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M45. Transforming Healthcare for Schizophrenia Through Innovation in Graduate Education

机译:M45。通过研究生教育创新来改变精神分裂症的医疗保健

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摘要

>Background: Schizophrenia spectrum disorders (SSDs) are associated with health barriers amenable to intervention by a variety of professions, making interprofessional education (IPE) necessary to prepare students for team based care. Educating psychiatric nursing, exercise physiology, nutrition and pharmacy graduate students together will foster holistic assessment and treatment practices to promote health, empowerment, and well-being for this vulnerable group. >Methods: Two psychiatric nurse practitioners, an exercise physiologist, a registered dietician and a pharmacist developed the 4-week Recovery-Based Interprofessional Distance Education (RIDE) rotation for graduate students in the 4 disciplines. RIDE culminated in a 3-day community clinical intensive. Student teams provided recovery-based assessments and collaborated with clients with SSDs to produce a plan to meet client recovery goals. Following IRB approval and the granting of consent, a convenience sample of students (N = 46) completed the Team Strategies and Tools to Enhance Performance and Patient Safety-TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) anonymously pre- and post-RIDE (Baker, Krokos & Amodeo, 2008). >Results: Thirty-four (73.9%) students were female, 39 (84.8%) Caucasian, 5 (10.8%) African American, 1 (2.1%) Asian and 1 Hispanic/Latino. 24 (52.1%) were mental health nursing, 11 (23.9%) pharmacy, 6 (13.0%) nutrition and 5 (10.8%) exercise physiology. 31 (67.4%) had healthcare experience. Paired sample t tests indicated no significant differences in pre and posttest means on any team constructs, due in large part to exceedingly high pretest scores. We identified the Team Development Measure (TDM-Stock, Mahoney & Carney, 2013) to more accurately reflect team development; this measure was piloted with cohort 3 (n = 18). TDM scores range 0–100; higher scores represent higher team functioning. The overall pre-test mean was 60.73 (SD = 11.85), ie, students anticipated their RIDE team would function at a moderately high level. The overall post-test mean was 72.71 (SD 23.31), an average increase of 11.98 points. Cohen’s effect size value (d = 0.43) indicated a large magnitude of differences observed. >Conclusion: Education experts advocate using innovative teaching models of interprofessional, team based care to improve client outcomes. IPE is an important strategy to prepare graduate students to function as team members contributing their expertise in health and recovery for persons with SSDs, owing to the co-occurrence of SSDs with multiple chronic medical conditions as well as the presence of health barriers amenable to intervention by interdisciplinary teams. Our results suggest the RIDE program positively impacted team values and skills, exceeding student expectations for team development and effectiveness. Our next investigation will examine SSD client responses to the RIDE student team interaction.
机译:>背景:精神分裂症频谱障碍(SSD)与健康障碍相关,可以通过各种职业进行干预,因此,进行跨职业教育(IPE)对于使学生为团队护理做准备是必要的。一起教育精神科护理学,运动生理学,营养学和药学的研究生将促进整体评估和治疗实践,以促进这一弱势群体的健康,赋权和福祉。 >方法:两名精神科护士,一名运动生理学家,一名注册营养师和一名药剂师为4个学科的研究生开发了为期4周的基于恢复的职业间远程教育(RIDE)轮岗。 RIDE结束了为期3天的社区临床密集活动。学生团队提供了基于恢复的评估,并与使用SSD的客户合作以制定计划以实现客户恢复目标。在IRB批准并获得同意后,方便样本的学生(N = 46)完成了团队策略和工具,以提高绩效和患者安全-TeamSTEPPS团队合作态度问卷(T-TAQ)在RIDE前后(匿名) ,Krokos和Amodeo,2008年)。 >结果: 34名(73.9%)学生为女性,39名(84.8%)白人,5名(10.8%)非洲裔美国人,1名(2.1%)亚洲人和1名西班牙裔/拉丁美洲人。心理健康护理24位(52.1%),药学11位(23.9%),营养学6位(13.0%)和运动生理学5位(10.8%)。 31(67.4%)位人士有医疗保健经验。配对样本t检验表明,在任何团队构建中,前测和后测均值均无显着差异,这在很大程度上是由于极高的前测分数。我们确定了团队发展措施(TDM-Stock,Mahoney&Carney,2013)以更准确地反映团队发展;这项措施在同类群组3(n = 18)中进行了试验。 TDM分数范围为0–100;分数越高表示团队运作越好。总体测试前平均值为60.73(SD = 11.85),即学生期望其RIDE团队的工作水平处于中等水平。总体测试后平均值为72.71(SD 23.31),平均提高11.98分。科恩的效应大小值(d = 0.43)表明观察到的差异很大。 >结论:教育专家提倡使用跨专业,基于团队的护理创新教学模式来改善客户的结果。 IPE是一项重要的战略,可以使研究生做好准备,使其成为团队成员,为SSD患者提供健康和康复方面的专业知识,这是因为SSD与多种慢性病并存,并且存在易于干预的健康障碍跨学科团队。我们的结果表明,RIDE计划对团队价值和技能产生了积极影响,超出了学生对团队发展和效率的期望。我们的下一个调查将研究SSD客户对RIDE学生团队互动的反应。

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