以醫學擬真評量跨團隊臨床能力

The Use of Medical Simulation in Assessing the Interprofessional Clinical Competency

蔡淳娟(Tsuen-Chiuan Tsai)

《台灣擬真醫學教育期刊》 1卷1期 (2014/11) Pp. 7-13

https://doi.org/10.6582/JTSSH.2014.1(1).02

摘要

醫療人員的跨團隊教育訓練已普遍獲得重視，醫學擬真（medical simulation）與「擬真測驗」則是很有效的跨團隊臨床教育手法。「擬真測驗」乃實作型評量，除了耗費經費、人力及時間外，還因許多誤差及執行上的困難，而面臨挑戰。為了建立有效而可信賴的擬真評量工具，以成功地執行於跨團隊能力之評量，本研究整理了建構「跨團隊擬真評量工具」之五要點：涵蓋「團隊技術」與「個人技術」之評分項目；分別反應團隊能力與告人技術之構面定義；適當的尺標與項目比重。本研究介紹五種常用之跨團隊擬真評量工具：TEAM（Team Emergency Assessment Measure）；MayoHigh Performance Teamwork Scale（MHPTS）；Clinical Teamwork Scale（CTS）；Assessment of InterprofessionalTeam Collaboration Scale（AITCS）；及the Simulation Team Assessment Tool（STAT）。上述跨團隊擬真評量工具各有其適用之臨床情境與範圍，優點及受限之處，未來有待在台灣適當地使用這些評量工具，以幫助醫療人員學習，提升其臨床能力，而保障醫療品質與病人安全。

關鍵字

醫學擬真 ； 醫學教育 ； 評量 ； 跨團隊能力 ； 病人安全

並列摘要

The use of simulation in assessing healthcare personnel on their interprofessional collaboration has been considered important and also effective. However, implementing such a performance examination is challenging due to the intensive cost and manpower, the difficulty on standardization, plus rating biases. In order to conduct an examination that generates valid and reliable scores, this report summarized the tips to construct a quality assessment tool that measures interprofessional capacities with the use of mannequin- based simulation. Further, five such assessment tools were described on their uses, characteristics, and psychometric properties: TEAM (Team Emergency Assessment Measure ); Mayo High Performance Teamwork Scale (MHPTS); Clinical Teamwork Scale (CTS); Assessment of Interprofessional Team Collaboration Scale (AITCS); the Simulation Team Assessment Tool (STAT). The appropriate uses of simulationbased examination can enhance the teaching and learning on interprofessional capacities.

並列關鍵字

Medical Simulation ； Medical Education ； Assessment ； Interprofessional Competency ； Patient Safety