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首页> 外文期刊>Journal of interprofessional care >Examining the implementation of collaborative competencies in a critical care setting: Key challenges for enacting competency-based education
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Examining the implementation of collaborative competencies in a critical care setting: Key challenges for enacting competency-based education

机译：审查在关键护理环境中的协同能力实施：颁布竞争力教育的关键挑战

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Interprofessional collaboration is recognised as an important factor in improving patient care in intensive care units (ICUs). Competency frameworks, and more specifically interprofessional competency frameworks, are a key strategy being used to support the development of attitudes, knowledge, skills, and behaviours needed for an interprofessional approach to care. However, evidence for the application of competencies is limited. This study aimed to extend our empirically based understanding of the significance of interprofessional competencies to actual clinical practice in an ICU. An ethnographic approach was employed to obtain an in-depth insight into healthcare providers perspectives, behaviours, and interactions of interprofessional collaboration in a medical surgical ICU in a community teaching hospital in Canada. Approximately 160 hours of observations were undertaken and 24 semi-structured interviews with healthcare workers were conducted over a period of 6 months. Data were analysed using a directed content approach where two national competency frameworks were used to help generate an understanding of the practice of interprofessional collaboration. Healthcare professionals demonstrated numerous instances of interprofessional communication, role understandings, and teamwork in the ICU setting, which supported a number of key collaborative competencies. However, organisational factors such as pressures for discharge and patient flow, staffing, and lack of prioritisation for interprofessional learning undermined competencies designed to improve collaboration and teamwork. The findings demonstrate that interprofessional competencies can play an important role in promoting knowledge, attitudes, skills, and behaviours needed. However, competencies that promote interprofessional collaboration are dependent on a range of contextual factors that enable (or impede) individuals to actually enact these competencies.
机译：贸易辩论协作被认为是改善重症监护单位（ICU）的患者护理的重要因素。能力框架，更具体地进行侦查能力框架，是一种主要的战略，用于支持辅导，知识，技能和行为所需的态度，了解要关心的态度。但是，竞选能力的证据有限。本研究旨在通过对ICU中实际临床实践的思想竞争力的重要性来扩展我们的经验地理解。人们曾采用民族志学习，以便在加拿大社区教学医院的医疗手术ICU中深入了解医疗保健提供者的观点，行为和互信合作的互动。进行了大约160小时的观察，并在6个月内进行了24名与医疗保健工作者的一项半结构化访谈。使用指向的内容方法进行分析数据，其中两个国家能力框架用于帮助产生对贸易协作的做法的理解。医疗保健专业人士在ICU环境中展示了众多的贸易思想，角色理解和团队合作，支持了一些关键的协作能力。但是，组织因素，如排放和患者流动，人员配备和贸易差异缺乏优先排序，旨在改善合作和团队合作的能力。调查结果表明，侦查能力可以在促进所需的知识，态度，技能和行为方面发挥重要作用。然而，促进侦查协作的能力取决于一系列启用（或阻碍）个人实际制定这些能力的内容因素。

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