跨专业学生团队对阿巴拉契亚偏远地区医疗事件的影响。

Journal of Appalachian health Pub Date : 2023-08-01 eCollection Date: 2023-01-01 DOI:10.13023/jah.0502.06
Emily K Flores, KariLynn Dowling, Caroline Abercrombie, Rick L Wallace
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引用次数: 0

摘要

导言:跨专业合作的教育对于扩大医疗保健机会至关重要,特别是在差距较大的地区。为了满足这一需求,跨专业的教师合作者在2017年至2020年期间在阿巴拉契亚农村举办的年度偏远地区医疗活动中,将本科和研究生卫生专业的学生纳入团队。目的:本研究旨在评估跨专业学生团队模式对患者护理体验和学生跨专业合作态度及行为的影响。方法:学生志愿者完成活动前和活动后问卷调查,问卷内容包括人口统计学问题、开放式问题以及来自两种工具的问题:《学生对跨专业临床教育的认知-修订版》(SPICE-R2)和《跨专业协作能力成就量表-修订版》(ICCAS-R)。定量资料进行统计学分析;定性数据的主题。统计表格收集的病人护理干预措施与地区健康差异进行了比较。对两年的调查数据和四年的干预数据进行分析。结果:事件后调查SPICE-R2因子(团队合作、医疗结局、角色和职责)在2020年增加(p < 0.001),而在2019年没有增加(p < 0.001)。ICCAS-R平均事后综合评分在2019年和2020年均增加(p < 0.05)。开放式回答的定性编码揭示了跨专业能力主题,并提供了事件反馈。2017年至2020年期间,完成了5900多项以健康差异为重点的干预措施。启示:参与跨专业团队的学生表现出对跨专业护理方法态度的改变,跨专业合作能力的提高,以及对患者护理干预的积极影响。研究结果使教育工作者了解体验式跨专业教育如何影响学生的跨专业态度和信念,同时使患者护理受益。
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Impact of Interprofessional Student Teams at a Remote Area Medical Event in Rural Appalachia.

Introduction: Education in interprofessional collaboration is vital to expand healthcare access, especially in areas of higher disparity. To address this need, interprofessional faculty collaborators incorporated undergraduate and graduate health profession students into teams at an annual Remote Area Medical event in rural Appalachia between 2017 and 2020.

Purpose: This article evaluates the impact of an interprofessional student teams model on both patient care experience and students' interprofessional collaboration attitudes and behaviors.

Methods: Student volunteers completed pre- and post-event surveys containing questions about demographics, open-ended questions, and questions from two instruments: the Student Perceptions of Interprofessional Clinical Education-Revised Instrument, Version 2 (SPICE-R2) and the Interprofessional Collaborative Competency Attainment Scale-Revised (ICCAS-R). Quantitative data were analyzed statistically; qualitative data thematically. Tally forms collected patient care interventions that were compared to regional health disparities. Two years of survey data and four years of intervention data were analyzed.

Results: There was an increase (p < 0.001) in the post-event survey SPICE-R2 factors (teamwork, healthcare outcomes, and roles and responsibilities) in 2020 but not in 2019. ICCAS-R mean post-event composite scores increased (p < 0.05) in both 2019 and 2020. Qualitative coding of open-ended responses revealed interprofessional competency themes and provided event feedback. Over 5,900 health-disparity-focused interventions were completed between 2017 and 2020.

Implications: Students participating in interprofessional teams demonstrate changes in attitudes towards the interprofessional approach to care, an improved ability to collaborate interprofessionally, and a positive impact on patient care interventions. The findings allow educators to understand how experiential interprofessional education influences students' interprofessional attitudes and beliefs while benefitting patient care.

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