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杰斐逊团队合作观察指南在虚拟、面对面和跨健康专业领域测量协作实践能力的效用:一项 Rasch 分析。

Utility of the Jefferson teamwork observation guide for measuring collaborative practice competencies virtually, in-person, and across health professions: A Rasch Analysis.

机构信息

Department of Physical Therapy, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.

Jefferson Center for Interprofessional Practice and Education, Thomas Jefferson University, Philadelphia, USA.

出版信息

J Interprof Care. 2024 Sep-Oct;38(5):883-892. doi: 10.1080/13561820.2024.2378036. Epub 2024 Jul 14.

Abstract

Modern healthcare increasingly requires interprofessional teams to collaborate both in person and virtually to effectively achieve common goals. To prepare students for interprofessional collaborative practice (CP) universities need evaluation tools that can validly and reliably measure students' CP competencies after online and in-person interprofessional education. The Jefferson Teamwork Observation Guide® (JTOG) is a 360-degree evaluation tool previously validated to measure nationally-defined CP competencies. The psychometrics of the Individual JTOG have been examined in a sample of interprofessional healthcare students after online interprofessional education. The present study examined the psychometric properties of the Individual JTOG in 709 students after in-person interprofessional education using Rasch Modeling and compared results across collaborative settings and student professions. Results indicated that item and person statistics, unidimensionality, scaling performance, and local independence of the Individual JTOG were comparable between online and in-person samples, suggesting it is consistent in its measurement of CP competencies across collaborative settings. Psychometric properties were strong, but ceiling effects were present. Minor deviations were found in the Individual JTOG's unidimensionality between professional groups. The Values and Ethics construct was more strongly separated from others for nursing than other health professions. Recommendations for future research and possible adaptations to the instrument are discussed.

摘要

现代医疗越来越需要跨专业团队进行面对面和虚拟协作,以有效地实现共同目标。为了让学生为跨专业协作实践(CP)做好准备,大学需要评估工具,以便在在线和面对面的跨专业教育后,能够有效地衡量学生的 CP 能力。杰斐逊团队观察指南®(JTOG)是一种 360 度评估工具,之前已经过验证,可衡量全国定义的 CP 能力。个体 JTOG 的心理测量学已经在在线跨专业教育后的一组跨专业医疗保健学生中进行了研究。本研究使用 Rasch 建模在 709 名接受面对面跨专业教育的学生中检验了个体 JTOG 的心理测量特性,并比较了协作环境和学生专业之间的结果。结果表明,在线和面对面样本之间的个体 JTOG 的项目和人员统计数据、单维性、标度性能和局部独立性是可比的,这表明它在跨协作环境下对 CP 能力的测量是一致的。心理测量特性很强,但存在上限效应。在专业群体之间,个体 JTOG 的单维性存在微小偏差。与其他健康专业相比,护理的价值观和道德观念构建更能与其他构建区分开来。讨论了对未来研究和仪器可能的调整的建议。

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