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跨专业远程医疗案例活动对学生协作护理能力认知的影响。

Impact of Interprofessional Telehealth Case Activities on Students' Perceptions of Their Collaborative Care Abilities.

机构信息

Creighton University School of Pharmacy and Health Professions, Omaha, Nebraska.

出版信息

Am J Pharm Educ. 2019 May;83(4):6880. doi: 10.5688/ajpe6880.

Abstract

To describe the development, implementation, and assessment of simulated interprofessional education (IPE) telehealth case activities. Faculty from pharmacy and physician assistant schools developed interprofessional cases covering topics addressed in both curricula and designed for specific levels of learners. Using a telehealth format, pharmacy students were paired with physician assistant students and met at specified times in a virtual room. Faculty representing both professions assessed students as they discussed a patient case, determined a diagnosis, and collaborated to develop appropriate treatment options. Pre-experience and post-experience data and student reflections were collected. Pharmacy students' responses to items on the Team Skills Scale (TSS) completed after participating in four IPE telehealth case activities indicated positive changes. Mean total TSS scores significantly improved from pre-experience 62.3 (SD 8.4) to post-experience 72.6 (SD 5.7). Quantitative evaluation of student teams' participation in an interprofessional activity was assessed using the Creighton Interprofessional Collaborative Evaluation (C-ICE) instrument and the average score was 90%. Theme analysis was performed on student reflections and the most prominent themes identified were satisfaction from interacting with other health care professionals, increased confidence in clinical decision-making ability, and affirmation that IPE telehealth cases should be included in each year of the curriculum. Implementation of interprofessional cases using telehealth technology is an effective way for pharmacy schools to incorporate IPE into their curriculum. Students reported improved self-perception of interprofessional competence and attitudes toward interprofessional collaboration after participating in IPE telehealth cases.

摘要

描述模拟跨专业教育(IPE)远程医疗案例活动的开发、实施和评估。来自药学和医师助理学校的教师开发了涵盖两个课程中涉及的主题的跨专业案例,并针对特定层次的学习者进行了设计。通过远程医疗形式,药学学生与医师助理学生配对,并在虚拟房间中指定时间会面。代表两个专业的教师评估学生,因为他们讨论了一个患者案例,确定了诊断,并合作制定了适当的治疗方案。收集了预体验和后体验数据以及学生的反馈。参与四个 IPE 远程医疗案例活动后,药学学生对团队技能量表(TSS)上项目的回答表明发生了积极变化。TSS 总分从预体验的 62.3(SD 8.4)显著提高到后体验的 72.6(SD 5.7)。使用 Creighton 跨专业协作评估(C-ICE)工具对学生团队参与跨专业活动的情况进行了定量评估,平均得分 90%。对学生反馈进行了主题分析,确定的最突出主题是与其他医疗保健专业人员互动的满意度、对临床决策能力的信心增强,以及肯定应将 IPE 远程医疗案例纳入课程的每一年。使用远程医疗技术实施跨专业案例是药学学校将 IPE 纳入其课程的有效方法。学生在参与 IPE 远程医疗案例后报告说,他们对跨专业能力的自我认知和对跨专业合作的态度有所提高。

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