運用跨領域團隊合作教育提升放射治療使用眼部遮擋塊之安全性

Interprofessional Education to Improve Safety of Cancer Patients Use Eye Shield During Radiation Therapy

呂曜廷(Yao-Ting Lu) ； 曾寶秀(Pao-Hsiu Tseng) ； 蔡巧琳(Chiao-Ling Tsai) ； 胡嬋娟(Chan-Chuan Hu) ； 黃子婕(Tzu-Jie Huang) ； 溫舒瑜(Shu-Yu Wen)

《台灣應用輻射與同位素雜誌》 16卷1期 (2020/03) Pp. 1827-1834

摘要

本研究以跨領域團隊合作教育模式（inter-professional education, IPE），擬定以病人為中心的教育課程，以75歲患左側淚囊腺癌之男性病人為例，放射治療團隊中各職類人員合作討論，訂定眼部腫瘤病人使用眼部遮擋塊（eye shield）接受放射治療之標準流程，並進行教案設計，包括臨床案例分享、教學輔助影片、擬真模式教育訓練，並以電子化測驗檢測學習成效與課程滿意度。共38位各職類之醫護人員參與課程，前後測驗滿分為100分，學前測驗平均分數為68.7±19.6分，學後測驗平均分數為96.8±4.6分，顯示課程有助於提升醫護人員之專業知識與技能（p ＜ 0.001）。將醫護人員依工作年資分為三年以下與超過三年兩個組別，不同年資之組別學前測驗結果有統計上顯著差異（p = 0.036），而後測結果無統計上顯著差異（p = 0.692），顯示課程可彌補工作經驗之差異。滿意度調查於課程內容、講師安排、教學方式與整體滿意度等面向為97.4%滿意，課程實用性為100%滿意，顯示此跨領與團隊合作教育成效卓越。透過本研究已突破傳統由醫師主導的單向領導式溝通，躍進為跨領域團隊合作之醫療照護模式（Interprofessional practice, IPP），提升照護品質與病人安全。

關鍵字

跨領域團隊合作教育 ； 跨領域團隊合作照護 ； 放射治療 ； 眼部遮擋塊 ； 病人安全

並列摘要

In this study, our group members from different professions collaborate and discuss together to perform a patient-centered inter-professional education (IPE). Using a 75-year-old man with lacrimal sac adenocarcinoma as an example, we established a standardized procedure for cancer patients who use eye shield during radiation therapy. We designed an education course, including case briefing, video-based skill demonstration and simulation-based procedural training. We performed online pre-tests and post-tests to analyze learning effectiveness and satisfaction. A total of 38 members attended the education course. With a total of 100 points, the average score of the pre-test was 68.7±19.6 points, and the average score of the post-test was 96.8±4.6 points, showing the attendants improved professional knowledge and skills through the course (p ＜ 0.001). Dividing the attendants into two groups with different years of services (years of service ≤ 3, years of service ＞ 3), there was a statistically significant difference in the pre-test (p = 0.036), and there was no statistically significant difference in the post-test (p = 0.692), showing we could eliminate the deficiency in working experience with the course. The satisfaction survey revealed 97.4% of the attendants was satisfied with the course content, instructors, teaching strategies and overall contentment, and 100% of the attendants was satisfied with the practicability. In general, interprofessional education achieved an excellent result. This study breaks the traditional physician-predominant clinical practice, and improves medical care quality and patient safety through interprofessional practice (IPP).

並列關鍵字

IPE ； IPP ； Radiation Therapy ； Eye Shield ； Patient Safety

參考文獻

World Health Organization(2010).(World Health Organization. Framework for action on interprofessional education & collaborative practice 2010.).

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