提高医护人员的团队技能：跨专业教育项目的效果

Improving Team Skills of Health Care Practitioners: Effects of an Interprofessional Education Program.

作者信息

Cohen Elaine V, Luce Virge, González Manny J, Hagestuen Ruth, González-Ramos Gladys, Cohen Hillel W

机构信息

Cohen: Visiting Scholar, Silver School of Social Work, New York University, New York, NY. Luce: Assistant Dean, Field Learning & Community Partnerships; Clinical Associate Professor, Silver School of Social Work, New York University, New York, NY. González: Associate Professor, Sandler School of Social Work, Florida Atlantic University. Hagestuen: National Program Director (Ret.), National Parkinson Foundation (now Parkinson's Foundation). González-Ramos: Associate Professor, Silver School of Social Work, New York University (Posthumous), New York, NY. Cohen: Professor, Department of Epidemiology and Population Health, Albert Einstein College of Medicine.

出版信息

J Contin Educ Health Prof. 2021 Jul 1;41(3):185-194. doi: 10.1097/CEH.0000000000000358.

DOI:10.1097/CEH.0000000000000358

PMID:33929352

Abstract

INTRODUCTION

Health care practitioners in Parkinson's care need to learn effective interprofessional team skills. This study examines posttraining effects on team skills of health practitioners attending an interprofessional education (IPE) program for team-based Parkinson's care.

METHODS

Using a quasi-experimental pre-post design, practitioners (n = 236) in nine professions (physician, nurse and nurse practitioner, physician assistant, occupational, physical and music therapy, speech-language pathology, and social work) completed the validated, self-report Team Skills Scale, before and after the training. Associations of Team Skills Scale change with intention to change practice, measured at end of each training day, and with improved attitudes toward team, knowledge, confidence, and amount of new information were examined.

RESULTS

All professions, except physician assistant, significantly improved perceived team skills, as did those showing greatest intention to change practice, with no meaningful differences in magnitude of change across profession groups. Team skills change was significantly associated with improved attitudes toward health care teams, increased knowledge about team and the role of other professions, and new knowledge gained. Confidence in Parkinson's care showed modest, statistically significant association with team skills improvement.

DISCUSSION

The Allied Team Training for Parkinson-IPE program significantly improved perceived team skills of health care practitioners, effectively teaching about skills for collaborative teamwork. Future IPE research should explore whether similar programs in other settings achieve the enhanced team skills competencies with postlicensure practitioners observed here and validate our findings from self-developed measures using larger samples, additional professions, and follow-up of transfer of learning effects through direct observation of skills of actual teams.

摘要

引言

帕金森病护理领域的医护人员需要学习有效的跨专业团队协作技能。本研究探讨了参加基于团队的帕金森病护理跨专业教育（IPE）项目的医护人员在培训后团队协作技能的变化情况。

方法

采用准实验前后测设计，九个专业（医生、护士及执业护士、医师助理、职业治疗师、物理治疗师、音乐治疗师、言语语言病理学家和社会工作者）的236名医护人员在培训前后完成了经过验证的自评团队协作技能量表。研究考察了团队协作技能量表得分变化与在每个培训日结束时测量的改变实践意愿之间的关联，以及与对团队态度的改善、知识、信心和新信息获取量之间的关联。

结果

除医师助理外，所有专业的团队协作技能感知均有显著提高，改变实践意愿最强的人员也是如此，各专业组的变化幅度无显著差异。团队协作技能的变化与对医疗团队态度的改善、对团队及其他专业角色知识的增加以及新知识的获取显著相关。对帕金森病护理的信心与团队协作技能的提高呈适度的、具有统计学意义的关联。

讨论

帕金森病IPE联合团队培训项目显著提高了医护人员的团队协作技能感知，有效地教授了团队协作技能。未来的IPE研究应探索在其他环境中类似项目是否能让已获得执业资格的医护人员具备在此观察到的增强的团队协作技能能力，并使用更大样本、更多专业以及通过直接观察实际团队技能来跟踪学习效果的转移，以验证我们从自行开发的测量方法中得出的结果。