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基于模拟的医学和护理专业学生的跨专业教育在韩国的效果:一项前后测调查。

Effectiveness of simulation-based interprofessional education for medical and nursing students in South Korea: a pre-post survey.

机构信息

Office of Medical Education, Ajou University School of Medicine, Suwon, South Korea.

College of Nursing, Taegu Science University, Daegu, South Korea.

出版信息

BMC Med Educ. 2020 Nov 26;20(1):476. doi: 10.1186/s12909-020-02395-9.

Abstract

BACKGROUND

Effective collaboration and communication among health care team members are critical for providing safe medical care. Interprofessional education aims to instruct healthcare students how to learn with, from, and about healthcare professionals from different occupations to encourage effective collaboration to provide safe and high-quality patient care. The purpose of this study is to confirm the effectiveness of Interprofessional education by comparing students' attitudes toward interprofessional learning before and after simulation-based interprofessional education, the perception of teamwork and collaboration between physicians and nurses, and the self-reported competency differences among students in interprofessional practice.

METHODS

The survey responses from 37 5th-year medical students and 38 4th-year nursing students who participated in an interprofessional education program were analyzed. The Attitude Towards Teamwork in Training Undergoing Designed Educational Simulation scale, the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration, and the Interprofessional Education Collaborative competency scale were used for this study. The demographic distribution of the study participants was obtained, and the perception differences before and after participation in interprofessional education between medical and nursing students were analyzed.

RESULTS

After interprofessional education, student awareness of interprofessional learning and self-competency in interprofessional practice improved. Total scores for the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration did not change significantly among medical students but increased significantly among nursing students. Additionally, there was no significant change in the perception of the role of other professions among either medical or nursing students.

CONCLUSIONS

We observed an effect of interprofessional education on cultivating self-confidence and recognizing the importance of interprofessional collaboration between medical professions. It can be inferred that exposure to collaboration situations through Interprofessional education leads to a positive perception of interprofessional learning. However, even after their interprofessional education experience, existing perceptions of the role of other professional groups in the collaboration situation did not change, which shows the limitations of a one-time short-term program. This suggests that efforts should be made to ensure continuous exposure to social interaction experiences with other professions.

摘要

背景

医疗团队成员之间的有效协作和沟通对于提供安全的医疗保健至关重要。跨专业教育旨在指导医学生如何与来自不同职业的医疗专业人员一起学习、相互学习,以鼓励有效的协作,提供安全和高质量的患者护理。本研究的目的是通过比较模拟为基础的跨专业教育前后医学生对跨专业学习的态度、医生和护士对团队合作和协作的看法,以及学生在跨专业实践中的自我报告能力差异,来确认跨专业教育的效果。

方法

对参加跨专业教育计划的 37 名五年级医学生和 38 名四年级护理学生的调查答复进行了分析。采用团队协作态度在培训中接受设计的教育模拟量表、杰斐逊医师-护士协作态度量表和跨专业教育协作能力量表进行研究。获得了研究参与者的人口统计学分布情况,并分析了医学生和护理学生在参加跨专业教育前后对跨专业教育的看法差异。

结果

跨专业教育后,学生对跨专业学习的认识和跨专业实践的自我能力提高了。杰斐逊医师-护士协作态度量表的总分在医学生中没有显著变化,但在护理学生中显著增加。此外,医学生和护理学生对其他专业角色的看法没有明显变化。

结论

我们观察到跨专业教育对培养医学生的自信心和认识到医专业间协作的重要性有效果。可以推断,通过跨专业教育接触协作情境会导致对跨专业学习的积极认识。然而,即使在他们接受了跨专业教育之后,他们对其他专业群体在协作情境中的角色的现有看法并没有改变,这表明一次性短期计划的局限性。这表明,应该努力确保他们持续接触与其他专业的社会互动体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fb7/7691096/949f8bd606ae/12909_2020_2395_Fig1_HTML.jpg

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