学习一起吞咽:医学和语言治疗专业学生关于吞咽困难的跨专业学习

H. Kelly, Mairead Cronin, H. Hynes, Sarah Duxbury, Orlaith Twomey
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摘要

背景:跨专业教育(IPE)被认为是准备医疗保健人力协作病人护理的必要步骤。吞咽困难是一种复杂的健康状况,需要医学(MED)和语言治疗(SLT)等学科之间的合作。因此,两个学科必须在跨专业护理的背景下对吞咽困难的管理有共同的理解。目的:本研究调查MED和SLT学生在IPE研讨会后分享的关于吞咽困难管理的学习情况。本文还探讨了国际政治政治学院的学生体验。方法:50名学生参加了一个3小时的课堂式IPE吞咽困难研讨会,并在研讨会前后完成了问卷调查。组内和组间分析评估了吞咽困难管理知识的变化。与学生学习经验相关的评论使用定性描述方法进行检查。结果:98%的学生(24名MED;25名SLT)完成了工作坊前和工作坊后的问卷调查。Wilcoxon sign - rank检验显示,讲习班结束后,与吞咽困难相关的症状知识(p < 0.001)和医疗条件(p < 0.001)均有统计学意义上的显著增长。学生报告对他们识别吞咽困难能力的信心增加(p < 0.001)。工作坊结束后,学生对跨专业角色的理解有所提高,尤其是护理(p < 0.05)、药学(p < 0.05)、职业治疗(p < 0.05)和物理治疗(p < 0.001)。尽管公认IPE有利于共享学习和欣赏不同学科的观点,但两组研究对象都认为IPE具有挑战性。结论:以课堂为基础的IPE是共享学习需要跨专业护理的复杂健康状况的合适方法。包括面向病人的活动将进一步促进学生的学习。虽然学生们发现国际政治教育具有挑战性,但他们发现了与专业发展相关的几个好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Learning to swallow together: Medical and speech and language therapy student interprofessional learning about dysphagia
BACKGROUND: Interprofessional education (IPE) is considered to be a necessary step in preparing the healthcare workforce for collaborative patient care. Dysphagia, a complex health condition, requires collaboration between disciplines such as medicine (MED) and speech and language therapy (SLT). Therefore, both disciplines must have a shared understanding of dysphagia management within the context of interprofessional care. OBJECTIVE: This study investigated MED and SLT students’ shared learning about dysphagia management following an IPE workshop. The student experience of IPE was also explored. METHODS: Fifty students participated in one 3-hour classroom-based IPE dysphagia workshop which was appraised through a questionnaire completed immediately before and following the workshop. Within- and Between-Group analysis evaluated change in knowledge about dysphagia management. Comments related to student learning experiences were examined using a qualitative description approach. RESULTS: 98%of students (24 MED; 25 SLT) completed pre- and post-workshop questionnaires. Wilcoxon Signed-Rank tests indicated statistically significant post-workshop growth in knowledge of symptoms (p <  0.001) and medical conditions (p <  0.001) related to dysphagia. Students reported increased confidence in their ability to identify dysphagia (p <  0.001). Greater understanding of interprofessional roles was observed post-workshop, notably nursing (p <  0.05), pharmacy (p <  0.05), occupational therapy (p <  0.05) and physiotherapy (p <  0.001). While recognised as beneficial to shared learning and appreciation of different discipline perspectives, both cohorts found IPE challenging. CONCLUSIONS: Classroom-based IPE is an appropriate approach for shared learning about complex health conditions which require interprofessional care. Including patient-facing activities would further enhance student learning. While students found IPE challenging, they identified several benefits related to their professional development.
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