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在跨专业环境中增强医学与健康科学专业学生对患者护理安全和质量的理解:一项干预性研究

Enhancing the understanding of safety and the quality of patient care among medical and health sciences students in interprofessional climate: an interventional study.

作者信息

Guraya Salman Yousuf, Sulaiman Nabil, Hasswan Ahmed, Salmanpour Vida Abdolhamid, Jirjees Feras Jassim, Taha Mohamed Hassan, Alamara Jennat, Kawas Sausan A L, Awad Manal, Dias Jacqueline Maria, David Leena R, Haider Mohamed Aly, Guraya Shaista Salman, Dash Nihar Ranjan, Al-Qallaf Amal, Shorbagi Sarra, Mahmoud Ibrahim

机构信息

College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.

College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates.

出版信息

BMC Health Serv Res. 2025 Jan 28;25(1):156. doi: 10.1186/s12913-024-12086-6.

Abstract

BACKGROUND

Interprofessional education (IPE) plays an essential role in improving healthcare outcomes through achieving shared understanding. Unfortunately, most healthcare professionals have not received training for patient safety (PS) in an interprofessional setting, which can meet the societal medical needs. This study aimed to foster the understanding of senior medical, dental, pharmacy and health sciences students about PS and quality of care at the University of Sharjah (UoS) in UAE.

METHODS

Using a convenience sampling technique, we recruited students from the College of Medicine (CoM), College of Pharmacy (CoP), College of Dental Medicine (CDM), and College of Health Sciences (CHS) of UoS. The study was conducted in spring 2023, and an ethical approval was obtained from the UoS Research Ethics Committee (REC-21-12-12). After a thorough literature search, a bespoke English language questionnaire was developed covering three domains-medical professionalism, leadership in healthcare, and precision medicine. To ensure its validity across different settings, cultural adaptation was ensured with reiterative revision among the panel of experts. The online synchronous real-time workshop included interactive resource sessions, breakout room discussions using real clinical cases, and pre-post surveys using the questionnaire.

RESULTS

A total of 248 students and 20 facilitators participated in the workshop. CoM had the highest representation (47.5%), followed by CoP (36.5%), CHS (13.3%), and CDM (2.7%). There was a statistically improved understanding of the participants, as reflected by significantly high scores of post-test survey in all domains of PS across all colleges (p < 0.001). Notably, students in years four and five from CoM and CoP showed significant improvement in their perceptions than other colleges (p < 0.001). The participants encountered challenges of weak internet connections, software issues, technical failures, and power outages during the workshop.

CONCLUSION

This study highlights the positive impact of an IPE-based interventional workshop on students' attitudes, perceptions, and insights about PS and quality of care. Students' understanding and insights of PS and quality of care underscore the paramount role of IPE in improving perceptions and approaches towards PS in the context of healthcare education.

摘要

背景

跨专业教育(IPE)通过达成共同理解在改善医疗保健结果方面发挥着重要作用。不幸的是,大多数医疗保健专业人员尚未在跨专业环境中接受过患者安全(PS)培训,而这种环境能够满足社会医疗需求。本研究旨在增进阿联酋沙迦大学(UoS)医学、牙科、药学和健康科学专业高年级学生对患者安全和医疗质量的理解。

方法

我们采用便利抽样技术,从UoS的医学院(CoM)、药学院(CoP)、牙医学院(CDM)和健康科学学院(CHS)招募学生。该研究于2023年春季进行,并获得了UoS研究伦理委员会(REC - 21 - 12 - 12)的伦理批准。在全面的文献检索之后,开发了一份定制的英语问卷,涵盖医学专业精神、医疗保健中的领导力和精准医学三个领域。为确保其在不同环境中的有效性,在专家小组中进行了反复修订以确保文化适应性。在线同步实时研讨会包括互动资源环节、使用真实临床病例的分组讨论室讨论以及使用该问卷进行的前后调查。

结果

共有248名学生和20名主持人参加了研讨会。CoM的代表人数最多(47.5%),其次是CoP(36.5%)、CHS(13.3%)和CDM(2.7%)。所有学院在患者安全所有领域的后测调查得分显著提高,这反映出参与者的理解有了统计学上的改善(p < 0.001)。值得注意的是,CoM和CoP的四年级和五年级学生的认知改善比其他学院更显著(p < 0.001)。参与者在研讨会期间遇到了网络连接弱、软件问题、技术故障和停电等挑战。

结论

本研究强调了基于跨专业教育的干预性研讨会对学生关于患者安全和医疗质量的态度、认知及见解的积极影响。学生对患者安全和医疗质量的理解及见解强调了跨专业教育在改善医疗保健教育背景下对患者安全的认知和方法方面的至关重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f19a/11773894/782f097bc17d/12913_2024_12086_Fig1_HTML.jpg

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