跨专业行为咨询;本科生的必备技能

Brooke Russell, Jana Lutze, Dr Neil Gibson, Dr James Forsyth, Blake Charman, Dr John Sampson, Dr Gregory Peoples, Meredith Kennedy, Herb Groeller
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引用次数: 0

摘要

协作式医疗保健实践对饮食和体育锻炼行为有着积极的影响(Patnode 等人,2022 年)。针对西澳大学运动科学与康复专业(ExSc)和营养学与营养专业(DNut)的学生,我们开发了一种沉浸式跨专业工作一体化学习体验,为新手从业人员做好适当的准备,以迎接劳动力跨专业合作机会的显著增长。 本科生(ExSc:47 人;DNut:48 人)参加了跨专业教育研讨会(IEW),旨在加深对跨专业和行为咨询技巧的理解。然后,学生们分成 46 对(理科生:n=1+文科生:n=1),每对学生在两个不同的时间点为一名社区客户提供跨专业行为咨询(IBC):初次咨询和为期两周的随访(FU)。学生志愿者(n=38;ExSc:n=10,DNut:n=28)同意参与研究阶段,并在两个时间点完成了两项调查,即跨专业协作能力达成量表(ICCAS)和学生对跨专业临床教育的看法修订版(SPICE-R2),这两个时间点分别是:IEW结束后和FU结束后。此外,志愿者(n=14;ExSc:n=3,DNut:n=11)参加了 IBC 后的焦点小组。显著性设定为(P<0.01),报告平均分数差异和相对变化(%)。 参与者(n=31)对 ICCAS 的回答显示,跨专业实践的五个关键领域均有改善:沟通(0.8,23%)、协作(1.1,32%)、角色和责任(1.1,33%)、以患者为中心的护理(1.2,36%)、冲突管理和团队运作(1.1,30%)。同样,SPICE-R2 在病人疗效(0.30,7%)和合作实践的角色与责任(0.67,17%)方面有所改善,但在跨专业团队合作和团队实践方面没有改善(P=0.06)。焦点小组讨论表明,学生在进行 IBC 前对有效合作感到困惑,特别是对在一次会诊中涉及两名专业人员的时间限制感到担忧。与此相反,IBC 结束后,学生们表示对采用协作方法的信心增强了,对实践范围的重叠有了更好的理解,并能看到采用跨专业方法后客户结果的价值。 未来,西澳大学将继续嵌入跨专业工作综合学习体验,以提高对同事协作的理解,确保以患者为中心的护理和最佳实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
INTERPROFESSIONAL BEHAVIOURAL COUNSELLING; AN ESSENTIAL SKILL FOR OUR UNDERGRADUATE STUDENTS
Collaborative healthcare practices have positive impacts on dietary and physical activity behaviours (Patnode, et al., 2022). An immersive interprofessional work-integrated learning experience was developed for UOW Exercise Science and Rehabilitation(ExSc), and Dietetics and Nutrition(DNut) students, to appropriately prepare novice practitioners for significant growth in workforce interprofessional collaboration opportunities. Undergraduate(ExSc:n=47;DNut:n=48) students participated in an Interprofessional Education Workshop(IEW) aimed at improving understanding of interprofessionalism and behaviour counselling techniques. Students then formed into 46 pairs(ExSc:n=1+DNut:n=1) with each pair providing Interprofessional Behavioural Counselling(IBC) to a community client at two separate timepoints; Initial consultation and a 2-week Follow Up(FU). Student volunteers(n=38;ExSc:n=10,DNut:n=28) agreed to participate in the research phase, completing two surveys, Interprofessional Collaborative Competency Attainment Scale(ICCAS) & Students Perceptions of Interprofessional Clinical Education Revised(SPICE-R2) at two timepoints; immediately post IEW, and post FU. Additionally, volunteers(n=14;ExSc:n=3,DNut:n=11) participated in focus groupsfollowing IBC. Significance, set at (p<0.01) with mean score differences, and relative change (%) reported. Participant responses(n=31) to ICCAS showed improvement across the five key areas of interprofessional practice; communication(0.8,23%), collaboration(1.1,32%), role and responsibilities(1.1, 33%), patient-centred care(1.2,36%), conflict-management and team-functioning(1.1,30%). Similarly, improvements in SPICE-R2 for patient outcomes(0.30,7%) and roles and responsibilities with collaborative-practice(0.67,17%), but not (p=0.06) for interprofessional teamwork and team-based practice. Focus groups indicated that students were confused pre-IBC about effective collaboration, specifically apprehension relating to perceived time constraints involved in having two professionals in one consultation. Conversely, post-IBC student’s reported increased confidence in adopting a collaborative approach, better understanding of scope of practice overlap and could see value in client outcomes following an interprofessional approach. UOW will continue to embed interprofessional work integrated learning experiences in the future to improve understanding of collegial collaboration ensuring patient-centred care and best practice.
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