Oregon Health & Science University, Portland, OR, USA.
University of Colorado School of Medicine, Denver, CO, USA.
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211023716. doi: 10.1177/21501327211023716.
INTRODUCTION/OBJECTIVES: Coaching is emerging as a form of facilitation in health professions education. Most studies focus on one-on-one coaching rather than team coaching. We assessed the experiences of interprofessional teams coached to simultaneously improve primary care residency training and interprofessional practice.
This three-year exploratory mixed methods study included transformational assistance from 9 interprofessional coaches, one assigned to each of 9 interprofessional primary care teams that included family medicine, internal medicine, pediatrics, nursing, pharmacy and behavioral health. Coaches interacted with teams during 2 in-person training sessions, an in-person site visit, and then as requested by their teams. Surveys administered at 1 year and end study assessed the coaching relationship and process.
The majority of participants (82% at end of Year 1 and 76.6% at end study) agreed or strongly agreed that their coach developed a positive working relationship with their team. Participants indicated coaches helped them: (1) develop as teams, (2) stay on task, and (3) respond to local context issues, with between 54.3% and 69.2% agreeing or strongly agreeing that their coaches were helpful in these areas. Cronbach's alpha for the 15 coaching survey items was 0.965. Challenges included aligning the coach's expertise with the team's needs.
While team coaching was well received by interprofessional teams of primary care professionals undertaking educational and clinical redesign, the 3 primary care disciplines have much to learn from each other regarding how to improve inter- and intra-professional collaborative practice among clinicians and staff as well as with interprofessional learners rotating through their outpatient clinics.
简介/目的：教练在健康专业教育中崭露头角，成为一种促进形式。大多数研究都集中在一对一的辅导上，而不是团队辅导。我们评估了接受团队辅导的多专业团队的经验，这些团队的目标是同时改善初级保健住院医师培训和跨专业实践。
这项为期三年的探索性混合方法研究包括来自 9 名跨专业教练的转型协助，每个教练都分配给包括家庭医学、内科、儿科、护理、药学和行为健康在内的 9 个跨专业初级保健团队之一。教练在 2 次面对面培训课程、一次现场访问期间与团队互动，然后根据团队的要求进行互动。在第 1 年结束时和研究结束时进行的调查评估了辅导关系和过程。
大多数参与者（第 1 年结束时的 82%和研究结束时的 76.6%）同意或强烈同意他们的教练与他们的团队建立了积极的工作关系。参与者表示，教练帮助他们：（1）团队发展，（2）保持任务，（3）应对当地背景问题，其中 54.3%至 69.2%的人同意或强烈同意他们的教练在这些方面有所帮助。15 项辅导调查项目的 Cronbach's alpha 系数为 0.965。挑战包括使教练的专业知识与团队的需求保持一致。
虽然团队辅导受到了从事教育和临床重新设计的初级保健专业人员多专业团队的欢迎，但 3 个初级保健学科在如何提高临床医生和工作人员之间以及与轮转其门诊诊所的跨专业学习者之间的跨专业和专业内协作实践方面，还有很多需要相互学习的地方。
