Interprofessional Education

跨专业教育
  • 文章类型: Journal Article
    目的:研究将人类世和疾病控制中心(CDC)的“气候对健康的影响”框架纳入IPE课程的新课程材料的影响,以增强学生对全球相互依存的理解。
    背景:当这些早期学习者没有重要的临床经验时,在本科课程的入门跨专业教育课程中使用合适的框架和相关内容进行全球相互依存教学具有挑战性。因此,有必要调整这些课程,以提供一个框架,让所有学生都可以联系到,无论以前的经验。
    方法:本研究的设计是定性文献分析。
    方法:所需的IPE入门课程是针对健康科学学院和护理学院提供的课程的学生。来自七个卫生专业计划的学生(n=142),包括运动训练(n=9),护理(n=70),营养和营养学(n=8),职业治疗(n=15),物理治疗(n=31),放射治疗(n=2)和磁共振成像以及其他专业的专业前学生(n=5)参加了本IPE课程.该研究使用了来自学生提交的最终反思的数据。CQI分析的重点是参加与卫生专业相关的专业跨专业课程的学生。
    结果:跨专业团队如何应对人类世等全球性挑战,与气候有关的疾病和恶劣天气事件在学生回答中被揭示。学生回答中出现的三个主题包括:公共卫生合作,全面的健康促进和政策宣传。
    结论:将人类世的概念和“气候对健康的影响”框架纳入IPE课程可能是一种有希望的方法,可以塑造学生的感知并增强他们对全球相互依存的了解。通过这样做,学生可以更深入地了解人类活动如何对地球的气候和生态产生影响,以及恶劣的天气如何导致各种健康问题。
    OBJECTIVE: To examine the effects of new course material that incorporated the Anthropocene and The Centers for Disease Control\'s (CDC) \'Climate Effects on Health\' framework into an IPE course to enhance students\' understanding global interdependence.
    BACKGROUND: Teaching global interdependence with a suitable framework and relevant content in an introductory Interprofessional Education course in undergraduate programs is challenging when these early learners who do not have significant clinical experience. Therefore, it is necessary to adapt these courses to provide a framework that all students can relate to regardless of previous experience.
    METHODS: The design for this study was qualitative document analysis.
    METHODS: The required introductory IPE course was for students on the programs offered by the College of Health Sciences and the School of Nursing. Students (n = 142) from seven health professions programs, including athletic training (n=9), nursing (n=70), nutrition and dietetics (n=8), occupational therapy (n=15), physical therapy (n=31), radiation therapy (n=2) and magnetic resonance imaging and pre-professional students from other majors (n=5) were enrolled in this IPE course. The study used data derived from the final reflections submitted by the students. The CQI analysis focused on students enrolled in a dedicated interprofessional course related to health professions.
    RESULTS: Ways interprofessional teams can address global challenges like the Anthropocene, climate-related illnesses and severe weather events were revealed in student responses. Three themes that emerged from the student responses included: public health collaborations, holistic health promotion and policy advocacy.
    CONCLUSIONS: Incorporating the concept of Anthropocene and the \'Climate Effects on Health\' framework into an IPE course can be a promising approach to shaping students\' perception and enhancing their knowledge about global interdependence. By doing so, students can gain a deeper understanding of how human activities have an impact on the climate and ecology of the planet and how severe weather can lead to various health problems.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    随着跨专业教育(IPE)研究研究的出版呈指数级增长,寻找相关文献和了解最新研究变得更加困难。为了解决这个差距,我们开发了,评估,并验证了PubMed中IPE研究的搜索策略,改善未来对IPE研究的获取和综合。这些搜索策略,或者搜索树篱,提供全面、已验证的IPE出版物的搜索字词集。
    使用相对召回方法为PubMed创建搜索策略。研究方法遵循以前的搜索对冲和搜索过滤器验证研究的指导,在创建一个黄金标准的相关参考,使用系统评价,让专家搜索者识别和测试搜索词,并使用相对召回计算来验证针对黄金标准集的搜索性能。
    提出的针对IPE研究的三个推荐搜索树篱的召回率为71.5%,82.7%,95.1%;第一个更注重高效的文献检索,最后一个具有较高的召回率,用于全面的文献检索,剩下的对冲作为其他两个选择之间的中间地带。
    这些经过验证的搜索树篱可以在PubMed中使用,以加快查找相关奖学金,跟上IPE研究的最新动态,并进行文献综述和证据综合。
    UNASSIGNED: With exponential growth in the publication of interprofessional education (IPE) research studies, it has become more difficult to find relevant literature and stay abreast of the latest research. To address this gap, we developed, evaluated, and validated search strategies for IPE studies in PubMed, to improve future access to and synthesis of IPE research. These search strategies, or search hedges, provide comprehensive, validated sets of search terms for IPE publications.
    UNASSIGNED: The search strategies were created for PubMed using relative recall methodology. The research methods followed the guidance of previous search hedge and search filter validation studies in creating a gold standard set of relevant references using systematic reviews, having expert searchers identify and test search terms, and using relative recall calculations to validate the searches\' performance against the gold standard set.
    UNASSIGNED: The three recommended search hedges for IPE studies presented had recall of 71.5%, 82.7%, and 95.1%; the first more focused for efficient literature searching, the last with high recall for comprehensive literature searching, and the remaining hedge as a middle ground between the other two options.
    UNASSIGNED: These validated search hedges can be used in PubMed to expedite finding relevant scholarships, staying up to date with IPE research, and conducting literature reviews and evidence syntheses.
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  • 文章类型: Journal Article
    目的:探索学生和促进者使用已开发的数字活动进行跨专业学习(IPL)的经验,重点是将重症患者从初级医疗保健(PHC)中心移交给救护车服务。
    方法:采用定性研究设计,本研究的报告遵循定性研究报告定性研究指南的综合标准。
    方法:斯德哥尔摩的PHC中心和救护车服务,瑞典。
    方法:共有31名参与者被纳入研究:22名学生来自五个不同的医疗保健专业,七名主持人和两名观察员。
    方法:开发了一种数字IPL活动来克服地理距离,该方案包括将一名重症患者从PHC中心内的人员移交给救护车服务人员,以运送到急诊科。2021年开展了四项数字IPL活动。
    结果:数字IPL活动消除了学生和主持人的地理距离问题,它使学生能够通过推理找到一个跨专业的合作模型,通过在共同结构的支持下交流和共享知识。参与者认为数字IPL活动和场景是真实的,可行和便利的IPL。使用急性和危及生命的病例是学生在IPL中对患者安全的高度现实体验的成功因素,移交,护理和治疗。
    结论:开发的数字IPL活动促进了学生的IPL,并展示了潜在的可持续性,因为数字方法支持克服学生和主持人的地理距离。通过使用涉及真实病例的场景,重点是重症患者的移交,IPL,可行性和可接受性得到了支持。然而,必须强调全面评估,定量和定性,在长期的临床轮换和涉及更多的学生群体仍然是必要的,以确保不断改进和发展。
    OBJECTIVE: To explore students\' and facilitators\' experiences of using a developed digital activity for interprofessional learning (IPL) focusing on critically ill patient handovers from a primary healthcare (PHC) centre to the ambulance service.
    METHODS: A qualitative study design was employed, and the reporting of this study adheres to the Consolidated criteria for Reporting Qualitative research guidelines for qualitative studies.
    METHODS: A PHC centre and the ambulance service in Stockholm, Sweden.
    METHODS: A total of 31 participants were included in the study: 22 students from five different healthcare professions, seven facilitators and two observers.
    METHODS: A digital IPL activity was developed to overcome geographical distances, and the scenario included the handover of a critically ill patient from personnel within the PHC centre to the ambulance service personnel for transport to an emergency department. Four digital IPL activities were conducted in 2021.
    RESULTS: The digital IPL activity eliminated the issue of geographical distance for students and facilitators, and it enabled the students to find an interprofessional model for collaboration through reasoning, by communicating and sharing knowledge with the support of a common structure. Participants perceived the digital IPL activity and scenario as authentic, feasible and facilitated IPL. Using a case with an acute and life-threatening condition was a success factor for students to experience high realism in their IPL on patient safety, handover, care and treatment.
    CONCLUSIONS: The developed digital IPL activity facilitated the students\' IPL and demonstrated potential sustainability as the digital approach supported overcoming geographical distances for both students and facilitators. By using a scenario involving an authentic case focusing on handovers of a critically ill patient, IPL, feasibility and acceptability were supported. However, it is crucial to emphasise that a comprehensive evaluation, both quantitative and qualitative, over an extended period of clinical rotations and involving a larger group of students is still warranted to ensure continuous improvement and development.
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  • 文章类型: Journal Article
    进行真实的跨专业模拟体验可能是医疗保健专业学生建立农村医疗保健环境所需的能力的有用且一致的策略。采用观察性比较研究设计来评估临床模拟经验,该经验旨在培养新南威尔士州(NSW)多个校区的一所地区大学的医疗保健专业学生样本的跨专业能力。澳大利亚。大学三个校区的200多名学生参与了模拟体验,其中包括四个跨专业活动。在这些学生中,189人(89%)同意参与研究。参加这项研究的医疗保健专业学生来自第二年的职业治疗,物理治疗,和足部,和第三年语言病理学课程。使用修订后的跨专业合作素养调查(ICCAS)比较了所有学生的回顾性自我评估前后的跨专业合作能力。结果表明,使用经过验证的修订的ICCAS调查,自我感知分数有统计学上的显着改善。这项研究的结果表明,精心设计和真实的跨专业模拟经验可以促进有效的跨专业实践所需的能力的发展,这是成功的农村实践所必需的。
    Undertaking an authentic interprofessional simulation experience may be a useful and consistent strategy for healthcare professional students to build competencies required for a rural healthcare context. An observational comparative study design was adopted to evaluate a clinical simulation experience created to develop the interprofessional competencies of a sample of healthcare professional students at a regional university situated on multiple campuses in New South Wales (NSW), Australia. Over 200 students across three campuses of the university were involved in a simulation experience that included four interprofessional activities. Of these students, 189 (89%) agreed to participate in the study. The healthcare professional students who participated in the study were from second year occupational therapy, physiotherapy, and podiatry, and third year speech pathology programs. Retrospective pre and post self-assessed interprofessional collaborative competencies were compared for all students using the revised Interprofessional Collaborative Attainment Survey (ICCAS). Results demonstrated a statistically significant improvement in self-perceived scores using the validated revised ICCAS survey. The findings of this study suggest that carefully designed and authentic interprofessional simulation experiences can facilitate the development of competencies required for effective interprofessional practice, which are necessary for successful rural practice.
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  • 文章类型: Journal Article
    残疾人(PWD)通常需要特殊的住宿和更全面的医疗保健,但经常遇到没有准备好提供量身定制和完整护理的医生。为二年级医学生实施了多管齐下的残疾意识课程,包括残疾礼仪的内容,为身体残疾和智力和发育障碍的个人提供以患者为中心的跨专业学习课程,和理疗师的汇报。这项研究的目的是利用混合方法方法来评估本科医学教育(UME)中的残疾意识课程。评估是使用课程评估进行的,调查前后,包括对残疾人的态度和观点(APPD)量表和对残疾人的多维态度量表(MAS),和学生焦点小组。两个APPD的平均得分(2.11±0.43预得分与1.7±0.39后评分)和MAS(2.45±0.43前评分与2.25±0.55后得分)表明课程改善了医学生对PWD的态度(p<0.05),较低的数字代表更有利的态度。完成课程后,医学生的态度与物理治疗医生(DPT)学生的态度相当。焦点小组的定性分析强调了四个主要主题:教育,舒适度,对未来实践的影响,残疾差异。该课程有潜力作为一个有价值的框架,为医学生提供有效的残疾教育,为未来的医生服务PWD和他们的独特需求做好准备。它符合核心能力,提供了在跨专业环境中学习的机会,并将PWD整合到教育过程中。
    在线版本包含可在10.1007/s40670-024-02004-0获得的补充材料。
    Persons with disabilities (PWD) often require special accommodations and more comprehensive healthcare yet frequently have encounters with physicians who are unprepared to provide tailored and complete care. A multipronged disability awareness curriculum for second-year medical students was implemented, including content on disability etiquette, patient-centered and interprofessional learning sessions for individuals with physical disabilities and intellectual and developmental disabilities, and a debriefing session with physiatrists. The objective of this study was to utilize a mixed methods approach to evaluate the disability awareness curriculum in undergraduate medical education (UME). Assessment was conducted using course evaluations, pre- and post-surveys including the Attitudes and Perspectives Towards Persons with Disabilities (APPD) scale and Multidimensional Attitudes Scale Toward Persons with Disabilities (MAS), and student focus groups. The mean scores from both the APPD (2.11 ± 0.43 pre-score vs. 1.7 ± 0.39 post-score) and MAS (2.45 ± 0.43 pre-score vs. 2.25 ± 0.55 post-score) indicate the curriculum improved medical students\' attitudes toward PWD (p < 0.05), with lower numbers representing more favorable attitudes. After completing the curriculum, medical students\' attitudes were comparable to those of doctor of physical therapy (DPT) students. Qualitative analysis from focus groups highlighted four major themes: education, comfort level, impact on future practice, and disability differences. This curriculum has potential as a valuable framework for delivering effective disability education to medical students to prepare future physicians to serve PWD and their unique needs. It meets core competencies, provides an opportunity to learn in interprofessional environments, and integrates PWD into the educational process.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s40670-024-02004-0.
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  • 文章类型: Journal Article
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  • 文章类型: Case Reports
    本文描述了“项目8”,一项旨在将糖尿病患者的糖化血红蛋白(HbA1c)降低至8%或更高的运动,利用医疗保健专业人员和当地社区居民,专注于教育和支持。该研究基于Uonuma-日本的一个小农村城市,人口减少,老年人数量增加。
    \'项目8\'于2008年在Uonuma的Koide医院开始。Uonuma社区卫生与社会关怀学校成立于2011年,与诊所的全科医生合作。医学生,学员,医生,卫生保健专业人员一直在举办“开放学校”(日间讲座)和“夜校”(晚间讲座),对社区居民进行各种健康问题的教育。通过反复的讲座,居民已经意识到与生活方式有关的疾病,包括糖尿病,以及“项目8”的含义。
    在过去的十年里,医院的运动已经在社区内扩大,显示HbA1c≥8%的糖尿病患者的统计学显着降低,这成功地推迟了他们中许多人开始透析的时间。
    良好的社区护理需要跨专业教育,协作实践,社区居民参与健康教育。
    UNASSIGNED: This paper describes \'Project 8\', a campaign that aims to reduce glycated haemoglobin (HbA1c) to 8% or more among patients with diabetes mellitus, utilising healthcare professionals and local community residents and focusing on education and support. The study is based in Uonuma-a small rural city in Japan with a declining population and an increased number of older people.
    UNASSIGNED: \'Project 8\' began in Uonuma\'s Koide Hospital in 2008. The Uonuma School for Community Health and Social Care was established in 2011 with the cooperation of a clinic\'s general practitioner. Medical students, trainees, doctors, and health care professionals have been holding \'open schools\' (daytime lectures) and \'night schools\' (evening lectures) to educate the community residents about various health issues. Through repeated lectures, the residents have been made aware of lifestyle-related diseases, including diabetes, and the meaning of \'Project 8\'.
    UNASSIGNED: Over the last decade, the hospital\'s campaign has expanded within the community, showing a statistically significant reduction of diabetic patients with HbA1c ≥ 8%, which successfully deferred the start of dialysis for many of them.
    UNASSIGNED: Well-integrated community care requires interprofessional education, collaborative practice, and the participation of community residents in health education.
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  • 文章类型: Journal Article
    背景:跨专业教育在口腔保健教育中至关重要,应纳入理论和基于工作的教育。很少有研究涉及在真实的口腔医疗保健环境中进行牙科动手培训的跨专业教育。该研究的目的是检查牙科和口腔卫生学生在联合儿科外展培训期间对跨专业教育的准备和态度。
    方法:在2022年春季,在联合儿科外展培训期间使用跨专业学习准备量表(RIPLS)进行了一项涉及牙科和口腔卫生学生的横断面研究。19项工具以5点的李克特量表回答(1=强烈不同意,2=不同意,3=中性,4=同意,和5=强烈同意)。意味着,标准偏差,最小值,最大值,计算每个子量表和总分的中位数。根据分类变量对学生进行分组,比较差异具有统计学意义。Mann-WhitneyU检验用于两组,Kruskal-Wallis单向分析用于三组或更多组。量表的内部一致性用Cronbachα测量。统计水平设定为0.05。
    结果:调查包括111名参与者,由51名口腔卫生学生和60名牙科学生组成,响应率为93%。问卷的总体平均得分为4.2。口腔卫生(4.3)和牙科学生(4.2)都表现出对RIPLS衡量的跨专业教育的强烈准备。团队合作和协作的子量表获得了4.5分的最高分。缺乏医疗保健教育或工作经验的学生获得了更高的RIPLS分数。口腔卫生学生对总体项目(p=0.019)和积极专业认同(p=<0.001)以及角色和责任(p=0.038)的子量表的评分高于牙科学生。Cronbach的α代表了量表上整体RIPLS得分的高度内部一致性(0.812)。
    结论:口腔卫生和牙科学生都认为共享学习是有益的,并展示了跨专业教育的高度准备,从他们的RIPLS得分中可以看出。将跨专业学习纳入口腔卫生和牙科课程非常重要。一起学习可以为未来的工作生活协作奠定良好的基础。
    BACKGROUND: Interprofessional education is vital in oral healthcare education and should be integrated into both theoretical and work-based education. Little research addresses interprofessional education in dental hands-on training in authentic oral healthcare settings. The aim of the study was to examine the readiness and attitudes of dental and oral hygiene students towards interprofessional education during joint paediatric outreach training.
    METHODS: In the spring of 2022, a cross-sectional study was done involving dental and oral hygiene students using the Readiness for Interprofessional Learning Scale (RIPLS) during joint paediatric outreach training. The 19-item tool was answered on a five-point Likert scale (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, and 5 = strongly agree). Means, standard deviations, minimums, maximums, and medians were calculated for each subscale and overall score. Students grouped according to their categorical variables were compared for statistically significant differences. The Mann-Whitney U-test was used for groups of two and the Kruskal-Wallis one-way analysis for groups of three or more. The internal consistency of the scale was measured with Cronbach\'s alpha. Statistical level was set at 0.05.
    RESULTS: The survey included 111 participants, consisting of 51 oral hygiene students and 60 dental students, with a response rate of 93%. The questionnaire yielded a high overall mean score of 4.2. Both oral hygiene (4.3) and dental students (4.2) displayed strong readiness for interprofessional education measured by the RIPLS. The subscale of teamwork and collaboration achieved the highest score of 4.5. Students lacking prior healthcare education or work experience obtained higher RIPLS scores. Oral hygiene students rated overall items (p = 0.019) and the subscales of positive professional identity (p = < 0.001) and roles and responsibilities (p = 0.038) higher than dental students. The Cronbach\'s alpha represented high internal consistency for overall RIPLS scores on the scale (0.812).
    CONCLUSIONS: Both oral hygiene and dental students perceived shared learning as beneficial and showcased high readiness for interprofessional education, as evident in their RIPLS scores. Integrating interprofessional learning into oral hygiene and dental curricula is important. Studying together can form a good basis for future working life collaboration.
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  • 文章类型: Journal Article
    目的:尽管在临床实践中广泛使用药物,即将毕业的医学生通常会在开始住院时对处方的任务毫无准备。随着最近旨在改变学习方式的教育举措,我们试图在我们的机构试行一本关于基本药理学原理的互动教科书,作为第一年讲座的补充,并评估其对学生的内容知识的主观影响,以及通过干预前和干预后调查在现实世界中应用材料的信心。
    方法:第一年的医学生被邀请完成未经验证的,自愿,匿名,电子邮件,由李克特量表和自由文本回答问题组成的在线调查。我们的调查作为这项研究未来迭代的试点测试。
    结果:干预前后调查的反应率分别为73/145(50%)和38/145(26%),分别,随着干预后调查进一步减少到13名表示使用交互式教科书的人。有关与课程内容重叠的交互式教科书章节的问题被排除在数据分析之外,因为无法从讲座和交互式教科书中分离学习收益。干预后的调查回答都显示,在学生感知的知识和应用材料的信心方面,李克特量表的平均得分有显著变化,P<.001。自由文本回答问题表明,在医学院之前,对药学领域的接触有限,以及与药剂师的互动。
    结论:我们关于最初使用名为“医学生药学指南”的交互式教科书的初步研究为我们提供了宝贵的见解,可以在基础药理学课程中为一年级医学生提供面向临床的补充资源。未来的挑战包括更好地将互动教科书整合到课堂讲座中,以促进学生的更多使用以及发展更具针对性,对它对学生学习的影响进行了验证评估。
    OBJECTIVE: Despite the wide use of medications in clinical practice, graduating medical students often feel unprepared for the task of prescribing upon starting residency. With recent educational initiatives aiming to transform learning modalities, we sought to pilot an interactive textbook on basic pharmacology principles at our institution as a supplement to first-year lectures and assess its subjective impact on students\' knowledge of content as well as confidence to apply material in the real world through pre- and post-intervention surveys.
    METHODS: First-year medical students were invited to complete non-validated, voluntary, anonymous, emailed, online surveys consisting of Likert scale and free-text response questions. Our investigation served as a pilot test for future iterations of this research.
    RESULTS: Response rates for the pre- and post-intervention surveys were 73/145 (50%) and 38/145 (26%), respectively, with the post-intervention survey further reduced to 13 individuals who indicated use of the interactive textbook. Questions regarding interactive textbook chapters that overlapped with course content were excluded from data analysis due to an inability to separate learning gains from lectures versus the interactive textbook. Post-intervention survey responses all showed significant changes in mean Likert scale scores on student-perceived knowledge and confidence to apply material with P < .001. Free-text response questions revealed limited exposure to the field of pharmacy and interactions with pharmacists prior to medical school.
    CONCLUSIONS: Our pilot study on the initial use of an interactive textbook titled The Medical Student Guide to Pharmacy presented us with valuable insight into providing first-year medical students with a clinically oriented supplemental resource within coursework on basic pharmacology. Challenges for the future include better integrating the interactive textbook into class lectures to facilitate increased use by students as well as developing more targeted, validated assessments of the impact it has on students\' learning.
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