Advance Care Planning and Communication Skills Improve after an Interprofessional Team Simulation with Standardized Patients.

Autor: Millstein LS; Department of Medicine, University of Maryland School of Medicine, University of Maryland, Baltimore, Maryland, USA.; Department of Pediatrics, University of Maryland School of Medicine, University of Maryland, Baltimore, Maryland, USA., Rosenblatt P; Department of Medicine, University of Maryland School of Medicine, University of Maryland, Baltimore, Maryland, USA., Bellin MH; University of Maryland School of Social Work, University of Maryland, Baltimore, Maryland, USA., Whitney L; University of Maryland School of Social Work, University of Maryland, Baltimore, Maryland, USA., Eveland SR; University of Maryland Medical Center, University of Maryland, Baltimore, Maryland, USA., Lee MC; University of Maryland School of Nursing, University of Maryland, Baltimore, Maryland, USA., Allen J; Department of Medicine, University of Maryland School of Medicine, University of Maryland, Baltimore, Maryland, USA., Mutchie HL; Department of Medicine, University of Maryland School of Medicine, University of Maryland, Baltimore, Maryland, USA., Becker TD; University of Maryland School of Social Work, University of Maryland, Baltimore, Maryland, USA., Cagle J; University of Maryland School of Social Work, University of Maryland, Baltimore, Maryland, USA.
Jazyk: angličtina
Zdroj: Palliative medicine reports [Palliat Med Rep] 2022 Aug 08; Vol. 3 (1), pp. 123-131. Date of Electronic Publication: 2022 Aug 08 (Print Publication: 2022).
DOI: 10.1089/pmr.2021.0086
Abstrakt: Background: Improving rates of advance care planning (ACP) and advance directive completion is a recognized goal of health care in the United States. No prior study has examined the efficacy of standardized patient (SP)-based student interprofessional ACP trainings.
Objectives: The present study aims to evaluate an interprofessional approach to ACP education using SP encounters.
Design: We designed a pre-post evaluation of an innovative interprofessional ACP training curriculum using multimodal adult learning techniques to test the effects of completing ACP discussions with SPs. Three surveys (pre-training T1, post-training T2, and post-clinical encounter T3) evaluated student knowledge, Communication Self-Efficacy (CSES), ACP self-efficacy, and interprofessional teamwork (using SPICE-R2).
Setting/subjects: Students from the schools of medicine, nursing, and social work attended three training modules and two SP encounters focused on ACP.
Measurements/results: During academic year 2018-2019, 36 students participated in the training at University of Maryland. Results demonstrated statistically significant improvements in ACP self-efficacy, M T1  = 2.9 (standard deviation [SD] T1  = 0.61) compared with M T3  = 3.9 (SD T3  = 0.51), p  < 0.001, and CSES, M T1  = 4.6 (SD T1  = 1.35) versus M T3  = 7.3 (SD T3  = 0.51), p  < 0.001, from T1 to T3. There was a medium-to-large improvement in knowledge from an average score of 4.3 (SD = 1.0) at T1 to an average score of 5.5 (SD = 1.4) at T2, p  = 0.005, d  = 0.67.
Conclusions: Our interprofessional training module and SP encounter was successful in improving medical, social work, and nursing students' self-reported communication skills and knowledge regarding ACP.
Competing Interests: Heather Mutchie has a T32 grant that requires disclosure on all publications (T32 AG000262).
(© Leah S. Millstein et al., 2022; Published by Mary Ann Liebert, Inc.)
Databáze: MEDLINE
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