competencies in health professions education. Though the importance of interprofessional education (IPE) has been established, results of studies have been difficult to compare due to the high variability of programs. We undertook a scoping review to examine the use of a prescribed curriculum, TeamSTEPPS, in IPE. Articles describing TeamSTEPPS implementations were extracted from Pubmed, Embase, and Scopus. Studies with two or more health professions students reporting on a clear evaluation and published in English were eligible for inclusion. Two researchers independently applied inclusion criteria to studies and reconciled conflicts for a final selection. The reference lists of selected papers were also searched for relevant studies. Data were extracted from each of the articles independently using a standard form. Twenty-four papers describing 23 unique programs were included. Programs used a variety of teaching modalities and included students from two to ten health professions, most commonly medical and nursing students. Programs used a range (n = 11) of validated IPE evaluation surveys, few of which were part of the TeamSTEPPS program. Methods included multimodal evaluations, self-assessment confidence and attitude surveys, pre/post-test models, and external evaluation of simulation performance. There was great variation in the implementation of TeamSTEPPS implying that while a consistent curriculum it can be adapted to meet the needs of different educational contexts. The variation in evaluation methods makes comparing and synthesis of results problematic. Future IPE research can expand on the use of this prescribed curriculum, especially with focus on uniform evaluation methods.
在跨专业团队中有效开展工作的能力被列为卫生专业教育的五项核心能力之一。尽管跨专业教育(IPE)的重要性已得到确立,但由于课程的高度变异性,研究结果难以进行比较。我们进行了一项范围综述,以研究规定课程“团队策略与工具提升绩效和患者安全(TeamSTEPPS)”在跨专业教育中的应用。从PubMed、Embase和Scopus中提取了描述TeamSTEPPS实施情况的文章。纳入标准为有两名或更多卫生专业学生参与、报告了明确评估且以英文发表的研究。两名研究人员独立对研究应用纳入标准,并协调冲突以进行最终筛选。还对所选论文的参考文献列表进行了检索以查找相关研究。使用标准表格从每篇文章中独立提取数据。纳入了24篇描述23个独特项目的论文。这些项目采用了多种教学方式,涵盖了2至10个卫生专业的学生,最常见的是医学和护理专业学生。项目使用了一系列(n = 11)经过验证的跨专业教育评估调查,其中很少是TeamSTEPPS项目的一部分。方法包括多模式评估、自我评估信心和态度调查、前后测试模型以及模拟表现的外部评估。TeamSTEPPS的实施存在很大差异,这意味着虽然它是一个统一的课程,但可以进行调整以满足不同教育背景的需求。评估方法的差异使得结果的比较和综合存在问题。未来的跨专业教育研究可以扩展对这一规定课程的使用,尤其是侧重于统一的评估方法。