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一项基于模拟的关于医学生跨专业初级保健场景体验的初步定性研究。

A preliminary simulation-based qualitative study of healthcare students' experiences of interprofessional primary care scenarios.

作者信息

Lunde Lene, Moen Anne, Jakobsen Rune B, Møller Britta, Rosvold Elin O, Brænd Anja M

机构信息

Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.

Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.

出版信息

Adv Simul (Lond). 2022 Mar 21;7(1):9. doi: 10.1186/s41077-022-00204-5.


DOI:10.1186/s41077-022-00204-5
PMID:35314003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8935844/
Abstract

BACKGROUND: Introducing interprofessional education (IPE) in healthcare curricula can prepare students for healthcare practices that have become increasingly complex. The use of simulation is promoted to support IPE. This study explores healthcare students' experiences of participating in common, sub-acute patient scenarios that routinely occur in clinical practice in primary care. More specifically, it looks at how sub-acute patient scenarios from primary care can help develop interprofessional collaborative competence. METHODS: Medical students (N = 10), master's students in advanced geriatric nursing (N = 8) and bachelor's students in nursing (N = 9) participated in the simulations. The students were in their last or second-to-last year of education. We conducted five semi-structured focus group interviews with the participants' directly after the simulation training to elicit experiences related to the scenarios, the simulation and interprofessional collaboration. The transcripts were analysed using systematic text condensation. To supplement the focus group interviews, the students also completed the interprofessional collaborative competency attainment survey (ICCAS), which measures the students' self-assessed interprofessional competence. RESULTS: Three main themes emerged from the analysis of the focus group interviews: realism, uncertainty and reflection. The students emphasised the importance of authentic and recognisable scenarios. They said the vague and unspecific patient symptoms created uncertainty in the situation, making it difficult to understand the patient's diagnosis. Despite that uncertainty, they described the experience as positive. Further, the students expressed that the simulation increased their confidence in interprofessional collaboration and prepared them for future work. The results from the ICCAS questionnaire showed that the students reported a subjective positive change in their interprofessional competence after participating in the scenarios. CONCLUSIONS: This study showed that simulation-based IPE with sub-acute primary care scenarios contributes to develop interprofessional collaborative competence in healthcare education. Sub-acute scenarios can supplement the more common approaches with acute care scenarios and aid in developing the collaborative competence required to work in healthcare teams.

摘要

背景:在医疗保健课程中引入跨专业教育(IPE)可以让学生为日益复杂的医疗实践做好准备。人们提倡使用模拟教学来支持IPE。本研究探讨了医学生参与基层医疗临床实践中常见的亚急性患者情景的体验。更具体地说,它研究了基层医疗中的亚急性患者情景如何有助于培养跨专业协作能力。 方法:医学生(N = 10)、老年高级护理硕士研究生(N = 8)和护理学本科生(N = 9)参与了模拟。这些学生处于教育的最后一年或倒数第二年。在模拟训练结束后,我们立即对参与者进行了五次半结构化焦点小组访谈,以了解与情景、模拟和跨专业协作相关的体验。使用系统文本浓缩法对访谈记录进行分析。为补充焦点小组访谈,学生们还完成了跨专业协作能力达成度调查(ICCAS),该调查衡量学生的自我评估跨专业能力。 结果:焦点小组访谈分析得出三个主要主题:真实性、不确定性和反思。学生们强调真实且可识别情景的重要性。他们表示,模糊和不明确的患者症状在情景中造成了不确定性,难以理解患者的诊断。尽管存在这种不确定性,他们仍将这种体验描述为积极的。此外,学生们表示模拟增加了他们对跨专业协作的信心,并为他们未来的工作做好了准备。ICCAS问卷结果显示,学生们报告称参与情景后其跨专业能力有主观上的积极变化。 结论:本研究表明,基于模拟的IPE结合亚急性基层医疗情景有助于在医疗保健教育中培养跨专业协作能力。亚急性情景可以补充更常见的急性护理情景方法,并有助于培养在医疗团队中工作所需的协作能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13d/8935844/3ee95e90b451/41077_2022_204_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13d/8935844/3ee95e90b451/41077_2022_204_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13d/8935844/3ee95e90b451/41077_2022_204_Fig1_HTML.jpg

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本文引用的文献

[1]
Evaluation of Inter-Professional Education (IPE) with medical, nursing and pharmacy students through a simulated IPL Educational Intervention.

Int J Clin Pract. 2021-11

[2]
Exploring healthcare students' interprofessional teamwork in primary care simulation scenarios: collaboration to create a shared treatment plan.

BMC Med Educ. 2021-8-3

[3]
Blending interprofessional education and simulation learning: A mixed-methods study of an interprofessional learning experience with nursing and occupational therapy students.

J Interprof Care. 2022

[4]
Interprofessional simulation to promote teamwork and communication between nursing and respiratory therapy students: A mixed-method research study.

Nurse Educ Today. 2021-4

[5]
Designing, implementing and sustaining IPE within an authentic clinical environment: the impact on student learning.

J Interprof Care. 2021

[6]
'It benefits patient care': the value of practice-based IPE in healthcare curriculums.

BMC Med Educ. 2020-11-12

[7]
Simulation as a pedagogical learning method for critical paediatric nursing in Bachelor of Nursing programmes: a qualitative study.

Adv Simul (Lond). 2020-9-3

[8]
Evidence of validity for the Norwegian version of the interprofessional collaborative competency attainment survey (ICCAS).

J Interprof Care. 2021

[9]
Understanding roles in health care through interprofessional educational experiences.

Br J Nurs. 2020-3-26

[10]
The Use of Theoretical Frameworks Guiding Interprofessional Simulation: An Integrative Review.

Nurs Educ Perspect. 2020

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