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通过急性护理模拟实现跨专业社会化

Interprofessional Socialization Through Acute-Care Simulation.

作者信息

Karnish Kristen, Shustack Lisa, Brogan Laurie, Capitano Gina, Cunfer Audrey

出版信息

Radiol Technol. 2019 Jul;90(6):552-562.

Abstract

PURPOSE

To explore the perceptions of interprofessional socialization in nursing, medical imaging, and physical therapy students using an interprofessional education acute-care simulation.

METHODS

A mixed-methods design was used to evaluate the effect of a single simulation-based experience on interprofessional collaborative practice using the Interprofessional Socialization and Valuing Scale (ISVS-21) and 3 postactivity open-ended descriptive questions. Students participated in a patient care simulation with an elderly patient after total hip replacement surgery in an acute-care inpatient setting. Descriptive and exploratory statistics examined pre- and post-ISVS-21 survey responses, and phenomenological inquiry was used to explore the students' experiences and knowledge gained from participating in the simulation.

RESULTS

One-hundred-nine students participated in the acute-care patient simulation, including 42 from nursing, 47 from physical therapy, and 20 from radiography. ISVS-21 survey results indicated improved scores because of the simulation activity, including significant improvements in each of the survey items. Qualitative themes emerged related to creating a culture of communication and teamwork and professional role discernment.

DISCUSSION

Implementation of this acute-care simulation successfully exposed many students to interprofessional collaborative practice. Mixed-method analysis demonstrated significant improvement in attitudes related to socialization and interprofessional collaborative practice in students of each discipline.

CONCLUSION

This study adds a unique perspective on interprofessional simulation because it included nursing, physical therapy, and radiography students. Students' perceptions of interprofessional patient care, interdisciplinary communication, teamwork, and appreciation for professional role discernment can be enhanced after a single interprofessional simulation-based experience. Although each health care profession has a specific culture, it is possible to improve student beliefs, behaviors, and attitudes about teamwork and collaborative practice, which can carry over into professional practice.

摘要

目的

通过跨专业教育急性护理模拟,探讨护理、医学影像和物理治疗专业学生对跨专业社会化的认知。

方法

采用混合方法设计,使用跨专业社会化与重视量表(ISVS - 21)和3个活动后开放式描述性问题,评估单次基于模拟的体验对跨专业协作实践的影响。学生们在急性护理住院环境中参与了一次全髋关节置换术后老年患者的护理模拟。描述性和探索性统计分析了ISVS - 21调查前后的回复,并采用现象学探究方法探索学生参与模拟所获得的体验和知识。

结果

109名学生参与了急性护理患者模拟,其中包括42名护理专业学生、47名物理治疗专业学生和20名放射专业学生。ISVS - 21调查结果表明,由于模拟活动,分数有所提高,包括每个调查项目都有显著改善。出现了与营造沟通和团队合作文化以及专业角色识别相关的定性主题。

讨论

本次急性护理模拟的实施成功让许多学生接触到跨专业协作实践。混合方法分析表明,各学科学生在与社会化和跨专业协作实践相关的态度方面有显著改善。

结论

本研究为跨专业模拟提供了独特视角,因为它纳入了护理、物理治疗和放射专业的学生。经过单次基于模拟的跨专业体验后,学生对跨专业患者护理、跨学科沟通、团队合作以及对专业角色识别的认识可以得到增强。尽管每个医疗保健专业都有特定文化,但改善学生对团队合作和协作实践的信念、行为和态度是可能的,这可以延续到专业实践中。

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