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护理和医学专业学生对基于模拟的跨专业教育的看法:一项定性描述性研究。

Nursing and medical students' perceptions of an interprofessional simulation-based education: a qualitative descriptive study.

机构信息

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

Ajou University School of Medicine, Suwon, Korea.

出版信息

Korean J Med Educ. 2020 Dec;32(4):317-327. doi: 10.3946/kjme.2020.179. Epub 2020 Nov 30.

Abstract

PURPOSE

The purposes of this study were to describe the development and implementation of an interprofessional simulation-based education (IPSE) for undergraduate nursing and medical students, their perceptions of the impact of IPSE, and identify their changes in attitudes toward each other's health professions after participating in IPSE in South Korea.

METHODS

This study used a qualitative descriptive design. A purposive sample of 43 third-year medical students and a convenient sample of 44 fourth-year nursing students participated in a 2-day IPSE program that consisted of ice-breaking and patient safety activities, and 4-hour three interprofessional team-based high-fidelity simulation education sessions. Data were collected through reflective journal after the IPSE program and keywords before and after the IPSE program, and were analyzed using the content analysis and word cloud analysis.

RESULTS

Three themes emerged: "positive experience" with understanding roles and responsibilities and learning by doing in simulation environments being reported. In the second theme, "positive learning outcomes" participants reported enhancing collaboration and confidence in communication skills. The final theme "benefits to patients of interprofessional collaborative practice" included high quality of care and patient safety. Before the IPSE experience, most medical students perceived the nurse as nightingale and syringe, and nursing students perceived the doctor as order, expert, and knowledge. After their IPSE experience, both nursing and medical students viewed each other as colleagues.

CONCLUSION

These results suggest that the use of high-fidelity team-based simulation in IPE is effective in practicing and developing undergraduate nursing and medical students' interprofessional collaboration through hands-on experience.

摘要

目的

本研究旨在描述在韩国为本科护理和医学专业学生开展的以跨专业模拟教育(IPE)的发展和实施情况,了解他们对IPE 的看法,以及在参与 IPE 后他们对彼此的健康职业的态度变化。

方法

本研究采用定性描述性设计。一个由 43 名三年级医学生和 44 名四年级护理专业学生组成的目的性样本参与了为期两天的 IPE 计划,该计划包括破冰和患者安全活动,以及 4 小时的 4 个跨专业团队基于高保真模拟教育课程。在 IPE 计划后通过反思性日记收集数据,并在 IPE 计划前后使用关键词收集数据,采用内容分析法和词云分析法进行分析。

结果

出现了三个主题:“在模拟环境中通过实践理解角色和责任并获得积极体验”。第二个主题是“在协作和沟通技巧方面的积极学习成果”,参与者报告说增强了协作和沟通信心。最后一个主题是“跨专业协作实践对患者的益处”,包括高质量的护理和患者安全。在 IPE 体验之前,大多数医学生将护士视为“南丁格尔”和“注射器”,护理学生将医生视为“医嘱”、“专家”和“知识”。在他们的 IPE 体验之后,护理和医学专业的学生都将彼此视为同事。

结论

这些结果表明,在 IPE 中使用基于高保真团队的模拟在实践中是有效的,通过实践经验可以发展本科护理和医学专业学生的跨专业协作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8702/7733731/c237badd6eeb/kjme-2020-179f1.jpg

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