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跨专业与单一专业基于病例的学习在儿童癌症中的应用及其对医疗保健专业人员知识和态度的影响:一项随机试验的研究方案。

Interprofessional versus monoprofessional case-based learning in childhood cancer and the effect on healthcare professionals' knowledge and attitudes: study protocol for a randomised trial.

机构信息

Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen, Denmark.

Department of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen, Denmark.

出版信息

BMC Health Serv Res. 2020 Dec 4;20(1):1124. doi: 10.1186/s12913-020-05980-2.

DOI:10.1186/s12913-020-05980-2
PMID:33276789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7718682/
Abstract

BACKGROUND

Interprofessional education in childhood cancer is a multifaceted field involving multiple healthcare professionals with general and specialised knowledge and skills. Complex treatment, care and rehabilitation require continuous professional development and maintenance of healthcare professionals' competencies in their field of expertise. However, limited knowledge exists in comparing interprofessional and monoprofessional education. Only a few randomised studies have evaluated the effectiveness and efficiency of interprofessional education. The objective of this single-centre, investigator-initiated cluster randomised trial is to study the effect of interprofessional versus monoprofessional case-based learning on healthcare professionals' knowledge of gastrointestinal side effects and attitudes towards team collaboration.

METHODS

This study will randomise healthcare professionals to participate in either the experimental interprofessional group or the control monoprofessional group of case-based learning. The topic of the case-based intervention will be gastrointestinal side effects, one of six categories identified in a three-round Scandinavian Delphi study as relevant for interprofessional education in childhood cancer. The primary outcome is the self-reported questionnaire Assessment of Interprofessional Team Collaboration Scale. Secondary outcomes are measured by the self-reported questionnaires Readiness for Interprofessional Learning Scale Questionnaire, Safety Attitudes Questionnaire, and knowledge will be evaluated using a multiple-choice quiz. Participants will receive the self-reported questionnaires about 2 weeks before and 1 month after the intervention. On the day of the intervention, participants will answer a multiple-choice quiz before and after the case-based learning. Linear mixed models will be used to compare differences between the two groups in mean scores postintervention, adjusting for preintervention scores.

DISCUSSION

This study will provide insight into the differences between interprofessional and monoprofessional case-based learning and how it affects healthcare professionals' knowledge of gastrointestinal side effects and attitudes towards team collaboration.

TRIAL REGISTRATION

The intervention was registered at Clinical Trials.gov : NCT04204109 on December 102,019 and with the National Committee on Health Research Ethics: H-19087506 December 112,019 and the Danish Data Protection Agency: P-2019-637 October 152,019.

摘要

背景

儿童癌症的跨专业教育是一个多方面的领域,涉及具有一般和专业知识与技能的多个医疗保健专业人员。复杂的治疗、护理和康复需要医疗保健专业人员在其专业领域不断进行专业发展和保持能力。然而,在比较跨专业和单一专业教育方面,知识有限。只有少数随机研究评估了跨专业教育的有效性和效率。本单中心、研究者发起的集群随机试验的目的是研究基于案例的跨专业与单一专业学习对医疗保健专业人员胃肠道副作用知识和团队合作态度的影响。

方法

本研究将随机分配医疗保健专业人员参加基于案例的学习的实验组或对照组。基于案例的干预主题将是胃肠道副作用,这是在三轮斯堪的纳维亚德尔菲研究中确定的六个与儿童癌症跨专业教育相关的类别之一。主要结果是自我报告的问卷《团队协作评估量表》。次要结果通过自我报告的问卷《跨专业学习准备情况量表问卷》、《安全态度问卷》进行测量,知识将通过多项选择测验进行评估。参与者将在干预前 2 周和干预后 1 个月收到自我报告的问卷。在干预当天,参与者将在基于案例的学习前后回答多项选择测验。线性混合模型将用于比较干预后两组之间的平均分数差异,调整干预前的分数。

讨论

本研究将深入了解跨专业和单一专业基于案例的学习之间的差异,以及它如何影响医疗保健专业人员对胃肠道副作用的知识和对团队合作的态度。

试验注册

干预措施于 2019 年 12 月 10 日在 ClinicalTrials.gov 注册:NCT04204109,并于 2019 年 12 月 11 日在国家卫生研究伦理委员会注册:H-19087506,并于 2019 年 10 月 15 日在丹麦数据保护局注册:P-2019-637。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/7718682/bcbc761c9b94/12913_2020_5980_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/7718682/39320f820c3f/12913_2020_5980_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/7718682/7d6173146164/12913_2020_5980_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/7718682/bcbc761c9b94/12913_2020_5980_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/7718682/39320f820c3f/12913_2020_5980_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/7718682/7d6173146164/12913_2020_5980_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/7718682/bcbc761c9b94/12913_2020_5980_Fig3_HTML.jpg

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