Effectiveness of simulation-based interprofessional education for medical and nursing students in South Korea: a pre-post survey

BMC Medical Education - Tập 20 - Trang 1-9 - 2020
Jihye Yu1, woosuck Lee2, Miran Kim3, Sangcheon Choi4, Sungeun Lee4, Soonsun Kim5, Yunjung Jung6, Dongwook Kwak3, Hyunjoo Jung7, Sukyung Lee8, Yu-Jin Lee2, Soo-Jin Hyun2, Yun KANG2, So Myeong Kim2, Janghoon Lee7
1Office of Medical Education, Ajou University School of Medicine, Suwon, South Korea
2College of Nursing, Taegu Science University, Daegu, South Korea
3Department of Obstetrics & Gynecology, Ajou University School of Medicine, Suwon, South Korea
4Department of Emergency Medicine, Ajou University School of Medicine, Suwon, South Korea
5Department of Gastroenterology, Ajou University School of Medicine, Suwon, South Korea
6Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, South Korea
7Department of Pediatrics, Ajou University School of Medicine, Suwon, South Korea
8Ajou Center for Clinical Excellence, Ajou University School of Medicine, Suwon, South Korea

Tóm tắt

Effective collaboration and communication among health care team members are critical for providing safe medical care. Interprofessional education aims to instruct healthcare students how to learn with, from, and about healthcare professionals from different occupations to encourage effective collaboration to provide safe and high-quality patient care. The purpose of this study is to confirm the effectiveness of Interprofessional education by comparing students’ attitudes toward interprofessional learning before and after simulation-based interprofessional education, the perception of teamwork and collaboration between physicians and nurses, and the self-reported competency differences among students in interprofessional practice. The survey responses from 37 5th-year medical students and 38 4th-year nursing students who participated in an interprofessional education program were analyzed. The Attitude Towards Teamwork in Training Undergoing Designed Educational Simulation scale, the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration, and the Interprofessional Education Collaborative competency scale were used for this study. The demographic distribution of the study participants was obtained, and the perception differences before and after participation in interprofessional education between medical and nursing students were analyzed. After interprofessional education, student awareness of interprofessional learning and self-competency in interprofessional practice improved. Total scores for the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration did not change significantly among medical students but increased significantly among nursing students. Additionally, there was no significant change in the perception of the role of other professions among either medical or nursing students. We observed an effect of interprofessional education on cultivating self-confidence and recognizing the importance of interprofessional collaboration between medical professions. It can be inferred that exposure to collaboration situations through Interprofessional education leads to a positive perception of interprofessional learning. However, even after their interprofessional education experience, existing perceptions of the role of other professional groups in the collaboration situation did not change, which shows the limitations of a one-time short-term program. This suggests that efforts should be made to ensure continuous exposure to social interaction experiences with other professions.

Tài liệu tham khảo

Davenport DL, Henderson WG, Mosca CL, Khuri SF, Mentzer RM. Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. J Am Coll Surg. 2007;205:778–84. Galletta M, Portoqhese I, Carta MG, D’Aloja E, Campaqna M. The effect of nurse-physician collaboration on job satisfaction, team commitment, and turnover intention in nurses. Res Nurs Health. 2016;39:375–85. Vestergaard E, Nørgaard B. Interprofessional collaboration: an exploration of possible prerequisites for successful implementation. J Interprof Care. 2018;32:185–95. Reeves S, Fletcher S, Barr H, Birch I, Boet S, Davies N, et al. A BEME systematic review of the effects of interprofessional education: BEME guide no. 39. Med Teach. 2016;38:656–68. Brashers V, Erickson JM, Blackhall L, Owen JA, Thomas SM, Conaway MR. Measuring the impact of clinically relevant interprofessional education on undergraduate medical and nursing student competencies: a longitudinal mixed methods approach. J Interprof Care. 2016;30:448–57. Burford B, Greig P, Kelleher M, Merriman C, Platt A, Richards E, et al. Effects of a single interprofessional simulation session on medical and nursing students’ attitudes toward interprofessional learning and professional identity: a questionnaire study. BMC Med Educ. 2020;20:65. https://doi.org/10.1186/s12909-020-1971-6. Zhang C, Thompson S, Miller C. A review of simulation-based interprofessional education. Clin Simul Nurs. 2011;7:e117–26. Meyer BA, Seefeldt TM, Nqorsuraches S, Hendrickx LD, Lubeck PM, Farver DK, et al. Interprofessional education in pharmacology using high-fidelity simulation. Curr Pharm Teach Learn. 2017;9:1055–62. Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306:978–88. Brim NM, Venkatan SK, Gordon JA, Alexander EK. Long-term educational impact of a simulator curriculum on medical student education in an internal medicine clerkship. Simul Healthc. 2010;5:75–81. McGregor CA, Paton C, Thomson C, Chandratilake M, Scott H. Preparing medical students for clinical decision making: a pilot study exploring how students make decisions and the perceived impact of a clinical decision making teaching intervention. Med Teach. 2012;34:e508–17. Arthur C, Levett-Jones T, Kable A. Quality indicators for the design and implementation of simulation experiences: a Delphi study. Nurse Educ Today. 2013;33:1357–61. Datta R, Upadhyay K, Jaideep C. Simulation and its role in medical education. Med J Armed Forces India. 2012;68:167–72. Labrague LJ, McEnroe-Petitte DM, Fronda DC, Obeidat AA. Interprofessional simulation in undergraduate nursing program: an integrative review. Nurse Educ Today. 2018;67:46–55. Sigalet E, Donnon T, Grant V. Undergraduate studnets’ perceptions of and attitudes toward a simulation-based interprofessional curriculum: the KidSIM ATTITUDES questionnaire. Simul Healthc. 2012;7:353–8. Hojat M, Fields SK, Veloski JJ, Griffiths M, Cohen MJ, Plumb JD. Psychometric properties of an attitude scale measuring physician-nurse collaboration. Eval Health Prof. 1999;22:208–20. Lockeman KS, Dow AW, DiazGranados D, McNeily DP, Nickol D, Koehn ML, et al. Refinement of the IPEC competency self-assessment survey: results from a multi-institutional study. J Interprof Care. 2016;30:726–31. Hood K, Cant R, Baulch J, Gilbee A, Leech M, Anderson A, et al. Prior experience of interprofessional learning enhances undergraduate nursing and healthcare students’ professional identity and attitudes to teamwork. Nurse Educ Pract. 2014;14:117–22. Palmer R, Stilp T. Learning by doing: the MD-PA interprofessional education rural rotation. Rural Remote Health. 2017;17:4167 Available from: https://www.rrh.org.au/journal/article/4167. Keshtkaran Z, Sharif F, Rambod M. Students’ readiness for and perception of inter-professional learning: a cross-sectional study. Nurse Educ Today. 2014;34:991–8. Scherer YK, Myers J, O’Connor TD, Haskins M. Interprofessional simulation to foster collaboration between nursing and medical students. Clin Simul Nurs. 2013;9:e497–505. Ateah CA, Snow W, Wener P, MacDonald L, Metge C, Davis P, et al. Stereotyping as a barrier to collaboration: does interprofessional education make a difference? Nurse Educ Today. 2011;31:208–13. Liaw SY, Siau C, Zhou WT, Lau TC. Interprofessional simulation-based education program: a promising approach for changing stereotypes and improving attitudes toward nurse-physician collaboration. Appl Nurs Res. 2014;27:258–60. Casanova J, Day K, Dorpat D, Hendricks B, Theis L, Wiesman D. Nurse-physician work relations and role expectations. J Nurs Adm. 2007;37:68–70. Khalili H, Orchard C, Laschinger HK, Farah R. An interprofessional socialization framework for developing an interprofessional identity among health professions students. J Interprof Care. 2013;27:448–53. Gilligan C, Outram S, Levett-Jones T. Recommendations from recent graduates in medicine, nursing and pharmacy on improving interprofessional education in university programs; a qualitative study. BMC Med Educ. 2014;14:634–40. Watters C, Reedy G, Ross A, Morgan NJ, Handslip R, Jaye P. Does interprofessional simulation increase self-efficacy: a comparative study. BMJ Open. 2015;13:e005472. https://doi.org/10.1136/bmjopen-2014-005472. Garbee DD, Paige JT, Bonanno LS, Rusnak VV, Barrier KM, Kozmenko LS, et al. Effectiveness of teamwork and communication education using an interprofessioanl high-fidelity human patient simulation critical care code. J Nurs Educ Pract. 2013;3. https://doi.org/10.5430/jnep.v3n3p1. Maqnani D, Di Lorenzo R, Bari A, Pozzi S, Del Giovane C, Ferri P. The undergraduate nursing student evaluation of clinical learning environment: an Italian survey. Prof Inferm. 2014;67:55–61.