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医学生和麻醉技师实习生对跨专业合作态度的变化——基于跨专业模拟课程的经验。

Changes in medical students´ and anesthesia technician trainees´ attitudes towards interprofessionality - experience from an interprofessional simulation-based course.

机构信息

Technical University of Munich, TUM School of Medicine, Klinikum rechts der Isar, TUM Medical Education Center, Munich, Germany.

Technical University of Munich, TUM School of Medicine, Klinikum rechts der Isar, Department of Anaesthesiology and Intensive Care, Munich, Germany.

出版信息

BMC Med Educ. 2022 Apr 13;22(1):273. doi: 10.1186/s12909-022-03350-6.

DOI:10.1186/s12909-022-03350-6
PMID:35418136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9006475/
Abstract

BACKGROUND

Interprofessional simulation based education (IPSBE) programs positively impact participants' attitudes towards interprofessional collaboration and learning. However, the extent to which students in different health professions benefit and the underlying reasons for this are subject of ongoing debate.

METHODS

We developed a 14-h IPSBE course with scenarios of critical incidents or emergency cases. Participants were final year medical students (FYMS) and final year anesthesia technician trainees (FYATT). To assess attitudes towards interprofessionalism, the University of the West of England Interprofessional Questionnaire was administrated before and after the course. Using focus group illustration maps, qualitative data were obtained from a subcohort of the participants (n = 15).

RESULTS

After the course, self-assessment of communication and teamwork skills, attitudes towards interprofessional interactions and relationships showed comparative improvement in both professions. Attitudes towards interprofessional learning improved only in FYMS. Qualitative data revealed teamwork, communication, hierarchy and the perception of one's own and other health profession as main topics that might underlie the changes in participants' attitudes. An important factor was that participants got to know each other during the course and understood each other's tasks.

CONCLUSIONS

Since adequate communication and teamwork skills and positive attitudes towards interprofessionality account to effective interprofessional collaboration, our data support intensifying IPSBE in undergraduate health care education.

摘要

背景

跨专业模拟教育(IPSBE)计划积极影响参与者对跨专业合作和学习的态度。然而,不同健康专业的学生从中受益的程度以及背后的原因仍在争论之中。

方法

我们开发了一个 14 小时的 IPSBE 课程,其中包含了关键事件或紧急情况的场景。参与者是医学专业的最后一年学生(FYMS)和最后一年麻醉技师培训生(FYATT)。为了评估对跨专业主义的态度,在课程前后使用了西英格兰大学跨专业问卷进行评估。通过焦点小组插图地图,从参与者的一个子组(n=15)获得了定性数据。

结果

课程结束后,沟通和团队合作技能、对跨专业互动和关系的态度在两个专业中都有比较性的改善。只有 FYMS 的跨专业学习态度有所改善。定性数据显示,团队合作、沟通、等级制度以及对自身和其他健康专业的认知是参与者态度变化的潜在主题。一个重要因素是,参与者在课程中相互了解,理解彼此的任务。

结论

由于充分的沟通和团队合作技能以及对跨专业的积极态度有助于有效的跨专业合作,我们的数据支持在本科医疗保健教育中加强 IPSBE。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6887/9006475/1771791ef4f0/12909_2022_3350_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6887/9006475/1771791ef4f0/12909_2022_3350_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6887/9006475/1771791ef4f0/12909_2022_3350_Fig1_HTML.jpg

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