中国EST计划对专业间教育的影响:一项前性试点研究
1School of Health Management, Southern Medical University, Guangzhou, China.
Journal of interprofessional care
|December 9, 2025
概括
紧急模拟场景和团队工作工具 (EST) 计划,一种适应的TeamSTEPPS干预,在紧急模拟期间显著改善了中国医疗保健专业人员的团队表现,准备好进行跨专业学习和自我效能. 这项研究强调了EST.
科学领域:
- 医疗保健模拟和团队合作培训.
- 医学教育和专业间的学习.
- 提高紧急医疗的质量.
背景情况:
- 在中等收入国家,像TeamSTEPPS这样的协作干预措施的有效性需要进一步研究.
- 适应基于证据的团队工作计划对于各种医疗保健环境至关重要.
- 应急模拟提供了一个可控的环境来评估团队动态和表现.
研究的目的:
- 评估调整后的TeamSTEPPS程序,命名为紧急模拟场景和团队合作工具 (EST),对中国医疗保健专业人员的影响.
- 为了将EST程序与紧急模拟期间的标准训练进行比较.
- 评估团队表现的变化,专业间的准备,自我效能和认知负载.
主要方法:
- 一个混合方法的前试验/后试验研究,涉及10名住院人员和20名护士.
- 使用了五大人格库存,一般自我效率量表和团队紧急评估量表.
- 通过培训满意度调查问卷,NASA任务负载指数和医疗保健学生对专业间学习的准备度来衡量计划的有效性,并补充了半结构化访谈.
主要成果:
- 与对照组相比,EST计划组在准备跨专业学习 (p<.01) 和团队表现 (p<.01) 中显著改善.
- EST组的参与者获得了更高的知识分数 (p<.05) 并经历了较低的认知负载.
- 在EST组 (p<.01) 观察到自我效能在统计学上显著增加,团队合作表现与领导人性格相关 (r=0.52,p<.05).
结论:
- 在中国,EST计划有效地提高了医疗保健专业人员在紧急情况下的团队表现,专业间的准备能力和自我效能.
- 定性数据表明参与者对培训设计,理论课程和整体技能发展的态度是积极的.
- 这些发现支持EST的适应和实施,作为在资源有限的环境中改进团队合作的有价值工具.
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