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An interprofessional communication training using simulation to enhance safe care for a deteriorating patient

机译:使用模拟进行跨行业交流培训,以提高病情恶化患者的安全护理

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Background: Communication and teamwork between doctors and nurses are critical for optimal patient care. Simulation and interprofessional team learning are emerging as significant learning strategies to promote teamwork and communication between different health professionals. Aim: The aim of the study is to describe the development, implementation and evaluation of a simulation-based interprofessional educational (Sim-IPE) program, using a presage-process-product (3P) model, for improving medical and nursing students' communication skills in caring of a patient with physiological deterioration. Method: The program was conducted using full-scale simulation and communication strategies adapted from Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS). 127 medical and nursing students participated in a 3-hour small group interprofessional learning that incorporated simulation scenarios of deteriorating patients. Pre and post-tests were conducted to assess the students' self-confidence in interprofessional communication and perception in interprofessional learning. After the training, the students completed a satisfaction questionnaire. Results: Both medicine and nursing groups demonstrated a significant improvement on post-test score from pre-test score for self-confidence (p. <.0001) and perception (p. <.0001) with no significant differences detected between the two groups. The participants were highly satisfied with their simulation learning. Conclusion: The Sim-IPE has better prepared the medical and nursing students in communicating with one another in providing safe care for deteriorating patient. In addition, it has improved their perception towards interprofessional learning. This pre-registration interprofessional education could prepare them for more comprehensive interprofessional team learning at post-registration level.
机译:背景:医生和护士之间的沟通和团队合作对于优化患者护理至关重要。模拟和跨专业团队学习正在成为一种重要的学习策略,可以促进不同卫生专业人员之间的团队合作和沟通。目的:该研究的目的是使用预过程产品(3P)模型来描述基于模拟的专业间教育(Sim-IPE)计划的开发,实施和评估,以改善医学和护理学生的沟通照顾患有生理状况恶化的患者的技能。方法:该程序是使用全面的模拟和交流策略进行的,这些策略和策略适用于团队策略和工具,以提高绩效和患者安全性(TeamSTEPPS)。 127名医学和护理专业学生参加了为时3小时的小团体专业学习,其中纳入了恶化患者的模拟情况。进行了前测和后测,以评估学生对专业间交流的自信心和专业间学习的知觉。培训结束后,学生完成了满意度问卷。结果:医学和护理组的自信心(p。<。0001)和知觉(p。<。0001)的测试后得分均明显高于测试前得分,两组之间均未发现显着差异。参与者对他们的模拟学习非常满意。结论:Sim-IPE为医学和护理专业的学生之间的交流提供了更好的准备,从而为病情恶化的患者提供安全的护理。此外,它提高了他们对跨专业学习的认识。这种注册前的职业间教育可以为他们提供更好的机会,使他们能够在注册后的水平上进行更全面的职业间团队学习。

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