Effectiveness of interprofessional shared decision-making training: A mixed-method study |
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| Institution: | 1. School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan;2. Department of Urology, Taipei Medical University Hospital, Taipei, Taiwan;3. Department of Education, Taipei Medical University Hospital, Taipei, Taiwan;4. Department of Urology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;5. TMU Research Center of Urology and Kidney, Taipei Medical University, Taipei, Taiwan;6. Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan;7. Department of Nursing & Graduate Institute of Nursing, Asia University, Taichung, Taiwan;8. Department of Nursing, Meiho University, Pingtung, Taiwan;9. Graduate Institute of Humanities in Medicine, College of Humanities and Social Sciences, Taipei Medical University, Taipei, Taiwan;10. Department of Humanities in Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;11. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;12. Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan;13. Department of Physical Medicine and Rehabilitation & Geriatrics and Gerontology, Taipei Medical University Hospital, Taipei, Taiwan;14. College of Medicine, National Cheng Kung University, Tainan, Taiwan;1. Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium;2. Department of Human Genetics, KU Leuven, Leuven, Belgium;3. Department of Gynaecology and Obstetrics, Jessa Ziekenhuis, Hasselt, Belgium;4. Department of Development and Regeneration, KU Leuven, Leuven, Belgium;5. Department of Human Genetics, KU Leuven, Leuven, Belgium;1. Faculty of Science, School of Psychology, Griffith Taylor Building, The University of Sydney, NSW 2006, Australia;2. Psycho-Oncology Co-operative Research Group (PoCoG), Faculty of Science, School of Psychology, Level 6 North, Chris O′Brien Lifehouse, The University of Sydney, NSW 2006, Australia;1. C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, Ontario, Canada;2. eConsult BASE? Manitoba, Manitoba, Canada;3. School of Public Health, Edmonton Clinic Health Academy, University of Alberta, Edmonton, Canada;4. Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Canada;5. Ontario eConsult Centre of Excellence, The Ottawa Hospital, Ottawa, Canada;1. Nivel, Netherlands Institute for Health Services Research, Department of Communication in Healthcare, Utrecht, Netherlands;2. Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, Netherlands;3. Leiden University, Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden, Netherlands;4. Leiden University, Leiden Institute for Brain and Cognition, Leiden, Netherlands;5. Radboud University Medical Center, Department of Medical Oncology, Nijmegen, Netherlands;1. Division of General Pediatrics, Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, USA;2. Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia Research Institute, Philadelphia, USA;3. Maternal and Child Health Research Center, Department of Obstetrics and Gynecology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, USA;4. Division of Neonatology, Department of Pediatrics, Children’s Hospital of Philadelphia. Philadelphia, USA;5. Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, USA |
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| Abstract: | ObjectiveThis study evaluated the learning effects and examined the participants’ perceptions of an interprofessional shared decision-making (IP-SDM) training program.MethodsThis mixed-method study used a quasi-experimental pretest–posttest design in the quantitative phase and semi-structured interviews in the qualitative phase. The 6-week curriculum design, based on Kolb’s experiential learning cycle, consisted of two simulated objective structured clinical examinations with standardized patients and blended teaching methods through various course modules.ResultsA total of 39 multidisciplinary healthcare personnel completed the 6-week training program, and 32 of them participated in qualitative interviews. The IP-SDM training program effectively improved the SDM process competency of the participants from the perspectives of the participants, standardized patients, and clinical teachers. The interviews illustrated how the curriculum design enhanced learning; the effectiveness results indicated improvements in learners’ attitude, knowledge, skills, and teamwork.ConclusionThis IP-SDM training program improved multidisciplinary healthcare personnel’s competency, self-efficacy, and intention to engage in IP-SDM.Practice implicationsApplying Kolb's experiential learning cycle and blended teaching methods to develop and implement the IP-SDM training program can improve multidisciplinary healthcare personnel’s knowledge, attitude, skills, and teamwork in IP-SDM. |
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| Keywords: | Shared decision-making Interprofessional Medical education Objective structured clinical examination Mixed-method study |
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