跨专业模拟程序对瑞士医疗保健专业人员患者安全能力的影响:一项前后研究。

IF 9.3 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Educational Evaluation for Health Professions Pub Date : 2023-01-01 Epub Date: 2023-08-28 DOI:10.3352/jeehp.2023.20.25
Sylvain Boloré, Thomas Fassier, Nicolas Guirimand
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摘要

目的:本研究旨在确定2020年2月至2021年1月期间实施的为期12周的跨专业模拟计划对瑞士医疗保健专业人员患者安全能力的影响。方法:模拟培训基于感染性休克和呼吸衰竭住院患者的两种情景,受训人员应展示患者的安全能力。在干预模拟程序之后,使用测量工具(患者安全调查中的健康专业教育)对医生、护士和护理助理的感知能力进行测量,在研究前后进行一组。在57名参与者中,37人回答了4次问卷调查:培训前48小时,然后在培训后24小时、6周和12周回答了问卷调查。采用线性混合效应模型进行分析。结果:6个感知患者安全能力中有4个在6周时有所改善,但在12周时恢复到训练前的类似水平。“有效沟通”、“管理安全风险”、“理解影响患者安全的人类和环境因素”以及“识别并应对消除直接伤害风险”的能力在总体上以及培训前和培训后6周的比较中都具有统计学意义。结论:跨专业模拟程序有助于发展医疗专业人员的患者安全能力的某些领域,但时间有限。应重复跨专业模拟程序,并将其与其他形式的支持相结合,包括案例讨论和汇报,以确保持久的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Effect of an interprofessional simulation program on patient safety competencies of healthcare professionals in Switzerland: a before and after study.

Purpose: This study aimed to identify the effects of a 12-week interprofessional simulation program, operated between February 2020 and January 2021, on the patient safety competencies of healthcare professionals in Switzerland.

Methods: The simulation training was based on 2 scenarios of hospitalized patients with septic shock and respiratory failure, and trainees were expected to demonstrate patient safety competencies. A single-group before and after study was conducted after the intervention-simulation program, using a measurement tool (the Health Professional Education in Patient Safety Survey) to measure the perceived competencies of physicians, nurses, and nursing assistants. Out of 57 participants, 37 answered the questionnaire surveys 4 times: 48 hours before the training, followed by post-surveys at 24 hours, 6 weeks, and 12 weeks after the training. The linear mixed effect model was applied for the analysis.

Results: Four components out of 6 perceived patient safety competencies improved at 6 weeks but returned to a similar level before training at 12 weeks. Competencies of "communicating effectively," "managing safety risks," "understanding human and environmental factors that influence patient safety," and "recognize and respond to remove immediate risks of harm" are statistically significant both overall and in the comparison between before the training and 6 weeks after the training.

Conclusion: Interprofessional simulation programs contributed to developing some areas of patient safety competencies of healthcare professionals, but only for a limited time. Interprofessional simulation programs should be repeated and combined with other forms of support, including case discussions and debriefings, to ensure lasting effects.

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来源期刊
CiteScore
9.60
自引率
9.10%
发文量
32
审稿时长
5 weeks
期刊介绍: Journal of Educational Evaluation for Health Professions aims to provide readers the state-of-the art practical information on the educational evaluation for health professions so that to increase the quality of undergraduate, graduate, and continuing education. It is specialized in educational evaluation including adoption of measurement theory to medical health education, promotion of high stakes examination such as national licensing examinations, improvement of nationwide or international programs of education, computer-based testing, computerized adaptive testing, and medical health regulatory bodies. Its field comprises a variety of professions that address public medical health as following but not limited to: Care workers Dental hygienists Dental technicians Dentists Dietitians Emergency medical technicians Health educators Medical record technicians Medical technologists Midwives Nurses Nursing aides Occupational therapists Opticians Oriental medical doctors Oriental medicine dispensers Oriental pharmacists Pharmacists Physical therapists Physicians Prosthetists and Orthotists Radiological technologists Rehabilitation counselor Sanitary technicians Speech-language therapists.
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