Assistant Professor, Department of Medicine and Associate Program Director, Internal Medicine Residency Program, West Virginia University School of Medicine.
Associate Professor, Division of Occupational Therapy, West Virginia University.
MedEdPORTAL. 2021 Feb 26;17:11111. doi: 10.15766/mep_2374-8265.11111.
Home-based care (HBC) is a valuable tool to provide care to rural, medically underserved populations. By mitigating geographic and transportation barriers for vulnerable populations, HBC is a promising modality of health care delivery. Interprofessional education has become an integral part in undergraduate and professional curricula; however, applications of team-based training in HBC are often missing from curricula. When included, instruction in HBC often utilizes didactic instruction or laboratory experiences, which are discipline-specific and lack a focus on integration of team-based care.
We implemented a standardized patient (SP) simulation of a posthospital discharge home visit using a team of learners from nursing, physical therapy (PT), occupational therapy (OT), dentistry, pharmacy, and medicine in a simulated home environment. Pre- and postsimulation competencies of interprofessional care were measured using the 20-item Interprofessional Collaborative Competency Attainment Survey (ICCAS).
Throughout the academic years of August 2018 - August 2020, 68 students from nursing, PT, OT, pharmacy, medicine, and dentistry completed a simulated home visit with an SP discharged from a hospital. For all 20 perceived abilities on the ICCAS, learners showed a statistically significant increase in postsurvey measurement. A modest to large (.31 ≤ ≤ .94) effect size was observed in the majority of responses.
This SP simulation described a novel, interdisciplinary approach to incorporating HBC into interprofessional curricula.
家庭护理（HBC）是为农村地区医疗服务不足的人群提供护理的有价值工具。通过减轻弱势群体的地理和交通障碍，HBC 是一种有前途的医疗保健提供模式。跨专业教育已成为本科和专业课程的重要组成部分；然而，团队培训在 HBC 中的应用往往在课程中缺失。当包括在内时，HBC 的教学通常使用以学科为基础的教学或实验室经验，缺乏对团队护理整合的关注。
我们使用来自护理、物理治疗（PT）、职业治疗（OT）、牙科、药学和医学的学习者团队，在模拟家庭环境中对出院后的家庭访问进行标准化患者（SP）模拟，以实现团队基础护理。使用 20 项跨专业协作能力获得调查（ICCAS）来衡量跨专业护理的预模拟和后模拟能力。
在 2018 年 8 月至 2020 年 8 月的学年中，来自护理、PT、OT、药学、医学和牙科的 68 名学生与从医院出院的 SP 一起完成了一次模拟家庭访问。在 ICCAS 的所有 20 项感知能力中，学习者在后测中都显示出统计学上显著的增加。在大多数回答中观察到适度到较大的（.31 ≤ ≤.94）效应量。
这种 SP 模拟描述了一种新颖的跨学科方法，将 HBC 纳入跨专业课程。
