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Interprofessional Education Module on Post–Intensive Care Syndrome for Internal Medicine Residents

BACKGROUND: Prevention of post–intensive care syndrome (PICS) in critically ill patients requires interprofessional collaboration among physicians, physical therapists, occupational therapists, speech–language pathologists, and nutritionists. Interprofessional education promotes interprofessional co...

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Autores principales: Hampton, Stephanie F., Carlbom, David, Steinkruger, Sarah, Heshelman, Kelly Ahern, Askevold, Jennifer, Hogle, Jamie M., Osaki, Maryanne T., Shelton, Marilyn M., Berger, Gabrielle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Thoracic Society 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9341477/
https://www.ncbi.nlm.nih.gov/pubmed/35924197
http://dx.doi.org/10.34197/ats-scholar.2021-0114IN
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author Hampton, Stephanie F.
Carlbom, David
Steinkruger, Sarah
Heshelman, Kelly Ahern
Askevold, Jennifer
Hogle, Jamie M.
Osaki, Maryanne T.
Shelton, Marilyn M.
Berger, Gabrielle
author_facet Hampton, Stephanie F.
Carlbom, David
Steinkruger, Sarah
Heshelman, Kelly Ahern
Askevold, Jennifer
Hogle, Jamie M.
Osaki, Maryanne T.
Shelton, Marilyn M.
Berger, Gabrielle
author_sort Hampton, Stephanie F.
collection PubMed
description BACKGROUND: Prevention of post–intensive care syndrome (PICS) in critically ill patients requires interprofessional collaboration among physicians, physical therapists, occupational therapists, speech–language pathologists, and nutritionists. Interprofessional education promotes interprofessional collaborative practice, yet formalized interprofessional education during residency is uncommon. OBJECTIVE: We sought to improve internal medicine residents’ knowledge of interprofessional roles in the intensive care unit (ICU) and confidence in managing PICS by designing a virtual multimodal training module. METHODS: We created a 3-hour virtual module with physical therapy, occupational therapy, speech–language pathology, and nutrition experts. First, learners reviewed PICS and multidisciplinary interventions to optimize patient recovery. Second, attendees watched videos created by physical therapy and occupational therapy colleagues demonstrating mobility strategies to manage ICU-acquired weakness and delirium. Third, participants learned how speech–language pathology experts evaluate and manage swallowing disorders. Finally, attendees identified common nutritional therapy challenges with a trivia session. Participants completed pre- and postcourse assessments. RESULTS: Thirty-four residents completed both pre- and postcourse assessments (52% response rate). The mean objective assessment score improved from 51% to 79% (P < 0.001). All respondents reported that their knowledge of PICS increased, and almost all (97%) believed that their knowledge of interprofessional roles increased. Respondents’ confidence in facilitating discussions about critical illness recovery significantly improved, from 77% rating as either not very confident or not at all confident before the course to 94% rating as somewhat confident or very confident after the course (P < 0.001). CONCLUSION: This single-site pilot study suggests that integrating interprofessional training in PICS education using virtual platforms may improve residents’ knowledge of interprofessional roles in the ICU and confidence in managing PICS.
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spelling pubmed-93414772022-08-02 Interprofessional Education Module on Post–Intensive Care Syndrome for Internal Medicine Residents Hampton, Stephanie F. Carlbom, David Steinkruger, Sarah Heshelman, Kelly Ahern Askevold, Jennifer Hogle, Jamie M. Osaki, Maryanne T. Shelton, Marilyn M. Berger, Gabrielle ATS Sch Innovations BACKGROUND: Prevention of post–intensive care syndrome (PICS) in critically ill patients requires interprofessional collaboration among physicians, physical therapists, occupational therapists, speech–language pathologists, and nutritionists. Interprofessional education promotes interprofessional collaborative practice, yet formalized interprofessional education during residency is uncommon. OBJECTIVE: We sought to improve internal medicine residents’ knowledge of interprofessional roles in the intensive care unit (ICU) and confidence in managing PICS by designing a virtual multimodal training module. METHODS: We created a 3-hour virtual module with physical therapy, occupational therapy, speech–language pathology, and nutrition experts. First, learners reviewed PICS and multidisciplinary interventions to optimize patient recovery. Second, attendees watched videos created by physical therapy and occupational therapy colleagues demonstrating mobility strategies to manage ICU-acquired weakness and delirium. Third, participants learned how speech–language pathology experts evaluate and manage swallowing disorders. Finally, attendees identified common nutritional therapy challenges with a trivia session. Participants completed pre- and postcourse assessments. RESULTS: Thirty-four residents completed both pre- and postcourse assessments (52% response rate). The mean objective assessment score improved from 51% to 79% (P < 0.001). All respondents reported that their knowledge of PICS increased, and almost all (97%) believed that their knowledge of interprofessional roles increased. Respondents’ confidence in facilitating discussions about critical illness recovery significantly improved, from 77% rating as either not very confident or not at all confident before the course to 94% rating as somewhat confident or very confident after the course (P < 0.001). CONCLUSION: This single-site pilot study suggests that integrating interprofessional training in PICS education using virtual platforms may improve residents’ knowledge of interprofessional roles in the ICU and confidence in managing PICS. American Thoracic Society 2022-06-30 /pmc/articles/PMC9341477/ /pubmed/35924197 http://dx.doi.org/10.34197/ats-scholar.2021-0114IN Text en Copyright © 2022 by the American Thoracic Society https://creativecommons.org/licenses/by-nc-nd/4.0/This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . For commercial usage and reprints, please e-mail Diane Gern.
spellingShingle Innovations
Hampton, Stephanie F.
Carlbom, David
Steinkruger, Sarah
Heshelman, Kelly Ahern
Askevold, Jennifer
Hogle, Jamie M.
Osaki, Maryanne T.
Shelton, Marilyn M.
Berger, Gabrielle
Interprofessional Education Module on Post–Intensive Care Syndrome for Internal Medicine Residents
title Interprofessional Education Module on Post–Intensive Care Syndrome for Internal Medicine Residents
title_full Interprofessional Education Module on Post–Intensive Care Syndrome for Internal Medicine Residents
title_fullStr Interprofessional Education Module on Post–Intensive Care Syndrome for Internal Medicine Residents
title_full_unstemmed Interprofessional Education Module on Post–Intensive Care Syndrome for Internal Medicine Residents
title_short Interprofessional Education Module on Post–Intensive Care Syndrome for Internal Medicine Residents
title_sort interprofessional education module on post–intensive care syndrome for internal medicine residents
topic Innovations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9341477/
https://www.ncbi.nlm.nih.gov/pubmed/35924197
http://dx.doi.org/10.34197/ats-scholar.2021-0114IN
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