Department of Oncology, McMaster University, Hamilton, Canada.
Department of Social Work, Lakehead University, Thunder Bay, Canada.
J Interprof Care. 2024 Sep-Oct;38(5):799-806. doi: 10.1080/13561820.2024.2375631. Epub 2024 Jul 31.
Interprofessional collaboration in palliative care is essential to ensuring high-quality care for seriously ill patients. Education interventions to increase competency in palliative care should incorporate team-building skills to encourage an interprofessional approach. We developed and piloted a virtual educational program named CAPACITI for interprofessional teams to promote a community palliative approach to care. Primary care teams from across Ontario, Canada, participated in CAPACITI which consisted of 10 facilitated sessions that emphasized how to operationalize a palliative care approach as a team. Pre- and post-study questionnaires were completed by each team, including the AITCS-II, a validated instrument that measures interprofessional collaboration. We analyzed individual paired differences in summary scores and in each of three subdomains of the AITCS-II questionnaire: partnership, cooperation, and coordination. Seventeen teams completed the AITCS-II post survey, representing 133 participants. Teams varied demographically and ranged from 5 to 16 members. After CAPACITI, the overall mean AITCS-II summary score among teams increased to 96.0 (SD = 10.0) for a significant paired mean difference increase of 9.4 ( = .03). There were also significant increases in the partnership ( = .01) and in the cooperation subdomains ( = .04). CAPACITI demonstrated the potential for improving collaboration among primary care teams, which can lead to improved provider and patient outcomes in palliative care.
姑息治疗中的跨专业合作对于确保重病患者获得高质量的护理至关重要。为提高姑息治疗方面的能力而进行的教育干预措施应纳入团队建设技能,以鼓励采取跨专业方法。我们开发并试点了一个名为 CAPACITI 的虚拟教育计划,供跨专业团队使用,以促进社区姑息治疗方法。来自加拿大安大略省各地的初级保健团队参加了 CAPACITI,该计划由 10 次有针对性的会议组成,强调了如何作为一个团队实施姑息治疗方法。每个团队都完成了研究前后的问卷,包括 AITCS-II,这是一种衡量跨专业合作的有效工具。我们分析了个人配对差异的总分以及 AITCS-II 问卷的三个子领域的分数:伙伴关系、合作和协调。17 个团队完成了 AITCS-II 后测调查,代表了 133 名参与者。团队在人口统计学方面存在差异,成员人数从 5 到 16 人不等。在 CAPACITI 之后,团队的总体平均 AITCS-II 总分提高到 96.0(SD=10.0),配对平均差异显著增加了 9.4(=0.03)。伙伴关系(=0.01)和合作子领域(=0.04)也有显著提高。CAPACITI 表明了提高初级保健团队合作能力的潜力,这可以改善姑息治疗中提供者和患者的结果。