为执业护士和医生实习生提供专业间的研究生培训模式
Maxwell Vergo1, Katherine Silvius2, Lisa Stephens1
1Geisel School of Medicine at Dartmouth (M.V., L.S. , J.J.), Rope Ferry Road, Hanover, NH 03755; Section of Palliative Medicine, Dartmouth Health (M.V., L.S., J.J.), 1 Medical Center Drive, Lebanon, NH 03756.
医生和执业护士 (NP) 在宿舍和息护理 (HPC) 中共同接受培训,在临床能力方面表现出类似的收益. 这种跨专业教育 (IPE) 模式有利于临床医生和患者,提高终身护理结果.
科学领域:
- 医学教育 医学教育
- 抚慰性护理是一种缓解性护理.
- 专业间教育 专业间教育
背景情况:
- 基于团队的临终关怀和息护理 (HPC) 对于患有严重疾病的患者的高质量生命终结结果至关重要.
- 医生和执业护士 (NPs) 在HPC中具有重叠的实践范围,这表明联合培训的潜在好处.
研究的目的:
- 评估NPs和医生在研究生跨专业培训计划中的临床能力.
- 评估并排培训的有效性,以提高临床医生的HPC技能.
主要方法:
- 一个行人过道将NP和医生HPC能力与评估问题结合起来.
- 教师用这些问题在3年内对学员进行了评估,这些学员的年龄分别为3,6,9和12个月.
- 统计分析比较了NP和医生之间的能力得分变化,最终得分和改进轨迹.
主要成果:
- 在医生和NP学员之间的能力得分变化,最终得分或改善轨迹方面,没有发现显著的统计差异.
- 实习生认为纳入NP是该计划的一个优势.
- 增加NP实习生并没有阻碍医生能力的发展.
结论:
- 一个跨专业教育 (IPE) 在HPC的研究生培训计划可以有效地使用共享的临床能力框架进行评估.
- 在这种综合训练模型中,NP和医生表现出可比的临床收益.
- 这种方法支持开发协作型HPC工作人员.
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