University of Minnesota School of Nursing, Minneapolis, Minnesota.
Department of Midwifery and Women's Health, Frontier Nursing University, Hyden, Kentucky.
J Midwifery Womens Health. 2022 Sep;67(5):598-607. doi: 10.1111/jmwh.13394. Epub 2022 Jul 16.
Research suggests that interprofessional education, bringing learners together to learn about, with, and from each other, improves health professions education and can improve health outcomes. Little research has measured outcomes of interprofessional education between midwifery students and obstetrics and gynecology residents. The purpose of this study was to examine self-assessed interprofessional and collaborative competencies among midwifery students and obstetrics and gynecology residents.
Baseline self-assessed interprofessional and collaborative competencies were compared with follow-up measurements to evaluate learners' experiences over an 11-month study period. Participants were midwifery students and obstetrics and gynecology residents who experienced interprofessional learning activities. The Interprofessional Education Collaborative Competency Self-Assessment Survey (IPEC Survey) and Interprofessional Collaborative Competency Attainment Survey (ICCAS) were used.
Of 256 learners at 4 demonstration sites, 223 (87%) completed the baseline, and 121 of 237 eligible learners (51%) completed the follow-up surveys. The IPEC Survey total score (t = 2.31, P = .02) and interaction subscale (t = 2.85, P = .005) and ICCAS score (t = 4.04, P = .001) increased for midwifery students but not obstetrics and gynecology residents on the IPEC Survey (t = 0.32, P = .75) and ICCAS (t = -0.05, P = .96) measures. Midwifery students (87%) and residents (57%) reported improved overall ability to collaborate. Learners responding to 3 open-ended questions valued team-based experiences, including learning how to communicate with each other; appreciated learning each other's education and scope of practice; and recommended skills development including uncommon clinical events, case discussions, and direct clinical care.
This study advanced knowledge about interprofessional education between midwifery students and obstetrics and gynecology residents. Midwifery students improved in self-assessed interprofessional and collaborative competencies. Most learners reported better interprofessional collaboration skills and were positive about future interprofessional learning. This evaluation approach is available for other programs implementing or extending interprofessional education.
研究表明,将学习者聚集在一起,相互学习、相互协作,可以提高卫生专业教育水平,并改善健康结果。虽然已经有一些研究测量了助产士学生和妇产科住院医师之间的以团队为基础的教育的结果,但很少有研究测量过助产士学生和妇产科住院医师之间的以团队为基础的教育的结果。本研究旨在评估助产士学生和妇产科住院医师的自我评估的以团队为基础的和协作的能力。
将基线的自我评估的以团队为基础的和协作的能力与随访测量结果进行比较,以评估学习者在 11 个月的研究期间的经验。参与者是经历了以团队为基础的学习活动的助产士学生和妇产科住院医师。使用了以团队为基础的教育协作能力自我评估调查(IPEC 调查)和以团队为基础的协作能力获得调查(ICCAS)。
在 4 个示范地点的 256 名学习者中,有 223 名(87%)完成了基线调查,有 121 名(51%)符合条件的学习者完成了随访调查。助产士学生的 IPEC 调查总分(t = 2.31,P =.02)和互动分量表(t = 2.85,P =.005)以及 ICCAS 分数(t = 4.04,P =.001)有所增加,但妇产科住院医师的 IPEC 调查(t = 0.32,P =.75)和 ICCAS (t = -0.05,P =.96)测量值没有增加。助产士学生(87%)和住院医师(57%)报告说,他们的协作能力总体上有所提高。对 3 个开放式问题作出回应的学习者重视团队为基础的经验,包括学习如何相互沟通;他们赞赏学习彼此的教育和实践范围;并建议发展技能,包括不常见的临床事件、病例讨论和直接临床护理。
本研究提高了对助产士学生和妇产科住院医师之间的以团队为基础的教育的认识。助产士学生在自我评估的以团队为基础的和协作的能力方面有所提高。大多数学习者报告说,他们的以团队为基础的协作技能有所提高,并对未来的以团队为基础的学习持积极态度。这种评估方法可用于其他实施或扩展以团队为基础的教育的项目。