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为促进协作实践而进行的跨专业模拟训练中的正念培养。

Mindfulness fostering of interprofessional simulation training for collaborative practice.

作者信息

Kerry Matthew James, Ander Douglas S

机构信息

Swiss Federal Institute of Technology (ETH - Zürich), Zurich, Switzerland.

School of Medicine, Emory University, Atlanta, Georgia, USA.

出版信息

BMJ Simul Technol Enhanc Learn. 2018 Jun 15;5(3):144-150. doi: 10.1136/bmjstel-2018-000320. eCollection 2019.

Abstract

The setting demands imposed by performing in new, interdisciplinary cultures is common for modern healthcare workers. Both health science students and evidence-based workers are required to operate in professional cultures that differ from their own. As health organisations have placed increasing value on mindfulness for improving performance outcomes, so too have educational administrators embraced common, mindful competencies for improving training for improved patient outcomes. The training of future clinicians for diversified care. teams and patient populations has become known as interprofessional education (IPE). Although the goals for IPE suggest that individual differences in trait mindfulness may serve an important determinant for training effectiveness, it has gone unstudied in extant simulation training research. To fill this gap, in this paper, we examine trait mindfulness' predictive power for training outcomes across two IPE cohort samples using two, prospective observational designs. Study 1's Findings supported trait mindfulness' prediction of perceived teamwork behaviours in training simulations between medical and nursing students (n=136). In study 2's expanded sample to five health professions (n=232), findings extended trait mindfulness' prediction of team efficacy and skill transfer, assessed 1 month after training. A final, follow-up assessment 16 months later extended mindfulness' predictive validity to knowledge retention and teamwork attitudes. We discuss the theoretical and practical implication of our findings for advancing mindfulness research and IPE effectiveness assessment.

摘要

在新的跨学科文化中进行工作所带来的环境要求,对于现代医护人员来说很常见。健康科学专业的学生和循证医学工作者都需要在与自身不同的专业文化中开展工作。随着卫生组织越来越重视正念以改善绩效结果,教育管理人员也开始采用常见的正念能力来改进培训,以实现更好的患者治疗效果。为多元化的护理团队和患者群体培养未来临床医生的培训已被称为跨专业教育(IPE)。尽管IPE的目标表明,特质正念的个体差异可能是培训效果的重要决定因素,但在现有的模拟培训研究中尚未对此进行探讨。为了填补这一空白,在本文中,我们使用两种前瞻性观察设计,检验特质正念对两个IPE队列样本培训结果的预测能力。研究1的结果支持了特质正念对医学和护理专业学生(n = 136)在培训模拟中团队协作行为感知的预测。在研究2中将样本扩展至五个健康专业(n = 232)后,研究结果将特质正念的预测范围扩展至培训1个月后评估的团队效能和技能转移。16个月后的最终随访评估将正念的预测效度扩展至知识保留和团队协作态度。我们讨论了研究结果对推进正念研究和IPE有效性评估的理论及实践意义。

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