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使用团队策略与工具提升绩效(TeamSTEPPS®)框架开展跨专业模拟教育,以提高医学和护理专业本科生的团队合作及沟通技巧。

Interprofessional simulation education to enhance teamwork and communication skills among medical and nursing undergraduates using the TeamSTEPPS® framework.

作者信息

Mahmood Lulu Sherif, Mohammed Ciraj Ali, Gilbert John H V

机构信息

Associate Professor (Anesthesiology), Father Muller Medical College & Head of Department (Healthcare Simulation Education), Father Muller Simulation & Skill Centre, Mangalore, India.

Professor (Microbiology) & Course Director, MAHE-FAIMER International Institute for Leadership in IPE, Department of Microbiology, Melaka Manipal Medical College (Manipal Campus), MAHE, Manipal, Karnataka, India.

出版信息

Med J Armed Forces India. 2021 Feb;77(Suppl 1):S42-S48. doi: 10.1016/j.mjafi.2020.10.026. Epub 2021 Feb 2.

Abstract

BACKGROUND

Learning in silos during the undergraduate years results in ineffective collaborative practice leading to adverse events. Simulation training using the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS)® framework has been shown to be effective in enhancing teamwork skills among healthcare professionals. This study aims to evaluate an interprofessional simulation education (IPSE) module for undergraduate medical and nursing students on teamwork and communication skills using the TeamSTEPPS® framework.

METHODS

An IPSE module was developed by an interprofessional team of faculty. A convenient sample of medical and nursing undergraduate interns participated in trauma simulation scenarios before and after a didactic session on interprofessional education (IPE) and TeamSTEPPS® 2.0. The pre-post performance was assessed by faculty and pre-post self-assessment of the IPSE training and interprofessional education collaborative (IPEC) competencies by the participants. Quantitative data were analysed using a paired t-test of the mean scores and analysis of variance. The themes that emerged from audio recordings of the debriefing, and written reflections of the participants, yielded data for qualitative thematic analysis.

RESULTS

The scores of team performance, self-assessment of IPSE training, and IPEC competencies revealed statistically significant values. Themes that emerged included the need for IPSE in the curriculum, impact of structured tools for communication on patient safety, and awareness of the roles and responsibilities in interprofessional teamwork. A survey conducted two weeks after completion of the module showed positive feelings among participants about interprofessional collaboration.

CONCLUSION

The study specifically assessed the effectiveness of an IPSE module based on TeamSTEPPS® guidelines in improving communication and teamwork skills among medical and nursing undergraduates.

摘要

背景

本科阶段各自为政的学习方式会导致协作实践低效,进而引发不良事件。使用“团队策略与工具提升绩效和患者安全”(TeamSTEPPS)®框架进行模拟培训已被证明能有效提高医护人员的团队协作技能。本研究旨在评估一个针对本科医学和护理专业学生的跨专业模拟教育(IPSE)模块,该模块使用TeamSTEPPS®框架培养团队协作和沟通技能。

方法

一个跨专业教师团队开发了一个IPSE模块。抽取了方便样本的医学和护理本科实习生,在参加关于跨专业教育(IPE)和TeamSTEPPS® 2.0的理论课程前后,参与创伤模拟场景。由教师评估培训前后的表现,并由参与者对IPSE培训和跨专业教育协作(IPEC)能力进行培训前后的自我评估。定量数据采用均值配对t检验和方差分析。通过汇报的录音和参与者的书面反思中出现的主题,为定性主题分析提供数据。

结果

团队表现得分、IPSE培训自我评估得分和IPEC能力得分均显示出统计学上的显著差异。出现的主题包括课程中对IPSE的需求、结构化沟通工具对患者安全的影响以及对跨专业团队协作中角色和责任的认识。在模块完成两周后进行的一项调查显示,参与者对跨专业协作有积极的感受。

结论

本研究专门评估了基于TeamSTEPPS®指南的IPSE模块在提高医学和护理本科生沟通和团队协作技能方面的有效性。

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