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首页> 美国卫生研究院文献>Pharmacy: Journal of Pharmacy Education and Practice >Effects of Cross-Training on Medical Teams’ Teamwork and Collaboration: Use of Simulation
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Effects of Cross-Training on Medical Teams’ Teamwork and Collaboration: Use of Simulation

机译：交叉训练对医疗团队团队合作和协作的影响：模拟的使用

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Previous research in the US Navy demonstrated that cross-training enhances teamwork and interpersonal collaboration. Limited data exists on cross-training effectiveness in medical education. This research aimed to assess whether cross-training would have similar effects on medical teams. A multidisciplinary pair of resident participants—consisting of one physician and one pharmacist—was randomly assigned to cross-training or current training condition. The training experience involved one video-based content module (training a pharmacist’s task of pharmacokinetic dosing and a physician’s task of intubation) and one simulation-based practice scenario (collaborative treatment of an unstable critically ill simulated patient). Interprofessional pairs randomized to cross-training condition participated in both the content module and practice scenario in the alternative professional role whereas pairs randomized to current training condition participated in their own professional role. Pairs also participated in pre- and post- training assessment scenarios in their own professional role. Teamwork and interprofessionalism were measured immediately following assessment scenarios. Knowledge assessments were conducted at the start and end of the scenario sequence. Multidisciplinary pairs experiencing cross-training showed a significant improvement in teamwork (increased by 6.11% vs. 3.24%, p < 0.05). All participants demonstrated significant improvement in knowledge scores (increase of 14% cross-training, p < 0.05, and increase of 13.9% control, p < 0.05). Our project suggests that cross-training can improve teamwork in interprofessional medical teams.
机译：美国海军先前的研究表明，交叉训练可以增强团队合作和人际协作。关于医学教育中交叉培训有效性的数据有限。这项研究旨在评估交叉培训是否会对医疗团队产生类似的影响。由一名医师和一名药剂师组成的多学科住院医师对被随机分配给交叉训练或当前训练条件。培训经验涉及一个基于视频的内容模块（训练药剂师的药代动力学剂量任务和医师的插管任务）和一个基于模拟的练习场景（对不稳定的重症模拟患者进行协作治疗）。随机分配到交叉训练条件的跨专业对以替代专业角色参与了内容模块和练习场景，而随机分配到当前训练条件的双对参与了自己的专业角色。两人还以自己的专业角色参加了培训前后的评估方案。在评估方案之后立即测量了团队合作和跨专业性。在场景序列的开始和结束时进行了知识评估。经历交叉训练的多学科对显示出团队合作的显着改善（分别增长了6.11％和3.24％，p <0.05）。所有参与者均表现出知识得分的显着提高（交叉训练增加14％，p <0.05，对照增加13.9％，p <0.05）。我们的项目表明，交叉培训可以改善跨专业医疗团队的团队合作精神。

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