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跨专业共享决策培训的效果:一项混合方法研究。

Effectiveness of interprofessional shared decision-making training: A mixed-method study.

机构信息

School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan.

Department of Urology, Taipei Medical University Hospital, Taipei, Taiwan; Department of Education, Taipei Medical University Hospital, Taipei, Taiwan; Department of Urology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; TMU Research Center of Urology and Kidney, Taipei Medical University, Taipei, Taiwan; Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.

出版信息

Patient Educ Couns. 2022 Nov;105(11):3287-3297. doi: 10.1016/j.pec.2022.07.010. Epub 2022 Jul 20.

Abstract

OBJECTIVE

This study evaluated the learning effects and examined the participants' perceptions of an interprofessional shared decision-making (IP-SDM) training program.

METHODS

This mixed-method study used a quasi-experimental pretest-posttest design in the quantitative phase and semi-structured interviews in the qualitative phase. The 6-week curriculum design, based on Kolb's experiential learning cycle, consisted of two simulated objective structured clinical examinations with standardized patients and blended teaching methods through various course modules.

RESULTS

A total of 39 multidisciplinary healthcare personnel completed the 6-week training program, and 32 of them participated in qualitative interviews. The IP-SDM training program effectively improved the SDM process competency of the participants from the perspectives of the participants, standardized patients, and clinical teachers. The interviews illustrated how the curriculum design enhanced learning; the effectiveness results indicated improvements in learners' attitude, knowledge, skills, and teamwork.

CONCLUSION

This IP-SDM training program improved multidisciplinary healthcare personnel's competency, self-efficacy, and intention to engage in IP-SDM.

PRACTICE IMPLICATIONS

Applying Kolb's experiential learning cycle and blended teaching methods to develop and implement the IP-SDM training program can improve multidisciplinary healthcare personnel's knowledge, attitude, skills, and teamwork in IP-SDM.

摘要

目的

本研究评估了一项跨专业共享决策(IP-SDM)培训计划的学习效果,并考察了参与者的认知。

方法

本混合方法研究在定量阶段采用了准实验前后测设计,在定性阶段采用了半结构化访谈。基于科尔布体验学习周期的 6 周课程设计包括两次与标准化患者一起进行的模拟客观结构化临床考试,以及通过各种课程模块进行混合式教学。

结果

共有 39 名多学科医疗保健人员完成了 6 周的培训计划,其中 32 人参加了定性访谈。从参与者、标准化患者和临床教师的角度来看,IP-SDM 培训计划有效地提高了参与者的决策制定过程能力。访谈说明了课程设计如何增强学习效果,有效性结果表明学习者的态度、知识、技能和团队合作能力都有所提高。

结论

该跨专业共享决策培训计划提高了多学科医疗保健人员的能力、自我效能感和参与跨专业共享决策的意愿。

实践意义

应用科尔布体验学习周期和混合式教学方法来开发和实施 IP-SDM 培训计划,可以提高多学科医疗保健人员在 IP-SDM 方面的知识、态度、技能和团队合作能力。

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