Abstract：
Patient-centred care is essential for high quality musculoskeletal care, however, few evidence-based opportunities exist that address the barriers to implementation for clinicians.
To develop and evaluate a simulation-based educational strategy for musculoskeletal physiotherapists to increase knowledge and confidence in patient-centred care.
Repeated-measures, single-group educational interventional descriptive study. Primary outcome was participant-reported knowledge and confidence in patient-centred care. Customized survey data was collected at baseline (T1) (N = 22), immediately after a face-to-face workshop (T2) (N = 22), and six weeks after the workshop (T3) (N = 17). Secondary outcomes included sustained implementation using the Normalization Measure Development (NoMAD) tool. Repeated-measures ANOVA was used to analyse primary outcomes.
Our participants were typically female (72%), early career (mean 3.3 years post-graduate) and culturally diverse (67%). Significant increases in participant confidence were noted at all time points on all five learning outcomes (repeated measures ANOVA, p < 0.001 to p = 0.009). Participants had very high baseline knowledge and no further increases were found following the intervention (p > 0.05). Normalization Measure Development data indicated high coherence, high cognitive participation, and high reflexive monitoring, with neutral results for collective action.
A novel, psychologically-informed, simulation-based educational strategy is effective in improving musculoskeletal physiotherapist confidence in patient-centred care. Participants reported implementation of skills learnt in the workshop into subsequent clinical practice.
To develop and evaluate a simulation-based educational strategy for musculoskeletal physiotherapists to increase knowledge and confidence in patient-centred care.
Repeated-measures, single-group educational interventional descriptive study. Primary outcome was participant-reported knowledge and confidence in patient-centred care. Customized survey data was collected at baseline (T1) (N = 22), immediately after a face-to-face workshop (T2) (N = 22), and six weeks after the workshop (T3) (N = 17). Secondary outcomes included sustained implementation using the Normalization Measure Development (NoMAD) tool. Repeated-measures ANOVA was used to analyse primary outcomes.
Our participants were typically female (72%), early career (mean 3.3 years post-graduate) and culturally diverse (67%). Significant increases in participant confidence were noted at all time points on all five learning outcomes (repeated measures ANOVA, p < 0.001 to p = 0.009). Participants had very high baseline knowledge and no further increases were found following the intervention (p > 0.05). Normalization Measure Development data indicated high coherence, high cognitive participation, and high reflexive monitoring, with neutral results for collective action.
A novel, psychologically-informed, simulation-based educational strategy is effective in improving musculoskeletal physiotherapist confidence in patient-centred care. Participants reported implementation of skills learnt in the workshop into subsequent clinical practice.
摘要：
背景：以患者为中心的护理对于高质量的肌肉骨骼护理至关重要，然而,很少有基于证据的机会解决临床医生实施的障碍.
目的：为肌肉骨骼物理治疗师制定和评估基于模拟的教育策略，以增加以患者为中心的护理知识和信心。
方法：重复措施，单组教育干预性描述性研究。主要结果是参与者报告的知识和对以患者为中心的护理的信心。在基线(T1)(N=22)收集定制调查数据，在面对面研讨会(T2)(N=22)之后，和研讨会后六周(T3)(N=17)。次要结果包括使用标准化测量开发（NoMAD）工具的持续实施。重复测量方差分析用于分析主要结果。
结果：我们的参与者通常是女性（72％），早期职业生涯（平均3.3年毕业）和文化多样性（67%）。在所有五个学习成果的所有时间点都注意到参与者信心的显着增加（重复测量ANOVA，p<0.001至p=0.009)。参与者具有非常高的基线知识，并且在干预后没有发现进一步的增加（p>0.05）。标准化测量发展数据表明高度一致性，高度的认知参与，和高度反身监测，集体行动的中立结果。
结论：小说，心理知情，基于模拟的教育策略可有效提高肌肉骨骼物理治疗师对以患者为中心的护理的信心。参与者报告了在研讨会上学到的技能在随后的临床实践中的实施情况。
目的：为肌肉骨骼物理治疗师制定和评估基于模拟的教育策略，以增加以患者为中心的护理知识和信心。
方法：重复措施，单组教育干预性描述性研究。主要结果是参与者报告的知识和对以患者为中心的护理的信心。在基线(T1)(N=22)收集定制调查数据，在面对面研讨会(T2)(N=22)之后，和研讨会后六周(T3)(N=17)。次要结果包括使用标准化测量开发（NoMAD）工具的持续实施。重复测量方差分析用于分析主要结果。
结果：我们的参与者通常是女性（72％），早期职业生涯（平均3.3年毕业）和文化多样性（67%）。在所有五个学习成果的所有时间点都注意到参与者信心的显着增加（重复测量ANOVA，p<0.001至p=0.009)。参与者具有非常高的基线知识，并且在干预后没有发现进一步的增加（p>0.05）。标准化测量发展数据表明高度一致性，高度的认知参与，和高度反身监测，集体行动的中立结果。
结论：小说，心理知情，基于模拟的教育策略可有效提高肌肉骨骼物理治疗师对以患者为中心的护理的信心。参与者报告了在研讨会上学到的技能在随后的临床实践中的实施情况。
