Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Stockholm, Sweden.
Academic Primary Healthcare Centre, Region Stockholm, Stockholm, Sweden.
PLoS One. 2020 Sep 23;15(9):e0238797. doi: 10.1371/journal.pone.0238797. eCollection 2020.
Interprofessional education is important for increasing the quality of patient care, but organising it in primary healthcare is still challenging. The aim of this study was to develop and assess a virtual patient model for primary healthcare and to investigate students' perceptions of learning with this interprofessional virtual patient model.
The virtual patient case described a patient with several medical conditions who had returned home after surgery. The virtual patient included text files, short videos, and links to illustrate different health professions' roles in home care. Ten interprofessional groups with 39 students assessed the virtual patient from four different study programmes: nursing, physiotherapy, medicine, and occupational therapy. The students answered a questionnaire about how they perceived the usability of the virtual patient and participated in group interviews. Qualitative content analysis was used to analyse the data from the semi-structured group interviews.
The analysis of the interviews resulted in four main categories: The virtual patient model facilitated the learning process; It was beneficial to have students from different programmes in the group when working with the virtual patient; Working with the virtual patient helped the students to understand the roles and competencies of their own and other professions and All professions are needed in clinical work in order to help the patient. The students perceived that the mixture of text and multimedia made the virtual patient seem authentic and stimulated their group discussions, which they valued most. The students gave generally high points for usability in the questionnaire, but they also gave input for improvement of the program in their comments.
The interprofessional virtual patient model facilitated interactions and discussions between students and may be a useful complement for interprofessional education in clinical contexts and might be a suitable tool in preparing students for future teamwork.
跨专业教育对于提高患者护理质量至关重要,但在基层医疗保健中组织这种教育仍然具有挑战性。本研究的目的是开发和评估一种用于基层医疗保健的虚拟患者模型,并调查学生对使用这种跨专业虚拟患者模型进行学习的看法。
虚拟患者病例描述了一位患有多种疾病的患者,他在手术后已返回家中。虚拟患者包括文本文件、短视频和链接,以说明不同健康职业在家庭护理中的角色。来自护理、物理治疗、医学和职业治疗四个不同学习项目的十个跨专业小组评估了虚拟患者,每个小组有 39 名学生。学生们回答了一份关于他们如何看待虚拟患者可用性的问卷,并参加了小组访谈。使用定性内容分析对半结构化小组访谈的数据进行分析。
对访谈的分析产生了四个主要类别:虚拟患者模型促进了学习过程;在与虚拟患者合作时,让来自不同项目的学生组成小组是有益的;与虚拟患者合作有助于学生了解自己和其他专业的角色和能力;在临床工作中需要所有专业来帮助患者。学生们认为文本和多媒体的混合使虚拟患者看起来更真实,并激发了他们最看重的小组讨论。学生们在问卷中普遍对可用性给予了较高的评价,但在评论中也提出了改进方案的建议。
跨专业虚拟患者模型促进了学生之间的互动和讨论,可能是临床环境中跨专业教育的有用补充,也可能是为学生未来团队合作做准备的合适工具。