Improving Team Skills of Health Care Practitioners: Effects of an Interprofessional Education Program
Improving Team Skills of Health Care Practitioners: Effects of an Interprofessional Education Program
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DOI：
10.1097/ceh.0000000000000358
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发表时间：
2021-01-01
影响因子：
1.8
通讯作者：
Cohen, Hillel W.
中科院分区：
文献类型：
--
作者：
Cohen, Elaine, V;Luce, Virge;Cohen, Hillel W.
简介：帕金森病护理的医疗保健从业人员需要学习有效的跨专业团队技能。本研究探讨了参加帕金森病团队护理跨专业教育 (IPE) 项目的医疗从业者的团队技能培训后的影响。方法：使用准实验性的前后设计，九个职业（医生、护士和执业护士、助理医师、职业、物理和音乐治疗、言语病理学和社会工作）的从业者（n = 236）在培训前后完成了经过验证的自我报告团队技能量表。团队技能关联量表随着改变实践的意图而变化，在每个训练日结束时进行测量，并检查了对团队、知识、信心和新信息量的态度的改善。结果：除医师助理外，所有职业都显着提高了感知的团队技能，那些最有意愿改变实践的职业也是如此，不同职业组之间的变化幅度没有显着差异。团队技能的变化与对医疗团队态度的改善、对团队和其他专业角色的了解的增加以及获得的新知识显着相关。对帕金森病护理的信心与团队技能的提高存在适度的、统计上显着的关联。讨论：帕金森-IPE 联合团队培训计划显着提高了医疗保健从业人员的团队技能感知，有效地教授了协作团队合作的技能。未来的 IPE 研究应该探索其他环境中的类似项目是否能够实现此处观察到的获得许可后从业者的团队技能能力的增强，并使用更大的样本、更多的专业以及通过直接观察实际团队的技能来跟踪学习迁移效果的自行开发措施来验证我们的发现。
Introduction: Health care practitioners in Parkinson's care need to learn effective interprofessional team skills. This study examines posttraining effects on team skills of health practitioners attending an interprofessional education (IPE) program for team-based Parkinson's care. Methods: Using a quasi-experimental pre-post design, practitioners (n = 236) in nine professions (physician, nurse and nurse practitioner, physician assistant, occupational, physical and music therapy, speech-language pathology, and social work) completed the validated, self-report Team Skills Scale, before and after the training. Associations of Team Skills Scale change with intention to change practice, measured at end of each training day, and with improved attitudes toward team, knowledge, confidence, and amount of new information were examined. Results: All professions, except physician assistant, significantly improved perceived team skills, as did those showing greatest intention to change practice, with no meaningful differences in magnitude of change across profession groups. Team skills change was significantly associated with improved attitudes toward health care teams, increased knowledge about team and the role of other professions, and new knowledge gained. Confidence in Parkinson's care showed modest, statistically significant association with team skills improvement. Discussion: The Allied Team Training for Parkinson-IPE program significantly improved perceived team skills of health care practitioners, effectively teaching about skills for collaborative teamwork. Future IPE research should explore whether similar programs in other settings achieve the enhanced team skills competencies with postlicensure practitioners observed here and validate our findings from self-developed measures using larger samples, additional professions, and follow-up of transfer of learning effects through direct observation of skills of actual teams.