Interprofessional education (IPE)

跨专业教育 ( IPE )
  • 文章类型: Journal Article
    全球人口正在老龄化,65岁或65岁以上的人数不断增加,占人口的比例也越来越大。对老年护理的需求不断增加,这使得开发和提供有效的老年团队培训成为当务之急。由于医疗的多样性,老年病学的培训很复杂,社会心理,和老年人的功能问题,需要通过使用跨专业教育(IPE)的多学科方法来解决。基于问题的学习,以学生为中心的教育模式,为IPE带来了一些天然的优势,是一种独特的课程,取代了传统的基于讲座的学习模式。这种模式提高了毕业后的医师能力,主要是在心理社会和团队合作问题上,这些问题对老年病学至关重要。IPE已被证明对团队协作有重大的积极影响,个体发展,和医疗保健的改善。在本文中,我们总结了最近关于培训来自不同医疗保健学科的专业人员以在协作实践中为老年人提供护理的研究结果。我们还讨论了老年医学中基于问题的跨专业老年医学团队计划是否是增强专业合作和患者护理质量的有希望的解决方案。
    The global population is aging, with those aged 65 years or over increasing in number and accounting for a growing share of the population. There are increasing demands for geriatric care which makes the development and delivery of effective geriatric team training a priority. Training in geriatrics is complex because of the multiplicity of medical, psychosocial, and functional issues in elderly individuals which need to be addressed by a multidisciplinary approach using interprofessional education (IPE). Problem-based learning, a student-centered educational model that brings several natural strengths to IPE, is a unique curriculum replacing the traditional lecture-based learning model. This model enhances physician competency after graduation, mainly in psychosocial and teamwork issues that are fundamentally essential for geriatrics. IPE has been shown to have a substantial positive impact on team collaboration, individual development, and healthcare improvement. In this paper, we summarize the current findings from recent studies on training professionals from different healthcare disciplines to deliver care for the elderly in collaborative practice. We also discuss if an interprofessional problem-based geriatric team program in geriatrics is a promising solution to enhance professional collaboration and quality of patient care.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    检查诸如烹饪营养之类的术语,烹饪营养科学,烹饪医学,烹饪营养专业,烹饪营养干预,烹饪营养活动,和烹饪营养能力在实践中使用,共识定义的建立将促进这些术语在工作领域和学科之间的一致使用。30位主要从业者,学者,以及澳大利亚食品和营养领域的研究人员,美国,加拿大,英国,欧洲,研究者通过电子邮件联系亚洲和亚洲,使用Qualtrics调查链接提交关键术语的定义.通过滚雪球招募更多的参与者。最初的电子邮件于2021年10月和11月发送,随后在2021年11月至2022年3月之间进行提醒。两名研究人员对每个术语的文本答案进行了内容分析,并产生了讨论和共识的定义。37名参与者开始了调查,23名参与者提交了一个或多个定义。商定的定义分为两类:实践概念和实践者。调查人员之间的进一步讨论导致创建了可视化地图,以证明术语之间的相互关系。烹饪营养科学的基础,跨专业合作是这一领域实践的特征,然而,需要进一步的工作来定义能力和建模最佳实践。
    Examination of how terms such as culinary nutrition, culinary nutrition science, culinary medicine, culinary nutrition professional, culinary nutrition intervention, culinary nutrition activity, and culinary nutrition competency are used in practice, and the creation of consensus definitions will promote the consistent use of these terms across work areas and disciplines. Thirty leading practitioners, academics, and researchers in the fields of food and nutrition across Australia, the United States, Canada, United Kingdom, Europe, and Asia were approached by investigators via email to submit definitions of key terms using a Qualtrics survey link. Further participants were reached through snowball recruitment. Initial emails were sent in October and November 2021 with subsequent reminders between November 2021 and March 2022. Two researchers undertook content analysis of the text answers for each of the terms and generated definitions for discussion and consensus. Thirty-seven participants commenced the survey and twenty-three submitted one or more definitions. Agreed definitions fell into two categories: practice concepts and practitioners. Further discussion amongst investigators led to the creation of a visual map to demonstrate the interrelationship of terms. Culinary nutrition science underpins, and interprofessional collaboration characterizes practice in this area, however, further work is needed to define competencies and model best practice.
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  • 文章类型: Journal Article
    要探索虚拟,异步模块可用于跨专业健康教育课程,并识别异步跨专业教育的任何优点和缺点。
    通过电子邮件话语招募了27名健康专业学生,他们参加了2019-2020年在麦克马斯特模拟学习中心进行的跨专业教育研讨会。要求参与者完成异步跨专业教育模块,并参加半结构化访谈,该访谈被逐字记录和转录。使用直接内容分析技术来分析记录的转录本的定性数据。
    确定了参与者的以下紧急主题:1)模块,以及散布在各处的特征,教授解决冲突和跨专业沟通的策略,2)这些模块在为学生将来的跨专业学习做准备方面具有实用性,3)虚拟异步模块的便捷性引入了学习者的安全感,和4)孤立感和疲劳感被确定为缺乏面对面的互动在这些模块。
    异步跨专业教育模块可能最适合学生在同步环境中为未来的跨专业学习做好准备。异步模块有效地介绍了跨专业的目标,如冲突解决和角色澄清,然而,在异步环境中,团队运作的能力更难实现。未来的研究可能集中在建立一系列完成异步模块,以理想地发展卫生专业学习者的跨专业能力。
    UNASSIGNED: To explore how virtual, asynchronous modules can be used in interprofessional health education curricula and to identify any advantages and shortcomings of asynchronous interprofessional education.
    UNASSIGNED: A sample of 27 health professional students who attended in-person interprofessional education workshops at the McMaster Centre for Simulation-Based Learning from 2019-2020 were recruited through email discourse. Participants were asked to complete an asynchronous interprofessional education module and take part in a semi-structured interview that was recorded and transcribed verbatim. Techniques of direct content analysis were used to analyze the qualitative data from recorded transcripts.
    UNASSIGNED: The following emergent themes from participants\' responses were identified: 1) the modules, as well as the features interspersed throughout, taught strategies for conflict resolution and interprofessional communication, 2) the modules have utility in preparing students for future interprofessional learning, 3) the convenience of virtual asynchronous modules introduces a sense of learner safety, and 4) a sense of isolation and fatigue was identified as a consequence of the lack of face-to-face interaction in these modules.
    UNASSIGNED: Asynchronous interprofessional education modules may be best suited to prepare students for future interprofessional learning in a synchronous setting. Asynchronous modules effectively provide an introduction to interprofessional objectives such as conflict resolution and role clarification, yet the competency of team functioning is more difficult to achieve in an asynchronous environment. Future studies may focus on establishing a sequence of completing asynchronous modules for ideal development of interprofessional competencies in health professions learners.
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  • 文章类型: Journal Article
    初级保健(PC)在促进健康和预防疾病方面发挥着核心作用,即使在健康紧急情况下。COVID-19大流行表明,加强全面的初级医疗保健(c-PHC)服务是确保社区健康的关键。意大利政府决定通过将下一代欧盟(NextGenEu)计划的资源投资于当地卫生区(LHD)和称为“社区房屋(HoC)”的当地PC中心的发展来支持PHC。佛罗伦萨LHD(托斯卡纳)与佛罗伦萨大学直接合作,代表了实验背景,其中提出了基于c-PHC的组织模型,并将HoC作为PC服务的最近接入点。通过多专业合作实践,HOC提供护理的连续性以及健康和社会融合。不同层次的行动必须共存才能启动,工具,并维持这种新的PC模式:组织和管理水平,一种新的护理模式的实验,和研究水平,其中包括通过参与性研究和行动方法的大学和LHD。这一过程得益于卫生专业人员(HP)的参与和持续评估,关心惠普和服务之间的工作关系,适当的研究方法和“渗透”多学科研究小组,和教育计划。在这种情况下,HoC承担了PC中永久性实验实验室的角色,支持护理的有效性,并回答下一代欧盟计划为重新思考意大利领土服务所预见的内容。
    Primary care (PC) has a central role in promoting health and preventing diseases, even during health emergencies. The COVID-19 pandemic has shown how strengthening comprehensive primary healthcare (c-PHC) services is key to ensuring community health. The Italian government decided to support PHC by investing resources from the Next Generation EU (NextGenEu) plan in the development of local health districts (LHDs) and local PC centers called \"Houses of Community (HoC)\". The Florence LHD (Tuscany)-in direct collaboration with the University of Florence-has represented the experimental context in which a c-PHC-inspired organizational model has been proposed and included the HoC as the nearest access point to PC services. Through multiprofessional collaboration practices, HoCs provide continuity of care as well as health and social integration. Different levels of action must coexist to initiate, implement, and sustain this new PC model: the organizational and managerial level, the experimentation of a new model of care, and the research level, which includes universities and LHD through participatory research and action approaches. This process benefits from health professionals\' (HPs) participation and continuous assessment, the care for working relationships between HPs and services, an appropriate research methodology together with a \"permeable\" multidisciplinary research group, and educational programs. In this context, the HoC assumes the role of a permanent laboratory of experimentation in PC, supporting the effectiveness of care and answering what the Next Gen EU plan has been foreseeing for the rethinking of Italian territorial services.
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  • 文章类型: Journal Article
    老年患者更有可能有多种医疗合并症,物理限制,以及在提供患者护理时需要仔细考虑的精神障碍。牙科,以及其他医疗保健专业项目,整合跨专业教育(IPE)经验,为学生提供他们需要在未来实践中提供协作护理的技能。健康专业课程应考虑在模拟学习环境中进行老年培训,成人日节目,疗养院,长期护理设施,和家庭护理经验,为学生提供宝贵的IPE经验。最后,本文呼吁专业组织采取行动,考虑在IPE中提供继续教育课程。
    Geriatric patients are more likely to have multiple medical comorbidities, physical limitations, and mental impairments that warrant careful consideration while providing patient care. Dentistry, along with other health care professional programs, incorporate interprofessional education (IPE) experiences to provide students with skills they need to deliver collaborative care in their future practice. Health professional programs should consider geriatric training in simulated learning environments, adult day programs, nursing homes, long-term care facilities, and home care experiences to provide students valuable IPE experiences. Lastly, this article presents a call to action for professional organizations to consider offering continuing education courses in IPE.
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  • 文章类型: Journal Article
    目的:牙科和药学之间的跨专业合作有很大的价值,但往往缺乏教学和体验式教育,特别是在牙齿卫生项目中。
    方法:在口腔卫生课程中实施了基于案例的跨专业作业。学生反映了他们的经验,并完成了国际合作能力成就调查(ICCAS),以评估活动后自我报告的跨专业能力的变化。
    结果:反映了知识获得主题,与药物相关的口腔健康问题最常见(53),其次是药物的全身不良反应(31),全身健康对口腔健康的影响(21),药物相互作用(17),和药物信息(2)。此外,学生们确定了与药剂师合作的未来计划(25)和获得的临床知识的应用(25)。在跨专业活动之后,在大多数领域陈述中,来自ICCAS的分数显着增加。
    结论:这项跨专业教育(IPE)活动增加了学生对药学专业的了解,并提供了跨专业交流的经验。学生确定了药物对口腔健康的影响,以及跨专业合作和沟通的价值。
    结论:这种IPE活动积极影响了学生与药剂师的跨专业合作的看法。
    Interprofessional collaboration between dentistry and pharmacy has great value but is often lacking in didactic and experiential education, particularly in dental hygiene programs.
    A case-based interprofessional assignment was implemented into the dental hygiene curriculum. Students reflected on their experiences and completed the International Collaborative Competencies Attainment Survey (ICCAS) to assess changes in self-reported interprofessional competencies following the activity.
    Reflections revealed knowledge gain themes, with medication-related oral health concerns most frequent (53), followed by systemic adverse effects of medications (31), impact of systemic health on oral health (21), drug-drug interactions (17), and drug information (2). Additionally, students identified both future plans to collaborate with a pharmacist (25) and application of clinical knowledge gained (25). Scores from the ICCAS increased significantly in most of the domain statements following the interprofessional activity.
    This interprofessional education (IPE) activity increased student knowledge of the pharmacy profession and provided an experience with interprofessional communication. Students identified the impact of medications on oral health, as well as the value of interprofessional collaboration and communication.
    This IPE activity positively impacted student perceptions of interprofessional collaboration with pharmacists.
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  • 文章类型: Journal Article
    The COVID-19 pandemic drastically changed how education is delivered. Many academic programs quickly transformed their curriculum to online distance learning. This rapid transition may have compromised the rigor and fidelity of these activities. The Interprofessional Standardized Patient Experience (ISPE) is an interprofessional education activity (IPE) involving a team of students from six different healthcare professions that switched to an online delivery format. This manuscript compares pharmacy students\' perceived change in interprofessional skills between the two formats. Following the ISPE, second-year pharmacy students completed the revised Interprofessional Collaborative Competencies Attainment Survey (ICCAS-R). The ICCAS-R assesses the change in interprofessional collaboration-related competencies in healthcare students before and after IPE training using a retrospective pre-post approach. For each ICCAS-R item and each delivery format (44 in-person and 51 online), paired Student\'s t-test on pre- and post-ISPE scores, and Cohen\'s d were calculated. Every item of the ICCAS-R was significant (p < 0.001), regardless of delivery format. Nearly all ICCAS-R items had a large effect size, and the remaining items had a medium effect size. The amount of change pre- and post-ISPE for each ICCAS-R item was calculated. Student\'s t-test was used to compare the magnitude of change in interprofessional skills between the two delivery formats. Only one difference was noted between the two delivery formats-ICCAS-R item 16, which measured actively listening to interprofessional team members (p = 0.0321). When switching to an online format, the high-fidelity dimension of the ISPE was retained. The ISPE is an effective IPE activity at increasing pharmacy students\' self-perceived interprofessional collaboration skills regardless of delivery format. Even though students reported the ISPE increased their ability to actively listen to the perspectives of interprofessional team members in both formats, the magnitude of the benefit was more profound in the in-person group.
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  • 文章类型: Journal Article
    随着我们预计老年人口的增长,我们将看到痴呆症和跌倒等慢性病的增加。为了满足这些公共卫生需求,我们必须系统地提供筛查,教育,预防性护理,以及在初级保健环境中为老年患者及其护理人员提供的支持性护理。这将需要一支经过培训的劳动力,以跨专业和协作的方式满足老年人口复杂的医疗和社会心理需求。通过将老年病筛查工具整合到跨学科的年度健康访问教学诊所中,我们成功地提高了老年痴呆症的筛查率,抑郁症,falls,药物和解和提前护理计划。我们还看到了病人护理和满意度的改善,并为医学学生提供了跨专业合作和教育的机会,护理,药学和社会工作。
    As we anticipate a growing population of older adults, we will see an increase in chronic conditions such as dementia and falls. To meet these public health needs, we must systematically provide screening, education, preventive care, and supportive care for older patients and their caregivers in a primary care setting. This will require a workforce trained in providing for the complex medical and psychosocial needs of an older adult population in an interprofessional and collaborative fashion. By integrating geriatric screening tools into an interdisciplinary Annual Wellness Visit teaching clinic, we were able to successfully improve rates of geriatric screening for dementia, depression, falls, medication reconciliation and advance care planning. We also saw improvements in patient care and satisfaction and provided the opportunity for interprofessional collaboration and education for students in medicine, nursing, pharmacy and social work.
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  • 文章类型: Journal Article
    介绍通过执行新的设置要求,跨学科文化对于现代医护人员来说很常见。健康科学学生和循证工作者都必须在与自己不同的专业文化中工作。随着卫生组织越来越重视正念来改善绩效结果,教育管理者也接受了共同的,改善培训以改善患者预后的专注能力。对未来临床医生进行多元化护理的培训。团队和患者群体已被称为跨专业教育(IPE)。尽管IPE的目标表明,特质正念的个体差异可能是训练有效性的重要决定因素,在现有的模拟训练研究中,它没有得到研究。方法为了填补这一空白,在本文中,我们使用两个IPE队列样本检查了特征正念对训练结果的预测能力,前瞻性观察设计。结果研究1的研究结果支持在医学和护理专业学生之间的训练模拟中对感知的团队合作行为的特质正念预测(n=136)。在研究2的扩大样本到五个卫生专业(n=232),研究结果扩展了特质正念对团队效能和技能转移的预测,培训后1个月进行评估。最后的结论,16个月后的随访评估将正念预测效度扩展到知识保留和团队合作态度。我们讨论了我们的发现对推进正念研究和IPE有效性评估的理论和实践意义。
    Introduction The setting demands imposed by performing in new, interdisciplinary cultures is common for modern healthcare workers. Both health science students and evidence-based workers are required to operate in professional cultures that differ from their own. As health organisations have placed increasing value on mindfulness for improving performance outcomes, so too have educational administrators embraced common, mindful competencies for improving training for improved patient outcomes. The training of future clinicians for diversified care. teams and patient populations has become known as interprofessional education (IPE). Although the goals for IPE suggest that individual differences in trait mindfulness may serve an important determinant for training effectiveness, it has gone unstudied in extant simulation training research. MethodsTo fill this gap, in this paper, we examine trait mindfulness\' predictive power for training outcomes across two IPE cohort samples using two, prospective observational designs. Results Study 1\'s Findings supported trait mindfulness\' prediction of perceived teamwork behaviours in training simulations between medical and nursing students (n=136). In study 2\'s expanded sample to five health professions (n=232), findings extended trait mindfulness\' prediction of team efficacy and skill transfer, assessed 1 month after training. Conclusion A final, follow-up assessment 16 months later extended mindfulness\' predictive validity to knowledge retention and teamwork attitudes. We discuss the theoretical and practical implication of our findings for advancing mindfulness research and IPE effectiveness assessment.
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