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农村环境中的跨专业教育,以增强未来实践中的多学科护理:打破 tertiary health education 中的孤岛现象。

Interprofessional education in the rural environment to enhance multidisciplinary care in future practice: Breaking down silos in tertiary health education.

机构信息

Bathurst Rural Clinical School, School of Medicine, Western Sydney University, Bathurst, NSW, Australia.

School of Health Sciences, Western Sydney University, Campbelltown, NSW, Australia.

出版信息

Aust J Rural Health. 2021 Apr;29(2):127-136. doi: 10.1111/ajr.12733.

Abstract

OBJECTIVE

Western Sydney University has implemented a rural interprofessional learning programme to promote collaborative care approaches to enhance cross-discipline communications, improve knowledge and clarity of roles and improve patient care and outcomes.

DESIGN

Rural interprofessinal learning is an interprofessional educational approach, consisting of simulations of complex health events. Simulation methodology frames the study with a focus on human interaction. A mixed-methods evaluation has been conducted, incorporating pre- and post- event participant surveys along with semi-structured focus groups.

SETTING

Simulations are conducted in the rural setting, including community settings, working farms and rural hospitals.

MAIN OUTCOME MEASURES

Reflexive thematic analysis was used to identify themes measuring students' perceptions of interdisciplinary care, knowlede of other health discipline roles and skills and how they believe the exercise will influence their future practice. Facilitator feedback regarding the efficacy of the simulations was also recorded and analysed using reflexive thematic analysis.

PARTICIPANTS

Care of simulated patient(s)/bystander(s) is primarily provided by paramedicine, nursing and medical students; however, increasing interest has expanded the programme to include students from a range of allied health professions. Simulations are facilitated by a multidisciplinary team of experienced practitioners and specialists.

INTERVENTION

Four rural interprofessional learning events have been held.

RESULTS

120 students have participated in the evaluation. Findings include increased understanding of the contributions of other disciplines in enhancing patient care, team approaches, cross-discipline communication and a need to engage in collaborative care in future practice.

CONCLUSION

Creating a collaborative learning environment creates a culture of multidisciplinary care, enhancing patient care and improving outcomes. The rural interprofessional learning model is an effective interprofessional educational approach, which can be repeated, refined and improved for continual professional development.

摘要

目的

西悉尼大学实施了农村跨专业学习计划,以促进协作式护理方法,增强跨学科交流,提高知识和角色清晰度,并改善患者护理和结果。

设计

农村跨专业学习是一种跨专业教育方法,包括对复杂健康事件的模拟。模拟方法构成了该研究的框架,重点是人际互动。进行了混合方法评估,包括事件前后的参与者调查以及半结构化焦点小组。

地点

模拟在农村环境中进行,包括社区环境、工作农场和农村医院。

主要结果测量

采用反思性主题分析来确定衡量学生对跨学科护理的看法、对其他卫生学科角色和技能的了解以及他们认为该练习将如何影响未来实践的主题。还记录并使用反思性主题分析分析了协调员对模拟效果的反馈。

参与者

模拟患者/旁观者的护理主要由护理人员、护理和医学生提供;然而,越来越多的兴趣扩大了该计划,包括来自各种辅助医疗专业的学生。模拟由经验丰富的从业者和专家组成的多学科团队进行。

干预措施

已举办了四次农村跨专业学习活动。

结果

有 120 名学生参加了评估。研究结果包括增加了对其他学科在增强患者护理、团队方法、跨学科交流以及在未来实践中需要进行协作护理方面的贡献的理解。

结论

创建协作学习环境可营造多学科护理文化,增强患者护理并改善结果。农村跨专业学习模式是一种有效的跨专业教育方法,可以重复、改进和完善,以促进持续的专业发展。

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