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强化居家护理环境中共同决策培训中的跨专业合作:简短报告。

Enhancing interprofessionalism in shared decision-making training within homecare settings: a short report.

机构信息

Department of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Canada.

Quebec-Université Laval Central University Hospital Research Centre (RC-CHU), Quebec City, Canada.

出版信息

J Interprof Care. 2020 Jan-Feb;34(1):143-146. doi: 10.1080/13561820.2019.1623764. Epub 2019 Jun 11.

Abstract

Training in shared decision-making (SDM) often focuses solely on dyadic relationships between one healthcare provider and one patient. However, many healthcare decisions often involve two or more health professionals. These decisions warrant utilizing an interprofessional shared decision-making (IP-SDM) approach which enables patients and their caregivers to face difficult decisions around care together. Most existing SDM training programs fall short when building interprofessional (IP) competencies and require an approach that integrates IP with SDM. This short report discusses the creation and trial implementation of three enhanced education tools (a video, role-play exercise with decision aid, and an IP observation aid) for an IP-SDM workshop focused on helping homecare teams collaborate with seniors and their caregivers throughout the decision-making process. We developed and implemented these tools in eight study sites of a larger randomized control trial to test the training workshop for homecare teams. The workshop and tools helped participants overcome interprofessional challenges in their work. Participants evaluated the tools and workshop, which offered guidance to better translate teachable IP collaboration competencies within SDM.

摘要

培训中的共享决策(SDM)通常仅关注一个医疗保健提供者和一个患者之间的二元关系。然而,许多医疗保健决策通常涉及两个或更多的卫生专业人员。这些决策需要利用一种跨专业的共享决策(IP-SDM)方法,使患者及其护理人员能够共同面对医疗决策。大多数现有的 SDM 培训计划在建立跨专业(IP)能力方面存在不足,需要一种将 IP 与 SDM 相结合的方法。本简短报告讨论了为一个专注于帮助家庭护理团队在整个决策过程中与老年人及其护理人员合作的 IP-SDM 研讨会创建和试行三种增强型教育工具(视频、使用决策辅助工具的角色扮演练习和 IP 观察辅助工具)的情况。我们在一个更大的随机对照试验的八个研究点开发和实施了这些工具,以测试家庭护理团队的培训研讨会。该研讨会和工具帮助参与者克服了他们工作中的跨专业挑战。参与者评估了工具和研讨会,这些评估为更好地将可教的 IP 协作能力转化为 SDM 提供了指导。

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