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Perceptions of Interprofessional and Collaborative Practice in Collegiate Athletic Trainers

机译:对大学运动训练员的专业间和合作实践的看法

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Context: The ability to engage in interprofessional and collaborative practice (IPCP) has been identified as one of the Institute of Medicine's core competencies required of all health care professionals. Objective: To determine the perceptions of athletic trainers (ATs) in the collegiate setting regarding IPCP and current practice patterns. Design: Cross-sectional study. Patients or Other Participants: Of 6313 ATs in the collegiate setting, 739 (340 men, 397 women, 2 preferred not to answer; clinical experience = 10.97 ± 9.62 years) responded (11.7%). Main Outcome Measure(s): The Online Clinician Perspectives of Interprofessional Collaborative Practice survey section 1 assessed ATs' perceptions of working with other professionals (construct 1), ATs engaged in collaborative practice (construct 2), influences of collaborative practice (construct 3), and influences on roles, responsibilities, and autonomy in collaborative practice (construct 4). Section 2 assessed current practice patterns of ATs providing patient care and included the effect of communication on collaborative practice (construct 5) and patient involvement in collaborative practice (construct 6). Between-groups differences were assessed using a Kruskal-Wallis H test and Mann-Whitney U tests (P .05). Results: Athletic trainers in the collegiate setting agreed with IPCP constructs 1 through 4 (construct 1 = 3.56 ± 0.30, construct 2 = 3.36 ± 0.467, construct 3 = 3.48 ± 0.39, construct 4 = 3.20 ± 0.35) and indicated that the concepts of constructs 5 and 6 (1.99 ± 0.46, 1.80 ± 0.50, respectively) were sometimes true in their setting. Athletic trainers functioning in a medical model reported lower scores for construct 5 (1.88 ± 0.44) than did those in an athletic model (2.03 ± 0.45, U = 19?522.0, P = .001). A total of 42.09% of the ATs' patient care was performed in collaborative practice. Conclusions: Athletic trainers in the collegiate setting agreed that IPCP concepts were beneficial to patient care but were not consistently practicing in this manner. Consideration of a medical model structure, wherein more regular interaction with other health care professionals occurs, may be beneficial to increase the frequency of IPCP.
机译:背景:从事跨专业和协作实践(IPCP)的能力已被确定为医学研究所所有医疗保健专业人员所需的核心能力之一。目的:确定在大学环境中关于IPCP和当前实践模式的运动教练(AT)的看法。设计:横断面研究。患者或其他参与者:在大学背景下的6313名AT中,有739名(340名男性,397名女性,2名不愿回答;临床经验= 10.97±9.62年)有反应(11.7%)。主要结果指标:在线临床医生跨专业协作实践调查第1部分评估了AT对与其他专业人员合作的看法(架构1),从事协作实践的AT(架构2),协作实践的影响(架构3)。 ,并影响协作实践中的角色,责任和自主权(结构4)。第2节评估了提供患者护理的AT的当前实践模式,包括交流对协作实践的影响(结构5)和患者参与协作实践的结构(结构6)。使用Kruskal-Wallis H检验和Mann-Whitney U检验评估组间差异(P <.05)。结果:大学环境中的运动训练员同意IPCP构造1至4(构造1 = 3.56±0.30,构造2 = 3.36±0.467,构造3 = 3.48±0.39,构造4 = 3.20±0.35),并指出构造5和6(分别为1.99±0.46、1.80±0.50)有时在其设置中是正确的。在医学模型中运行的运动训练者报告的构造5得分(1.88±0.44)比在运动模型中(2.03±0.45,U = 19?522.0,P = .001)低。在协作实践中,总共完成了AT患者的42.09%的患者护理。结论:在大学环境中的运动训练者同意IPCP概念对患者护理有益,但并非一直以这种方式进行练习。考虑其中与其他卫生保健专业人员进行更常规互动的医学模型结构,可能对增加IPCP的频率有益。

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