A85:杰克的故事:通过现场病人多学科团队会议来教授跨专业工作

Jodie Bryant
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引用次数: 0

摘要

世界卫生组织(世卫组织)跨专业教育和协作实践行动框架(2010年)指出,“跨专业教育发生在两个或两个以上的专业人员相互了解、相互学习和相互学习,以实现有效合作并改善健康结果的时候”[1]。当医疗保健专业的学生进入实习工作场所时,他们需要在一个跨专业的团队中工作,并做出协作决策,以提供安全有效的患者护理。随着患者表现的日益复杂,预期寿命和残疾年限的增加,以及医疗保健系统内资源和交付的挑战,从业者在跨专业工作中具有坚实的基础技能至关重要。为了促进这一保健教育工作者被要求考虑创新,真实和轻蔑的教学工具,以展示跨专业工作,协作和跨学科的角色意识。为了给医疗保健专业的学生提供有意义的接触人际关系工作的机会,伯明翰城市大学的教育工作者开始设计和交付现场模拟患者病例会议。为了提高真实性,案例会议是围绕一个有复杂医疗和社会需求的活着的病人(Jake)设计的。一组卫生保健教育工作者分别担任卫生、社会和三级保健服务的临床医生。圆桌会议讨论了杰克的住院治疗和出院决定。杰克患有四肢瘫痪性脑瘫,需要大量的医疗、社交和职业需求。杰克的妈妈也在场,这表明需要耐心和关爱的合作。该课程由学生现场观察,但也拍摄并编辑成正在进行的模拟学习资源,具有临床和非临床学习目标。会议结束后举行了一次便利的汇报。对会议的反馈和轶事分析表明,在讨论患者护理和决策时,学生的参与度和对跨专业合作需求的理解有所提高。使用一个真实的活着的病人意味着学生们可以沉浸在杰克的故事中,对他的临床病例感到真正的同情。对于一些学生来说,跨专业工作的知识和其他学科的作用证明了掌握一个具有挑战性的概念。利用模拟(实时和虚拟)作为一种方法来教授难以掌握但重要的医疗实践概念,包括跨专业工作和跨学科角色意识,是可行和有效的。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A85 Jake’s story: Teaching interprofessional working through the delivery of a live patient multi-disciplinary team meeting
The World Health Organization (WHO) Framework for Action on Interprofessional Education and Collaborative Practice (2010), states ‘Interprofessional education occurs when two or more professionals learn about, from and with each other to enable effective collaboration and improve health outcomes’ [1]. When healthcare students enter the practice workplace, they are required to work in an interprofessional team and make collaborative decisions to provide safe and effective patient care. With the increasing complexity of patient presentation, increase in life expectancy and disability years coupled with the challenges of resource and delivery within the healthcare system it is vital that practitioners have solid foundational skills in interprofessional working. To facilitate this healthcare educators are being required to think of innovative, authentic and contemptuous pedagogical tools to demonstrate interprofessional working, collaboration and interdisciplinary role awareness. To provide healthcare students with meaningful exposure to interpersonal working educators at Birmingham City University embarked on the design and delivery of a live simulated patient case conference. To promote authenticity the case conference was designed (with consent) around a living patient (Jake) with complex medical and social needs. A team of healthcare educators each took the roles of clinicians from both health, social and tertiary care service. A round table discussion was held related to Jakes’s inpatient care and decisions regarding hospital discharge. Jake has quadriplegic cerebral palsy and substantial medical, social and occupational needs. Jake’s mum is also present, demonstrating the need to have patient and carer collaboration. The session was observed live by students but also filmed and edited into an ongoing simulation learning resource with both clinical and non-clinical learning objectives. A facilitated debrief was held after the session. Feedback and anecdotal analysis of the session showed greater student engagement and understanding of the needs for interprofessional collaboration when discussing patient care and decision-making. The use of a real and living patient meant students could immerse themselves in Jake’s story and feel true empathy with his clinical case. For some students’ knowledge of interprofessional working and the roles of other disciplines proves a challenging concept to master. It is feasible and effective to utilize simulation (live and virtual) as a method of teaching hard to grasp but vital concepts of healthcare practice including interprofessional working and interdisciplinary role awareness. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
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