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如何实现质量保证、共享伦理和高效团队建设?从 COVID-19 大流行期间的跨专业合作中吸取的教训。

How to achieve quality assurance, shared ethics and efficient teambuilding? Lessons learned from interprofessional collaboration during the COVID-19 pandemic.

机构信息

Maastricht University, Maastricht, The Netherlands.

Otto-von-Guericke- Universität Magdeburg, Medizinische Fakultät, Bereich Arbeitsmedizin, Magdeburg, Germany.

出版信息

GMS J Med Educ. 2020 Dec 3;37(7):Doc79. doi: 10.3205/zma001372. eCollection 2020.

DOI:10.3205/zma001372
PMID:33364358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7740004/
Abstract

Against the background of the current pandemic crisis, this case report presents the experiences made from interprofessional teamwork with group members from different medical qualification levels. Our objectives were to identify areas of shared knowledge regarding efficient collaboration; to improve effective teamwork based on mutual respect; to develop innovative teaching methods tailored to the needs of COVID-19 interprofessional response teams. Field notes from numerous team discussions and improvised internal training sessions were compiled into a checklist. Each author edited and revised the checklist and a consensus has been reached after an in-person discussion. Feedback from an academic expert in emergency services has been incorporated into the final version of the checklist. Three main topics were identified: the need for quality-assured professional training, the clarification of role expectations including assigned responsibilities, opportunities to contribute and participate in the team building process, and the development of area-related ethical competence in the sense of shared moral public health literacy. Hence, we developed the following ad - hoc teaching methods: use of online teaching videos, practical exercises on intubation models and the collective development of an annotated, detailed checklist for all relevant work processes of the mobile corona unit based on everyday debriefings. The need for interprofessional team building in the context of the current health crisis provides a beneficial learning environment for all participants. We propose to conceptually refine this approach into a cross-professional, innovative method of teaching.

摘要

在当前大流行危机的背景下,本病例报告介绍了具有不同医疗资格水平的团队成员之间的跨专业团队合作所获得的经验。我们的目标是确定关于有效协作的共识领域;基于相互尊重,改善有效的团队合作;为 COVID-19 跨专业应对团队量身定制创新的教学方法。我们将多次团队讨论和即兴内部培训课程的现场记录汇编成一张清单。每位作者都编辑和修改了清单,并在面对面讨论后达成共识。从急救服务方面的学术专家那里获得了反馈,并将其纳入清单的最终版本。确定了三个主要主题:需要有质量保证的专业培训、澄清角色期望,包括分配的责任、有机会为团队建设过程做出贡献和参与、以及在共享道德公共卫生知识方面发展与领域相关的道德能力。因此,我们开发了以下特定教学方法:使用在线教学视频、对插管模型进行实践练习,以及根据日常情况汇报集体开发移动冠状病毒单位所有相关工作流程的带注释的详细清单。当前卫生危机背景下的跨专业团队建设为所有参与者提供了有益的学习环境。我们建议将这种方法概念上提炼为一种跨专业的创新教学方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcd/7740004/257fcc8a3f30/JME-37-79-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcd/7740004/257fcc8a3f30/JME-37-79-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcd/7740004/257fcc8a3f30/JME-37-79-g-001.jpg

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本文引用的文献

1
Ethics in public health: call for shared moral public health literacy.公共卫生伦理:呼吁共享道德公共卫生素养。
Eur J Public Health. 2017 Oct 1;27(suppl_4):49-51. doi: 10.1093/eurpub/ckx154.
2
Preparation courses for medical clerkships and the final clinical internship in medical education - The Magdeburg Curriculum for Healthcare Competence.医学见习准备课程及医学教育中的最终临床实习——马格德堡医疗保健能力课程
GMS J Med Educ. 2016 May 17;33(3):Doc40. doi: 10.3205/zma001039. eCollection 2016.
疫情中崛起:COVID-19 大流行期间公共卫生质量改进的范围综述。
BMC Public Health. 2022 Feb 7;22(1):248. doi: 10.1186/s12889-022-12631-0.