Implementing a primary care simulation to improve interprofessional competencies

Q3 Social Sciences
Lee Ann Waltz , J Nile Barnes , Amy F. Crocker , Jeffrey R. Doeringer , Lynn T. Downs , Yutaka Maki , Natalie Slater , Cynthia Voyce
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引用次数: 0

Abstract

Learners from six health professions programs (athletic training, nursing, optometry, osteopathic medicine, pharmacy, and physical therapy) participated in a telehealth primary care simulation. The learners’ purpose of the simulated visit was to evaluate and manage a patient experiencing complications of type 2 diabetes, including vision changes, frequent falls, and a foot wound.

Objectives

The objectives of the activity were to: 1) assess changes in perceived interprofessional abilities in the areas of communication, collaboration, roles and responsibilities, patient/family-centered care, conflict management and resolution, and team functioning, and 2) assess learner perceptions regarding the value of the interprofessional primary care simulation.

Activity

Learners were divided into teams with 1–2 learners from each program (8–9 total learners per team) and each team interacted face-to-face in small individual classrooms. Trained faculty served as simulation facilitators in each classroom. Each team conducted a two-phase videoconference encounter with a trained standardized patient and family member. Between the two phases, each team conducted an interprofessional care planning session. Learner evaluation of the exercise used two validated tools, the revised Interprofessional Collaborative Competency Attainment Survey (ICCAS-R), and the modified Simulation Effectiveness Tool (SET-M) to inform the faculty.

Findings

Paired t-test values on all 20 items of the ICCAS-R indicated statistically significant results (p < .001), and SET-M results indicated that over 88 % of learners strongly agreed or somewhat agreed with questions pertaining to their satisfaction with the activity. Findings from this activity can be used by other educational institutions to develop a primary care simulation based on the health professions available, thus enhancing interprofessional learning opportunities and overcoming a common barrier of limited clinical sites for interprofessional practice.

实施初级保健模拟以提高跨专业能力
来自六个健康专业项目(运动训练、护理、验光、整骨医学、药学和物理治疗)的学员参加了远程医疗初级保健模拟。学习者模拟访问的目的是评估和管理一名患有2型糖尿病并发症的患者,包括视力变化、频繁跌倒和脚伤。目的该活动的目的是:1)评估在沟通、协作、角色和责任、以患者/家庭为中心的护理、冲突管理和解决以及团队运作等领域感知的跨专业能力的变化;2)评估学习者对跨专业初级保健模拟价值的感知。活动学习者被分成小组,每个项目有1-2名学习者(每个小组总共有8-9名学习者),每个小组在单独的小教室里面对面互动。经过培训的教员在每个教室担任模拟辅导员。每个小组与一名经过培训的标准化患者和家庭成员进行了两阶段的视频会议。在这两个阶段之间,每个团队都进行了一次跨专业的护理规划会议。学习者对练习的评估使用了两种经过验证的工具,即修订的跨专业合作能力成就调查(ICCAS-R)和修改的模拟有效性工具(SET-M),以告知教师。发现ICCAS-R的所有20个项目的配对t检验值表明结果具有统计学意义(p<;.001),SET-M结果表明,超过88%的学习者强烈同意或多少同意与他们对活动的满意度有关的问题。其他教育机构可以利用这项活动的结果,根据现有的卫生专业开发初级保健模拟,从而增加跨专业学习机会,克服跨专业实践临床场所有限的共同障碍。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
80
期刊介绍: Journal of Interprofessional Education & Practice, a quarterly online-only journal, provides innovative ideas for interprofessional educators and practitioners through peer-reviewed articles and reports. Each issue examines current issues and trends in interprofessional healthcare topics, offering progressive solutions to the challenges facing the profession. The Journal of Interprofessional Education & Practice (JIEP) is affiliated with University of Nebraska Medical Center and the official journal of National Academies of Practice (NAP) and supports its mission to serve the public and the health profession by advancing education, policy, practice & research.
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