利用模拟强化的跨专业教育来识别卫生保健学生合作实践行为的差异:一项混合方法研究。

IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Nurse Education Today Pub Date : 2025-04-01 Epub Date: 2025-01-20 DOI:10.1016/j.nedt.2025.106569
Susan Kilroy , Beth Marks , Kathryn M. Sawyer , Kathryn Vanderzwan , Christopher Karczmar , Mike Koronkowski , Blase P. Brown
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引用次数: 0

摘要

背景:向跨专业的卫生保健学生教授合作实践行为(CPBs)可以改善服务不足人群的卫生保健。目的:本研究解释模拟强化跨专业教育(SIM-IPE)对医疗保健专业学生自我报告CPBs的影响,以及他们在照顾服务不足人群时使用CPBs的看法,以及跨专业团队中专业之间的差异。设计:混合方法解释性设计。参与者和环境:来自美国一所大型研究型大学的68名护士执业、牙科和药学博士学生。方法:采用跨专业教育协同胜任力自我效能感量表(ipec - set27)收集定量数据。定性数据是通过记录模拟汇报会议收集的。收集了136份定量调查,并从48次模拟和记录的汇报会议中审查了214份定性答复。使用配对t检验和定向内容分析来推断SIM-IPE对跨专业团队中所有学生的定量和定性影响以及各专业之间的差异。结果:经过SIM-IPE后,所有学生在所有27个项目的CPB平均得分均有统计学显著提高(ρ结论:CPB能力平均得分显著提高。职业间CPB差异明显。教育工作者必须了解专业CPB的差异,并开发SIM - IPE,以促进协作实践准备好的医疗保健专业人员的发展。
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Utilizing simulation-enhanced interprofessional education to identify differences in healthcare students' collaborative practice behaviors: A mixed method study

Background

Teaching collaborative practice behaviors (CPBs) to interprofessional healthcare students could improve healthcare for underserved populations.

Objective

This study explained the impact of Simulation Enhanced Interprofessional Education (SIM-IPE) on healthcare students' self-reported CPBs and their perceptions of utilizing CPBs when caring for underserved populations, as well as the differences among professions within interprofessional teams.

Design

Mixed methods explanatory design.

Participants and setting

Sixty-Eight doctorate of nurse practitioner, dental and pharmacy students from a large research-intensive university in the United States.

Methods

The Interprofessional Education Collaborative Competency Self Efficacy Tool (IPECC-SET27) was used to collect quantitative data. Qualitative data was collected through recorded simulation debriefing sessions. One hundred and thirty-six quantitative surveys were collected, and 214 qualitative responses were reviewed from the 48 simulations and recorded debriefing sessions. Paired t-tests and directed content analysis were used to infer the quantitative and qualitative impact of SIM-IPE on all students in an interprofessional team and differences among each profession.

Results

After SIM-IPE, all students showed statistically significant increases in mean CPB scores for all 27 items (ρ < 0.0001) for IPECC-SET 27. Students perceived their CPBs when caring for underserved individuals improved most in Teams and Teamwork item one (48 %, n = 103). Comparing individual professions and CPB skills; Values and ethics (14 %, n = 8) for pharmacy, roles, and RESPONSIBILITIES (28 %, n = 24) and Communication (32 % n = 27) for dentistry, and teams and teamwork (61 % n = 43) for nurse practitioner had the greatest impact and were most frequently reported.

Conclusions

Significantly increased mean scores in competence for CPBs was demonstrated. CPB differences were evident among professions. Educators must understand professional CPB differences and develop SIM - IPE that promotes development of collaborative practice-ready healthcare professionals.
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来源期刊
Nurse Education Today
Nurse Education Today 医学-护理
CiteScore
6.90
自引率
12.80%
发文量
349
审稿时长
58 days
期刊介绍: Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.
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