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Watch a therapist get sued: A medicolegal interprofessional simulation on rehabilitation therapy documentation 观看治疗师被起诉:关于康复治疗记录的医学法律跨专业模拟活动
Q3 Social Sciences Pub Date : 2024-11-19 DOI: 10.1016/j.xjep.2024.100735
Maureen Ellen Johnson , Nicole Rodriquez , Norman Cadiz Belleza , Nicole Stark
Health science educators are charged with the responsibility to teach paper and electronic medical documentation to include accuracy of documentation aligned with standards of practice and ethical principles. Characteristically, ethical principles are taught in discipline-specific curriculum. This article describes an interprofessional education (IPE) medicolegal simulation-based learning activity designed for and implemented with occupational therapy (OT) and physical therapy (PT) graduate students. Activities included watching a simulated student OT and PT co-treatment vignette, reviewing student documentation in a simulated medical chart that was co-signed by the simulated clinical supervisors, observing a live deposition with the simulated clinical supervisors by legal representation, and debriefing the simulation focusing on the Interprofessional Education Collaborative Core Competency Domain: Values and Ethics.1 The learning objectives for this simulation were for students to better understand the values and ethics of professional written and verbal communication and to be able to explain the significance of accurate medical documentation for safe and effective delivery of patient care. A reflective assignment for students to expand on their IPE experience was used to assess students. Most students provided insightful perspectives and authentic comments demonstrating a better understanding of standards of ethical conduct through written documentation. This article will provide the means to integrate an immersive medicolegal IPE simulation, focusing on the importance of medical documentation that can be modeled in respective educational and clinical programs.
健康科学教育工作者有责任教授纸质和电子医疗文档,包括符合实践标准和道德原则的文档准确性。通常情况下,伦理原则是在特定学科课程中教授的。本文介绍了一种跨专业教育(IPE)医学法律模拟学习活动,该活动是为职业治疗(OT)和物理治疗(PT)研究生设计并实施的。活动包括观看模拟的职业治疗师和物理治疗师学生共同治疗的小插曲,审查模拟临床督导共同签署的模拟病历中的学生文件,观察模拟临床督导与法律代表的现场取证,以及以跨专业教育合作核心能力领域为重点的模拟汇报:1 本次模拟的学习目标是让学生更好地理解专业书面和口头交流的价值和伦理,并能够解释准确的医疗文件对安全有效地提供病人护理的重要意义。为了评估学生的学习情况,我们为学生布置了一项反思性作业,让他们扩展自己的 IPE 体验。大多数学生都提供了有见地的观点和真实的评论,表明他们通过书面记录对道德行为标准有了更好的理解。本文将提供整合沉浸式医疗法律 IPE 模拟的方法,重点关注医疗文件的重要性,并可在各自的教育和临床项目中进行示范。
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引用次数: 0
Interprofessional values and ethics curriculum for first year health professions students 为卫生专业一年级学生开设的跨专业价值观和道德课程
Q3 Social Sciences Pub Date : 2024-11-13 DOI: 10.1016/j.xjep.2024.100734
Jesse Gilreath , S. Alicia Williams , Jodi Polaha
An Interprofessional Values and Ethics session was developed within the context of a larger Interprofessional Education program to teach early learners of various health profession programs to work collectively to explore social determinants of health as part of ethical and patient-centered care. The full program was delivered across fall and spring semesters of the first year of training for health science students. Students were provided didactic prework and collaborated in their small interprofessional groups during the Values and Ethics session to develop an interprofessional code of ethics. Finally, students participated in a team-based simulation using the IHELP tool to explore social determinants of health with standardized patients. Interprofessional co-facilitators guided each group of students through the session, assessing their interprofessional skill and ability to use the IHELP tool. Students and facilitators completed evaluations of the session, including quantitative and qualitative responses.
跨专业价值观与伦理课程是在一个更大的跨专业教育计划背景下开发的,目的是教导不同健康专业课程的早期学习者共同努力,探索健康的社会决定因素,将其作为伦理和以患者为中心的护理的一部分。整个项目在健康科学专业学生培训第一年的秋季和春季学期进行。在 "价值观与职业道德 "课程中,学生们进行了课前预习,并在跨专业小组中合作制定了跨专业职业道德规范。最后,学生们参加了团队模拟活动,使用 IHELP 工具与标准化病人探讨健康的社会决定因素。跨专业共同主持人指导每组学生完成课程,评估他们的跨专业技能和使用 IHELP 工具的能力。学生和主持人完成了对课程的评估,包括定量和定性回答。
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引用次数: 0
Increasing interprofessional education experiences and collaboration: Outcomes of a virtually-based continuing education program 增加跨专业教育经验与合作:虚拟继续教育项目的成果
Q3 Social Sciences Pub Date : 2024-11-09 DOI: 10.1016/j.xjep.2024.100730
Nicholas M. Hudak , Mitchell Tod Heflin , Diana McNeill

Purpose

An academic medical center implemented a yearlong virtual continuing education program to prepare health professions educators to develop, deploy and evaluate new interprofessional educational experiences for providers and learners.

Materials and methods

Primary program outcome measures were the number of participants who (1) completed the program, (2) presented a medical education topic to program participants, and (3) designed an interprofessional educational experience in collaboration with fellow participants or colleagues. Participation outcomes were measured by session attendance and completion of presentations on the medical education topic and designed interprofessional educational experience. Surveys administered at 3 time points assessed participants’ perceptions of the program. Changes in knowledge, skills, and attitudes were analyzed using paired t-tests.

Results

Nineteen participants (100 %) from 7 professions achieved the primary program participation outcomes and met their own goals. There were statistically significant increases in knowledge and skills at the end of the program. High rates of implemented interprofessional educational experiences (57 %) were reported one year after program completion. Participants also identified program strengths and areas for improvement.

Conclusions

Longitudinal continuing education programs in virtual formats can support both individuals and teams of educators in their own professional development and in designing interprofessional education experiences.
目的 一家学术医疗中心实施了一项为期一年的虚拟继续教育计划,旨在培养卫生专业教育工作者为医疗服务提供者和学习者开发、部署和评估新的跨专业教育体验。材料与方法 主要计划成果衡量指标为:(1)完成计划的参与者人数;(2)向计划参与者介绍医学教育主题的参与者人数;(3)与其他参与者或同事合作设计跨专业教育体验的参与者人数。参与结果通过课程出席率、完成医学教育主题演讲和设计跨专业教育体验来衡量。在 3 个时间点进行的调查评估了参与者对项目的看法。结果来自 7 个专业的 19 名参与者(100%)取得了主要的项目参与成果,并实现了自己的目标。在计划结束时,学员的知识和技能都有了明显的提高。据报告,计划完成一年后,跨专业教育经验的实施率很高(57%)。结论以虚拟形式开展的纵向继续教育项目可以为教育工作者个人和团队的专业发展以及跨专业教育经验的设计提供支持。
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引用次数: 0
Getting everyone on the same page: Assessing interprofessional competencies during student placements 让每个人都站在同一起跑线上:在学生实习期间评估跨专业能力
Q3 Social Sciences Pub Date : 2024-10-24 DOI: 10.1016/j.xjep.2024.100728
Sharla King , Melanie Garrison , Efrem Violato , Charlotte McCartan
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引用次数: 0
Preparing health care learners using an interprofessional virtual simulation: A team-based community intervention 利用跨专业虚拟模拟为医疗保健学习者做好准备:以团队为基础的社区干预
Q3 Social Sciences Pub Date : 2024-10-22 DOI: 10.1016/j.xjep.2024.100729
Veronica Young , Yiqiu Yan , Philippa J. Mason , Lauren El-Assad , Mary Mulvaney
The COVID-19 pandemic illuminated the complexities of a public health crisis and the health disparities associated with social determinants of health (SDOH). Health care practitioners are uniquely positioned to address SDOH. The goal of this virtual interprofessional simulation is to prepare health care learners to engage with stakeholders during team-based community interventions. The 3-h experience includes small group discussions on SDOH in interprofessional teams, simulation with role-play modeling a community task force meeting, and debrief. An internally developed survey was administered at the end of each simulation to assess impact on knowledge, skills, attitudes, and commitment to change. At least seven health professions participated. Findings showed the activity was well received, met learning objectives, and addressed IPEC core competencies. Learners gained the knowledge and skills essential to collaboratively develop an intervention plan. Thematic analysis revealed commitment to community involvement and advocacy and seeking collaboration to promote change.
COVID-19 大流行揭示了公共卫生危机的复杂性以及与健康的社会决定因素 (SDOH) 相关的健康差异。医疗保健从业人员在应对 SDOH 方面具有独特的优势。这种虚拟跨专业模拟的目的是让医疗保健学习者做好准备,在以团队为基础的社区干预过程中与利益相关者接触。为期 3 小时的体验包括在跨专业团队中开展有关 SDOH 的小组讨论、模拟社区工作队会议的角色扮演以及汇报。每次模拟结束时,都会进行一次内部调查,以评估对知识、技能、态度和变革承诺的影响。至少有七个卫生专业参加了活动。调查结果显示,该活动受到了广泛欢迎,达到了学习目标,并涉及到了 IPEC 的核心能力。学员获得了合作制定干预计划所必需的知识和技能。专题分析表明,学员致力于社区参与和宣传,并寻求合作以促进变革。
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引用次数: 0
Rewarding interprofessional education: Designing and implementing an IPEP Distinguished Scholars Program 奖励跨专业教育:设计和实施 IPEP 杰出学者计划
Q3 Social Sciences Pub Date : 2024-10-22 DOI: 10.1016/j.xjep.2024.100727
Meg Zomorodi , Lorraine Alexander , Ellie Fleming , Sarah Lindsay Liebkemann , Phil Rodgers , Lisa de Saxe Zerden
The Interprofessional Education and Practice Distinguished Scholar (IPEP DS) program was developed to reward students who go ‘above and beyond’ required interprofessional education and practice events. IPEP Distinguished Scholars (IPEP DS) must participate in at least two semesters of activities outside of their required IPEP coursework, serve on an interprofessional committee, and complete an interprofessional immersion experience. Following completion of these activities, students compose a reflection essay about their learning and experiences and ultimately receive transcript distinction, cords to wear at graduation, and a Credly™ badge (digital credentialing). This article provides an overview of the design of this program and outcomes for replication at other institutions.
跨专业教育与实践杰出学者(IPEP DS)计划旨在奖励那些 "超越 "规定的跨专业教育与实践活动的学生。跨专业教育与实践杰出学者(IPEP DS)必须参加至少两个学期的跨专业教育与实践必修课程之外的活动,在跨专业委员会中任职,并完成一次跨专业沉浸式体验。在完成这些活动后,学生将撰写一篇关于其学习和经历的反思文章,并最终获得成绩单荣誉、毕业时佩戴的绳索和 Credly™ 徽章(数字证书)。本文概述了该计划的设计和成果,供其他机构推广。
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引用次数: 0
The impact of a microaggressions-themed interprofessional education curriculum on attitudes, confidence, and collaboration competencies: A curricular resource for health professions learners 以微侵害为主题的跨专业教育课程对态度、信心和协作能力的影响:卫生专业学习者的课程资源
Q3 Social Sciences Pub Date : 2024-10-11 DOI: 10.1016/j.xjep.2024.100726
Skye A. McKennon , TJ Klay Sandum , Megan N. Willson
While attention has been paid to microaggressions (MAs) and interprofessional (IP) education independently, little attention has been paid to how training IP learners in MA can impact confidence and willingness to respond to MAs. We developed an online IPE activity, for six health professions, with asynchronous and synchronous components utilizing standardized patients (SPs) aiming to educate on MAs, their impacts, and how to appropriately respond as recipient, bystander, and source. Students from senior undergraduate nursing (BSN), second-year medical (MD), third-year pharmacy (PharmD), physician assistant/associate (PA) students, athletic training (BS), and graduate nursing (DNP) health professions programs participated.
Objectives included: define MA; respond to a MA as the source, bystander, and recipient using Ackerman-Barger's Microaggressions Triangle model; respond to a MA when the source is lateral, in a position of authority, and a patient; and identify the ability of the activity to allow interprofessional collaboration across the six Interprofessional Collaborative Competencies Attainment Scale (ICCAS) domains. The synchronous virtual session began with a large group didactic mini lecture and transitioned to IP small group activities. Within groups, students completed SP simulations where students role played responding to MAs as the recipient, bystander, and source. The session concluded with a faculty-led large group debrief. Students were pleased with the learning experience and demonstrated improvements in attitudes/confidence responding to MAs and ICCAS domains. The curriculum can be customized to meet the needs of a variety of health profession learners and is available for use from the authors.
尽管人们一直在关注微冒犯(MAs)和跨专业教育(IP),但很少有人关注对跨专业教育学习者进行微冒犯培训如何影响他们应对微冒犯的信心和意愿。我们为六个健康专业开发了一项在线 IPE 活动,其中包括异步和同步部分,利用标准化病人(SPs)进行教育,目的是让学生了解微小暴力、其影响以及如何作为接受者、旁观者和源头做出适当反应。来自高年级本科护理(BSN)、二年级医学(MD)、三年级药学(PharmD)、医生助理/助理医师(PA)、运动训练(BS)和研究生护理(DNP)等健康专业课程的学生参加了此次活动。活动目标包括:定义伤害行为;使用阿克曼-巴尔杰的微冒犯三角模型,以伤害行为源、旁观者和接受者的身份应对伤害行为;当伤害行为源是横向的、处于权威地位的和病人时,应对伤害行为;以及确定活动在六个跨专业协作能力达成量表(ICCAS)领域中实现跨专业协作的能力。同步虚拟课程以大组说教式小型讲座开始,然后过渡到 IP 小组活动。在小组内,学生们完成了SP模拟,在模拟中,学生们以接受者、旁观者和源头者的角色扮演来应对MAs。最后,在教师的带领下进行了大组汇报。学生们对这次学习体验感到满意,并表现出在应对伤害事故的态度/自信心和 ICCAS 领域方面有所改善。该课程可进行定制,以满足各种健康专业学习者的需求,作者可提供使用。
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引用次数: 0
Response-shift effect for self-assessment: Magnitude and accuracy within an interprofessional education course 自我评估的响应转移效应:跨专业教育课程的幅度和准确性
Q3 Social Sciences Pub Date : 2024-10-05 DOI: 10.1016/j.xjep.2024.100725
Michael J. Peeters, Michelle M. Masterson

Objective

Response-shift has described a shift in respondents' self-assessment following an impactful experience—where a respondent may initially score themselves higher than their true ability on Pre-assessment, though shifted/lowered their initial ability-score (on Post-assessment) after they learned further. While the psychological literature had described this ‘response-shift’ effect decades ago, our objective at this time was to evaluate the magnitude that response-shift was occurring in our interprofessional education (IPE) context and using our own self-assessment instrument.

Methods

Using a standard response-shift study design, first-year health-professions students within a foundational IPE course completed beginning-of-course (Pre) and end-of-course (Post) self-assessments based on that IPE course's student-learning-objectives; additionally at course-end, students completed a retrospective-beginning-of-course (RetroPre) self-assessment (to reflect and score themselves retrospectively for course's beginning). Paired t-tests compared each student's Post minus Pre (Conventional) versus Post minus RetroPre (Adjusted-effect); effect-sizes used Cohen's-d.

Results

Among 267 students, conventional change had a 0.5 effect-size (medium), while adjusted-effect change was 1.5 (very-large). Notably, some students’ conventional change was negative, though none of those same students reported negative-change in their adjusted-effect.

Conclusion

We found a substantial response-shift in our educational context, and evidence for improved accuracy. Moreover, RetroPre/Post appeared more efficient for students (as they could complete both in one sitting at course-end, instead of twice with conventional Pre/Post), and staff (no one needed to match each student's Pre and Post assessments).
客观反应偏移描述了受访者在经历了有影响的经历后自我评估的转变--受访者最初可能会在前评估中给自己打出高于真实能力的分数,但在进一步学习后,他们会转变/降低最初的能力分数(在后评估中)。虽然心理学文献在几十年前就描述过这种 "反应偏移 "效应,但我们现在的目标是评估在跨专业教育(IPE)背景下,使用我们自己的自我评估工具时,反应偏移发生的程度。方法采用标准的反应转变研究设计,在一门基础 IPE 课程中,卫生专业一年级学生根据该 IPE 课程的学生学习目标完成课程开始(前)和课程结束(后)的自我评估;此外,在课程结束时,学生还完成了回顾性课程开始(RetroPre)自我评估(对课程开始进行回顾性反思和评分)。结果在 267 名学生中,常规变化的效应大小为 0.5(中等),而调整效应变化为 1.5(非常大)。值得注意的是,有些学生的常规变化是负的,但这些学生的调整效应变化都不是负的。此外,对于学生(因为他们可以在课程结束时一次性完成前/后评估,而不是传统的前/后评估两次)和教职员工(没有人需要匹配每个学生的前/后评估)来说,RetroPre/Post 似乎更有效率。
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引用次数: 0
Interprofessional heart failure education for self-care knowledge and medication adherence in cardiac rehabiliation patients: A short report 针对心脏康复患者自我护理知识和服药依从性的跨专业心力衰竭教育:简短报告
Q3 Social Sciences Pub Date : 2024-08-30 DOI: 10.1016/j.xjep.2024.100724
Joyce M. Kyung , MaryDee Fisher , David DeCarlucci

Heart failure (HF), a costly and often deadly syndrome, is associated with hindered cardiac functioning. Suboptimal HF disease knowledge and related poor self-care practices result in worsening heart failure, increased rehospitalizations, decreased quality of life, and potential death. Provision of interprofessional education is essential to encourage disease understanding and reliable adoption of appropriate self-care behaviors. This short report describes the timely implementation of an evidence-based practice educational project (EBP) designed to augment heart failure knowledge and vital self-care management strategies, among phase II cardiac rehabilitation (CR) patients. Individual sessions led by interprofessionals included nursing, advanced nursing, nutrition, information technology, and exercise physiology clinicians. Post-intervention results suggest collaborative interprofessional patient education effectively enhanced knowledge (19.1 % increase) about overall heart failure and specifically improved medication adherence rates (5.4 % increase). Efficient and effective interprofessional self-care-focused education should become routine practice in phase II CR patients to address complex care challenges, decrease costs and improve overall outcomes.

心力衰竭(HF)是一种代价高昂且往往致命的综合征,与心脏功能受损有关。对心力衰竭疾病的认识不足以及相关的不良自我护理行为会导致心力衰竭恶化、再住院次数增加、生活质量下降以及潜在的死亡。提供跨专业教育对于鼓励了解疾病和可靠地采取适当的自我护理行为至关重要。这份简短的报告介绍了一项循证实践教育项目(EBP)的及时实施情况,该项目旨在增强二期心脏康复(CR)患者的心衰知识和重要的自我护理管理策略。由护理、高级护理、营养、信息技术和运动生理学临床医生等跨专业人员主持的个人课程。干预后的结果表明,跨专业患者合作教育有效地提高了患者对心力衰竭的整体认识(提高了 19.1%),特别是改善了服药依从率(提高了 5.4%)。高效、有效的以自我护理为重点的跨专业教育应成为 CR II 期患者的常规做法,以应对复杂的护理挑战、降低成本并改善总体疗效。
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引用次数: 0
How team-based are rural or underserved clinics where AHEC scholars train? AHEC 学者接受培训的农村或服务不足的诊所的团队基础如何?
Q3 Social Sciences Pub Date : 2024-08-06 DOI: 10.1016/j.xjep.2024.100723
Cynthia Taylor , Patricia A. Carney , Curt Stilp , Eric M. Wiser

Background

Interprofessional collaborative practice is an important feature of delivering high quality patient-centered care. Understanding what students learn during their clinical rotations about how healthcare teams function, particularly in rural and underserved settings is important for addressing health disparities in these populations.

Purpose

To determine the extent to which healthcare teams located in rural or underserved clinics that host AHEC Scholars engage in teamwork and team-based care.

Methods

The 15-item Assessment for Collaborative Environments (ACE-15) instrument, measuring interprofessional teamwork and team cohesion was administered to team members at 17 rural or underserved clinics and demographic information was collected.

Results

Several significant differences in mean ACE-15 scores were found among team types, clinic types and settings: community-based clinics scored higher compared to their university-based counterparts and clinics in rural settings scored higher compared to those in urban settings. Primary care-based teams scored higher compared to non-primary care-based teams.

Conclusions

Training students within healthcare teams across multiple settings and locations is paramount to their preparation for interprofessional work.

背景跨专业合作实践是提供以患者为中心的高质量医疗服务的重要特征。了解学生在临床轮转期间所学到的关于医疗团队如何运作的知识,尤其是在农村和医疗服务不足的环境中,对于解决这些人群的健康差异问题非常重要。目的确定在农村或医疗服务不足的诊所中,接待 AHEC 学者的医疗团队在多大程度上参与团队合作和基于团队的护理。方法对 17 家农村或服务欠缺诊所的团队成员使用 15 个项目的协作环境评估(ACE-15)工具,测量跨专业团队合作和团队凝聚力,并收集人口统计学信息。结果发现不同团队类型、诊所类型和环境的 ACE-15 平均得分存在若干显著差异:社区诊所的得分高于大学诊所,农村诊所的得分高于城市诊所。结论在多种环境和地点的医疗团队中对学生进行培训,对于他们为跨专业工作做好准备至关重要。
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引用次数: 0
期刊
Journal of Interprofessional Education and Practice
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