Home Healthc Now. 2022;40(3):139-145. doi: 10.1097/NHH.0000000000001061.
Interpersonal communication and teamwork are critical to patient safety. There is evidence supporting the effectiveness of formalized team training strategies such as simulation-based learning experiences to permit opportunities for deliberate practice and skill acquisition. However, there is a paucity of evidence examining the best method for delivery of simulation-based interprofessional education activities (Sim-IPE). The purpose of this project was to explore the effectiveness of using a Sim-IPE with a home-based patient assessment and intervention for students in undergraduate nursing, nurse practitioner, and physical therapy programs with the goal of enhancing interprofessional team communication and team performance. A mixed-methods, observational research design was used to evaluate teamwork and communication following virtual/web-based deliberate practice and a subsequent face-to-face Sim-IPE with telehealth. There were two distinct stages: (1) provision of interprofessional education elements of teamwork and communication via a virtual web-based platform to interprofessional student teams; (2) participation of all 29 student teams in a Sim-IPE activity using a standardized patient in a simulated home-based setting. Teams scored very high on an interprofessional communication and teamwork scale, and students strongly agreed that the prebriefing, scenario, and debriefing assisted in their learning. Students also valued exposure to telehealth and the ability to work with students from other health professions.
人际沟通和团队合作对患者安全至关重要。有证据支持正式的团队培训策略的有效性，例如基于模拟的学习体验，以提供刻意练习和技能获取的机会。然而，目前缺乏关于模拟式跨专业教育活动（Sim-IPE）最佳交付方法的证据。本项目的目的是探索使用基于模拟的家庭患者评估和干预措施对本科护理、护士从业者和物理治疗专业学生进行模拟跨专业教育的效果，以增强跨专业团队沟通和团队绩效。采用混合方法、观察性研究设计来评估虚拟/基于网络的刻意练习后的团队合作和沟通，以及随后的远程医疗虚拟模拟式跨专业教育。该研究有两个不同的阶段：（1）通过虚拟网络平台向跨专业学生团队提供团队合作和沟通的专业教育元素；（2）所有 29 个学生团队都在模拟家庭环境中使用标准化患者参与模拟式跨专业教育活动。团队在跨专业沟通和团队合作量表上的得分非常高，学生们强烈认为预习、情景和总结有助于他们的学习。学生还重视接触远程医疗和与其他健康专业学生合作的能力。
