Using interprofessional simulation to teach clinical interviewing for trauma.

IF 2.6 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Casey E Gallimore, Gina M Bryan, Jennifer Fiegel-Newlon, Angela Willits, Lynette Studer, Sherrelle P Jackson
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Abstract

Approximately 83% of United States residents encounter trauma in their lifetimes, necessitating trauma-informed care education across all healthcare disciplines. Included in this is instruction and practice interviewing clients for trauma history. The University of Wisconsin-Madison's Nursing, Pharmacy, and Social Work faculties collaborated to create an interprofessional online simulation to enhance students' application of trauma-informed principles to clinical interviewing. The interprofessional format facilitated learning with, from, and about students across health profession programs. Development and refinement of the simulation were informed by program evaluation, incorporating feedback and outcomes from three iterations. Pre- and post-surveys using a combination of Likert-type scale and open-ended items were used to collect evaluation data. One hundred and seventy-seven students out of 223 (79% response rate) completed both surveys and were included in the analysis. Findings indicate that virtual, low-fidelity simulation - incorporating discussion, role-play, and debriefing - can advance students' understanding of trauma-informed principles and skills in interviewing for trauma, while also promoting interprofessional competencies. Students valued the opportunity to practice clinical interviewing for trauma in a low-stakes, safe environment, and to learn through peer observation. Future considerations involve exploring different delivery methods, reexamining optimal placement of the simulation within each program's curricula, and extending participation to other health disciplines.

运用跨专业模拟来教授创伤临床访谈。
大约83%的美国居民在其一生中遇到创伤,需要在所有医疗保健学科中进行创伤知情护理教育。这包括指导和练习采访客户的创伤史。威斯康星大学麦迪逊分校的护理、药学和社会工作学院合作创建了一个跨专业的在线模拟,以提高学生在临床访谈中对创伤知情原则的应用。跨专业的形式促进了与学生的学习,来自学生的学习,以及关于学生的学习。模拟的开发和改进是通过程序评估来进行的,并结合了三次迭代的反馈和结果。采用李克特量表和开放式项目相结合的前后调查收集评价数据。223名学生中有177名(79%的回复率)完成了这两项调查,并被纳入分析。研究结果表明,虚拟的、低保真度的模拟——包括讨论、角色扮演和汇报——可以提高学生对创伤知情原则和创伤采访技能的理解,同时也能提高跨专业能力。学生们重视在低风险、安全的环境中进行创伤临床访谈的机会,并通过同伴观察来学习。未来的考虑包括探索不同的交付方法,重新审视每个项目课程中模拟的最佳位置,并将参与扩展到其他健康学科。
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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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