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利用模拟强化跨专业教育来识别医学生协作实践行为的差异:一项混合方法研究。

Utilizing simulation-enhanced interprofessional education to identify differences in healthcare students' collaborative practice behaviors: A mixed method study.

作者信息

Kilroy Susan, Marks Beth, Sawyer Kathryn M, Vanderzwan Kathryn, Karczmar Christopher, Koronkowski Mike, Brown Blase P

机构信息

Temple University, School of Public Health, Jones Hall, Room 518: 1316 W. Ontario St, Philadelphia, PA, United States of America.

Department of Disability and Human Development, University of Illinois at Chicago, United States of America.

出版信息

Nurse Educ Today. 2025 Apr;147:106569. doi: 10.1016/j.nedt.2025.106569. Epub 2025 Jan 20.

Abstract

BACKGROUND

Teaching collaborative practice behaviors (CPBs) to interprofessional healthcare students could improve healthcare for underserved populations.

OBJECTIVE

This study explained the impact of Simulation Enhanced Interprofessional Education (SIM-IPE) on healthcare students' self-reported CPBs and their perceptions of utilizing CPBs when caring for underserved populations, as well as the differences among professions within interprofessional teams.

DESIGN

Mixed methods explanatory design.

PARTICIPANTS AND SETTING

Sixty-Eight doctorate of nurse practitioner, dental and pharmacy students from a large research-intensive university in the United States.

METHODS

The Interprofessional Education Collaborative Competency Self Efficacy Tool (IPECC-SET27) was used to collect quantitative data. Qualitative data was collected through recorded simulation debriefing sessions. One hundred and thirty-six quantitative surveys were collected, and 214 qualitative responses were reviewed from the 48 simulations and recorded debriefing sessions. Paired t-tests and directed content analysis were used to infer the quantitative and qualitative impact of SIM-IPE on all students in an interprofessional team and differences among each profession.

RESULTS

After SIM-IPE, all students showed statistically significant increases in mean CPB scores for all 27 items (ρ < 0.0001) for IPECC-SET 27. Students perceived their CPBs when caring for underserved individuals improved most in Teams and Teamwork item one (48 %, n = 103). Comparing individual professions and CPB skills; Values and ethics (14 %, n = 8) for pharmacy, roles, and RESPONSIBILITIES (28 %, n = 24) and Communication (32 % n = 27) for dentistry, and teams and teamwork (61 % n = 43) for nurse practitioner had the greatest impact and were most frequently reported.

CONCLUSIONS

Significantly increased mean scores in competence for CPBs was demonstrated. CPB differences were evident among professions. Educators must understand professional CPB differences and develop SIM - IPE that promotes development of collaborative practice-ready healthcare professionals.

摘要

背景

向跨专业医学生传授协作实践行为(CPB)可以改善服务不足人群的医疗保健状况。

目的

本研究解释了模拟强化跨专业教育(SIM-IPE)对医学生自我报告的CPB及其在照顾服务不足人群时运用CPB的认知的影响,以及跨专业团队中各专业之间的差异。

设计

混合方法解释性设计。

参与者和背景

来自美国一所大型研究型大学的68名护理博士、牙科和药学专业学生。

方法

使用跨专业教育协作能力自我效能工具(IPECC-SET27)收集定量数据。定性数据通过模拟总结会议记录收集。共收集了136份定量调查问卷,并从48次模拟和记录的总结会议中审查了214份定性回复。使用配对t检验和定向内容分析来推断SIM-IPE对跨专业团队中所有学生的定量和定性影响以及各专业之间的差异。

结果

经过SIM-IPE后,所有学生在IPECC-SET 27的所有27项上的平均CPB得分均有统计学显著提高(ρ < 0.0001)。学生们认为他们在照顾服务不足个体时的CPB在团队和团队合作项目一(48%,n = 103)方面改善最大。比较各专业和CPB技能;药学专业的价值观和道德(14%,n = 8)、牙科专业的角色和责任(28%,n = 24)以及沟通(32%,n = 27),护理专业的团队和团队合作(61% n = 43)影响最大且被提及频率最高。

结论

CPB能力的平均得分显著提高。各专业之间CPB差异明显。教育工作者必须了解专业CPB差异,并开发促进培养具备协作实践能力的医疗保健专业人员的SIM-IPE。

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