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临床学生的跨专业能力:验证日本临床学生跨专业能力自评量表(C-JASSIC)的临床学生版本。

Interprofessional competency in clinical students: validating the Clinical student version of the Japanese Self-assessment Scale of Interprofessional Competency (C-JASSIC).

机构信息

Medical Education Center, Keio University, Shinanomachi Campus, Tokyo, Japan.

Faculty of Nursing and Medical Care, Keio University, Fujisawa Campus, Tokyo, Japan.

出版信息

J Interprof Care. 2024 Sep-Oct;38(5):875-882. doi: 10.1080/13561820.2024.2375292. Epub 2024 Jul 19.

Abstract

In this study, we developed and validated the Clinical Student Version of the Japanese Interprofessional Competency Self-Assessment Scale (C-JASSIC) for healthcare students in their clinical practice phase. Data obtained from 331 students (medical, 98; nursing, 99; pharmacy, 134) during orientation for interprofessional education (pre-IPE) and from 319 students (medical, 94; nursing, 93; pharmacy, 132) within a week following IPE (post-IPE) were analyzed. Exploratory pre-IPE and Confirmatory post-IPE factor analyses revealed a consistent 6-factor structure aligning with the Japanese Interprofessional Competency domains. The scale exhibited strong internal consistency, with Cronbach's α values exceeding 0.8 for all factors both pre- and post-IPE. Scores for overall competency and individual domains increased post-IPE in 234 matched cases. A notable significant pre vs post difference concerned "Understanding of Others," indicating enhanced interprofessional comprehension after clinical practice. There was a weak but significant positive correlation between IPE satisfaction and difference in pre- and post-IPE scores. However, no significant differences were observed among medical, nursing, and pharmacy students. Despite its strengths, such as its competency-based design and cultural relevance to Japan, a limitation of the study may be potential self-reporting bias. Nonetheless, C-JASSIC represents a valuable tool for seamless competency evaluations from student to professional stages, with implications for broader Asian contexts.

摘要

在这项研究中,我们开发并验证了用于临床实践阶段医疗保健学生的临床学生版日本跨专业能力自我评估量表(C-JASSIC)。在跨专业教育(IPE)前,我们从 331 名学生(医学 98 名,护理 99 名,药学 134 名)那里获得了数据,在 IPE 后一周内(IPE 后),我们从 319 名学生(医学 94 名,护理 93 名,药学 132 名)那里获得了数据。探索性的 IPE 前和验证性的 IPE 后因素分析显示,与日本跨专业能力领域一致的一致的 6 因素结构。该量表表现出很强的内部一致性,所有因素在 IPE 前后的克朗巴赫 α 值均超过 0.8。在 234 个匹配病例中,整体能力和各个领域的分数在 IPE 后都有所提高。一个显著的差异是“对他人的理解”,这表明在临床实践后,跨专业的理解能力有所提高。IPE 满意度与 IPE 前后得分的差异之间存在弱但显著的正相关。然而,医学、护理和药学学生之间没有观察到显著差异。尽管它具有基于能力的设计和与日本文化的相关性等优势,但该研究可能存在潜在的自我报告偏差。尽管如此,C-JASSIC 仍是一种从学生到专业阶段进行无缝能力评估的有价值工具,对更广泛的亚洲背景具有启示意义。

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