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瑞士跨专业模拟项目对医疗保健专业人员患者安全能力的影响:一项前后对照研究。

Effect of an interprofessional simulation program on patient safety competencies of healthcare professionals in Switzerland: a before and after study.

机构信息

Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland.

CIRNEF Interdisciplinary Education and Training Research Centre, University of Rouen Normandy, Rouen, France.

出版信息

J Educ Eval Health Prof. 2023;20:25. doi: 10.3352/jeehp.2023.20.25. Epub 2023 Aug 28.

Abstract

PURPOSE

This study aimed to identify the effects of a 12-week interprofessional simulation program, operated between February 2020 and January 2021, on the patient safety competencies of healthcare professionals in Switzerland.

METHODS

The simulation training was based on 2 scenarios of hospitalized patients with septic shock and respiratory failure, and trainees were expected to demonstrate patient safety competencies. A single-group before and after study was conducted after the intervention-simulation program, using a measurement tool (the Health Professional Education in Patient Safety Survey) to measure the perceived competencies of physicians, nurses, and nursing assistants. Out of 57 participants, 37 answered the questionnaire surveys 4 times: 48 hours before the training, followed by post-surveys at 24 hours, 6 weeks, and 12 weeks after the training. The linear mixed effect model was applied for the analysis.

RESULTS

Four components out of 6 perceived patient safety competencies improved at 6 weeks but returned to a similar level before training at 12 weeks. Competencies of "communicating effectively," "managing safety risks," "understanding human and environmental factors that influence patient safety," and "recognize and respond to remove immediate risks of harm" are statistically significant both overall and in the comparison between before the training and 6 weeks after the training.

CONCLUSION

Interprofessional simulation programs contributed to developing some areas of patient safety competencies of healthcare professionals, but only for a limited time. Interprofessional simulation programs should be repeated and combined with other forms of support, including case discussions and debriefings, to ensure lasting effects.

摘要

目的

本研究旨在确定一项为期 12 周的跨专业模拟项目对瑞士医疗保健专业人员的患者安全能力的影响。

方法

模拟培训基于 2 个患有脓毒症性休克和呼吸衰竭的住院患者的场景,培训对象需要展示患者安全能力。在干预模拟项目后,采用单一的群组前后研究方法,使用测量工具(医疗保健专业人员患者安全教育调查)测量医生、护士和护理助理的感知能力。在 57 名参与者中,有 37 名参与者在培训前 48 小时、培训后 24 小时、6 周和 12 周后共进行了 4 次问卷调查。采用线性混合效应模型进行分析。

结果

6 项感知患者安全能力中有 4 项在 6 周时得到改善,但在 12 周时又回到了培训前的相似水平。在总体和培训前与 6 周后比较中,“有效沟通”、“管理安全风险”、“了解影响患者安全的人为和环境因素”和“识别和应对立即消除伤害风险”这 4 项能力具有统计学意义。

结论

跨专业模拟项目有助于提高医疗保健专业人员的一些患者安全能力领域,但仅持续有限的时间。跨专业模拟项目应重复进行,并与其他形式的支持相结合,包括案例讨论和汇报,以确保产生持久的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60be/10519772/c2bca365c9dd/jeehp-20-25f1.jpg

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