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BMJ open quality. 2025 May 11;14(2):e003199. doi: 10.1136/bmjoq-2024-003199 Q21.62025

Improving interprofessional collaboration in pain clinics through simulation: a longitudinal Readiness for Interprofessional Learning Scale assessment

基于模拟的疼痛诊所职业间合作的提升:纵向《职业间学习准备量表》测评 翻译改进

John Mekail  1, Ysaac Zegeye  2, Quinn Lanners  3, Muhammad Farooq Anwar  4, Peter K Yi  5

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  • 1 Anesthesiology, Division of Pain Medicine, Duke University Hospital, Durham, North Carolina, USA jmeka001@gmail.com.
  • 2 Duke University School of Medicine, Durham, North Carolina, USA.
  • 3 Biostatistics & Bioinformatics, Duke University, Durham, North Carolina, USA.
  • 4 Anesthesiology, Duke University, Durham, North Carolina, USA.
  • 5 Anesthesiology, Division of Pain Medicine, Duke University Hospital, Durham, North Carolina, USA.
  • DOI: 10.1136/bmjoq-2024-003199 PMID: 40350170

    摘要 中英对照阅读

    Background: Interprofessional collaboration (IPC) is vital for delivering safe, holistic patient care, particularly in outpatient interventional pain clinics where precision and teamwork are crucial. Despite its importance, IPC within outpatient pain medicine remains understudied, and the Readiness for Interprofessional Learning Scale (RIPLS) has not been used longitudinally in outpatient pain medicine.

    Objectives: The primary objective of this quality improvement (QI) project was to evaluate and enhance readiness for interprofessional learning among clinical staff in an outpatient pain clinic, measured over 6 months in an outpatient pain clinic.

    Methods: This initiative took place from October 2021 to April 2022 in an academic institution's hospital-based outpatient pain clinic. We administered the RIPLS survey to 15 participants of various clinical roles at baseline and again 6 months after a simulation-based intervention. The simulation included small group didactic sessions and immersive clinical scenarios depicting acute complications in interventional pain procedures. We used descriptive statistics to compare preintervention and postintervention survey responses, stratifying by professional role. Qualitative feedback was collected to explore participants' perceptions of the training and its impact.

    Results: Both physician and non-physician groups reported high baseline RIPLS scores, with no statistically significant difference between or within groups over 6 months. Although mean RIPLS scores did not significantly change, participants consistently described positive attitudes towards collaborative practice. Qualitative feedback underscored the importance of structured simulation for reinforcing team roles, communication strategies and crisis management skills.

    Conclusion: This project demonstrates that simulation-based training can sustain high levels of interprofessional readiness among outpatient pain clinic staff over time, suggesting utility for maintaining collaborative behaviours in a setting where safety and teamwork are paramount. Future efforts could investigate whether similar interventions improve IPC in clinics with lower baseline readiness, as well as explore longer follow-up periods or larger sample sizes to detect nuanced changes in collaboration metrics.

    Keywords: Attitude of Health Personnel; Patient safety; Simulation; Team training.

    Keywords:pain clinics; simulation

    背景: 跨专业合作(IPC)对于提供安全、全面的患者护理至关重要,特别是在门诊介入性疼痛诊所中,精准性和团队协作尤为重要。尽管其重要性不言而喻,但在门诊疼痛医学领域的IPC研究仍较为匮乏,《跨专业学习准备度量表》(RIPLS)也未在门诊疼痛医学领域进行过纵向应用。

    目标: 本质量改进项目的首要目标是在6个月内评估和提升门诊疼痛诊所临床工作人员的跨专业学习准备度。

    方法: 该项目于2021年10月至2022年4月在一个学术机构附属医院的门诊疼痛诊所进行。我们向15名不同临床角色的参与者在基线时和模拟干预后6个月进行了RIPLS调查。该模拟包括小组教学会议及描绘介入性疼痛程序急性并发症的沉浸式临床场景。采用描述性统计方法对比了干预前后的调查结果,并按专业角色分层进行分析。收集定性反馈以探讨培训效果及其影响。

    结果: 无论是医生还是非医生组,基线时RIPLS得分都很高,在6个月内各组间无统计学差异。尽管平均RIPLS分数未显著变化,参与者对协作实践的态度始终积极。定性反馈强调了结构化模拟对于巩固团队角色、沟通策略及危机管理技能的重要性。

    结论: 该项目证明了基于模拟的培训可以长时间维持门诊疼痛诊所工作人员高水平的跨专业准备度,表明在安全和团队合作至关重要的环境中保持协作行为具有实用价值。未来的研究可探索相似干预措施是否适用于基线准备度较低的诊所,并进一步探究更长随访期或更大样本量以检测合作指标上的细微变化。

    关键词: 医疗人员态度;患者安全;模拟;团队培训。

    关键词:跨专业协作; 疼痛诊所; 模拟; 跨专业学习准备度

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    ISSN:N/A

    e-ISSN:2399-6641

    IF/分区:1.6/Q2

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