加强社区姑息关怀中的跨专业合作:针对初级医疗服务提供者的 CAPACITI 教育项目试点研究。

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Journal of Interprofessional Care Pub Date : 2024-09-01 Epub Date: 2024-07-31 DOI:10.1080/13561820.2024.2375631
Kayla McMillan, Shilpa Jyothi Kumar, Daryl Bainbridge, Kathy Kortes-Miller, Samantha Winemaker, Frances Kilbertus, Denise Marshall, Hsien Seow
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引用次数: 0

摘要

姑息关怀中的跨专业合作对于确保为重症患者提供高质量的关怀至关重要。提高姑息关怀能力的教育干预措施应结合团队建设技能,鼓励采用跨专业方法。我们为跨专业团队开发并试行了一个名为 "CAPACITI "的虚拟教育项目,以推广社区姑息关怀方法。来自加拿大安大略省各地的初级医疗团队参加了 CAPACITI 项目,该项目包括 10 个辅助课程,强调如何以团队的形式实施姑息关怀方法。每个团队都填写了研究前和研究后的调查问卷,其中包括 AITCS-II,这是一种经过验证的测量专业间合作的工具。我们对 AITCS-II 问卷的总分和三个子域(伙伴关系、合作和协调)中的个体配对差异进行了分析。17 个团队代表 133 名参与者完成了 AITCS-II 后期调查。这些团队的人员构成各不相同,成员从 5 人到 16 人不等。CAPACITI 结束后,各团队的 AITCS-II 总分平均值增至 96.0(标准差 = 10.0),配对平均差显著增加了 9.4(p = 0.03)。合作关系(p = .01)和合作子域(p = .04)也有显着提高。CAPACITI 证明了改善初级医疗团队之间合作的潜力,从而改善提供者和患者在姑息治疗中的疗效。
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Increasing interprofessional collaboration in community-based palliative care: a pilot study of the CAPACITI education program for primary care providers.

Interprofessional collaboration in palliative care is essential to ensuring high-quality care for seriously ill patients. Education interventions to increase competency in palliative care should incorporate team-building skills to encourage an interprofessional approach. We developed and piloted a virtual educational program named CAPACITI for interprofessional teams to promote a community palliative approach to care. Primary care teams from across Ontario, Canada, participated in CAPACITI which consisted of 10 facilitated sessions that emphasized how to operationalize a palliative care approach as a team. Pre- and post-study questionnaires were completed by each team, including the AITCS-II, a validated instrument that measures interprofessional collaboration. We analyzed individual paired differences in summary scores and in each of three subdomains of the AITCS-II questionnaire: partnership, cooperation, and coordination. Seventeen teams completed the AITCS-II post survey, representing 133 participants. Teams varied demographically and ranged from 5 to 16 members. After CAPACITI, the overall mean AITCS-II summary score among teams increased to 96.0 (SD = 10.0) for a significant paired mean difference increase of 9.4 (p = .03). There were also significant increases in the partnership (p = .01) and in the cooperation subdomains (p = .04). CAPACITI demonstrated the potential for improving collaboration among primary care teams, which can lead to improved provider and patient outcomes in palliative care.

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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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