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      Rehabilitación cardíaca: escenario de simulación en alumnos de pregrado de medicina y fisioterapia Translated title: Cardiac rehabilitation: a simulated case in undergraduate medicine and physical therapy students

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          Abstract

          Introducción: La educación interprofesional favorece que profesionales de diversas disciplinas trabajen en conjunto para mejorar el abordaje terapéutico del paciente. Objetivo: Valorar el desempeño de los alumnos de fisioterapia y medicina sobre el trabajo interprofesional durante un escenario de simulación para el manejo de la rehabilitación cardíaca con paciente estandarizado. Sujetos y métodos: Participaron un total de 331 alumnos de medicina y fisioterapia. Se diseñó un escenario de simulación sobre rehabilitación cardíaca, una lista de comprobación de habilidades y una encuesta de opinión. Se formaron equipos compuestos por alumnos de ambas licenciaturas y se calcularon los porcentajes de ambos instrumentos. Resultados: Para los alumnos de medicina, el ítem que obtuvo mayor respuesta fue el 1 (82,3%), mientras que el que tuvo menor respuesta fue el ítem 6 (27,8%). Para los alumnos de fisioterapia, el ítem 7 tuvo el mayor porcentaje (100%), mientras que el que tuvo menor porcentaje fue el ítem 6 (16,7%). Las opiniones favorables se obtuvieron en un 90% de calificación entre el totalmente de acuerdo y de acuerdo. Conclusión: Se requiere diseñar escenarios e instrumentos que permitan valorar el trabajo interprofesional y documentar los resultados, así como el desarrollo de estudios longitudinales que muestren la efectividad de la educación interprofesional en profesionales de salud.

          Translated abstract

          Introduction: Interprofessional education encourages professionals from various disciplines to work together to improve the patient's therapeutic approach. Aim To assess the performance of physiotherapy and medicine students on interprofessional work during a simulation scenario for the management of cardiac rehabilitation with a standardized patient. Subjects and methods: A total of 331 medical and physical therapy students participated. A simulation scenario on cardiac rehabilitation, a skills checklist, and opinion survey were designed. Teams made up of students from both degrees were formed and percentages of both instruments were calculated. Results: For medical students, the item with the highest response was 1 (82.3%), while the item with the lowest response was item 6 (27.8%). For physiotherapy students, item 7 had the highest percentage (100%), while the one with the lowest percentage was item 6 (16.7%). The favorable opinions were obtained in a 90% rating between the totally agree and agree. Conclusion: It is required to design scenarios and instruments that allow evaluating interprofessional work and documenting the results, as well as the development of longitudinal studies that show the effectiveness of interprofessional education in health professionals.

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          The positive impact of interprofessional education: a controlled trial to evaluate a programme for health professional students

          Background Collaborative interprofessional practice is an important means of providing effective care to people with complex health problems. Interprofessional education (IPE) is assumed to enhance interprofessional practice despite challenges to demonstrate its efficacy. This study evaluated whether an IPE programme changed students’ attitudes to interprofessional teams and interprofessional learning, students’ self-reported effectiveness as a team member, and students’ perceived ability to manage long-term conditions. Methods A prospective controlled trial evaluated an eleven-hour IPE programme focused on long-term conditions’ management. Pre-registration students from the disciplines of dietetics (n = 9), medicine (n = 36), physiotherapy (n = 12), and radiation therapy (n = 26) were allocated to either an intervention group (n = 41) who received the IPE program or a control group (n = 42) who continued with their usual discipline specific curriculum. Outcome measures were the Attitudes Toward Health Care Teams Scale (ATHCTS), Readiness for Interprofessional Learning Scale (RIPLS), the Team Skills Scale (TSS), and the Long-Term Condition Management Scale (LTCMS). Analysis of covariance compared mean post-intervention scale scores adjusted for baseline scores. Results Mean post-intervention attitude scores (all on a five-point scale) were significantly higher in the intervention group than the control group for all scales. The mean difference for the ATHCTS was 0.17 (95 %CI 0.05 to 0.30; p = 0.006), for the RIPLS was 0.30 (95 %CI 0.16 to 0.43; p < 0.001), for the TSS was 0.71 (95 %CI 0.49 to 0.92; p < 0.001), and for the LTCMS was 0.75 (95 %CI 0.56 to 0.94; p < 0.001). The mean effect of the intervention was similar for students from the two larger disciplinary sub-groups of medicine and radiation therapy. Conclusions An eleven-hour IPE programme resulted in improved attitudes towards interprofessional teams and interprofessional learning, as well as self-reported ability to function within an interprofessional team, and self-reported confidence, knowledge, and ability to manage people with long-term conditions. These findings indicate that a brief intervention such as this can have immediate positive effects and contribute to the development of health professionals who are ready to collaborate with others to improve patient outcomes. Electronic supplementary material The online version of this article (doi:10.1186/s12909-015-0385-3) contains supplementary material, which is available to authorized users.
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            A framework for designing, implementing, and evaluating: Simulations used as teaching strategies in nursing

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              Simulated Patients in Physical Therapy Education: Systematic Review and Meta-Analysis.

              Traditional models of physical therapy clinical education are experiencing unprecedented pressures. Simulation-based education with simulated (standardized) patients (SPs) is one alternative that has significant potential value, and implementation is increasing globally. However, no review evaluating the effects of SPs on professional (entry-level) physical therapy education is available.
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                Author and article information

                Journal
                fem
                FEM: Revista de la Fundación Educación Médica
                FEM (Ed. impresa)
                Fundación Educación Médica y Viguera Editores, S.L. (Barcelona, Barcelona, Spain )
                2014-9832
                2014-9840
                2020
                : 23
                : 4
                : 193-197
                Affiliations
                [1] México City orgnameUniversidad Nacional Autónoma de México orgdiv1Facultad de Medicina orgdiv2Departamento de Integración de Ciencias Médicas. Centro de Enseñanza y Certificación de Aptitudes Médicas (DICiM-CECAM) Mexico
                Article
                S2014-98322020000400005 S2014-9832(20)02300400005
                e0222cbf-070a-4ca8-a42c-d50ebcf9eff9

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 30 March 2020
                : 07 February 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 11, Pages: 5
                Product

                SciELO Spain

                Categories
                Originales

                Medicine,Simulación,Rehabilitación cardíaca,Medicina,Fisioterapia,Educación interprofesional,Simulation,Physical therapy,Interprofessional education,Cardiac rehabilitation

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