Educación interprofesional y seguridad del paciente: una revisión sistemática

María Cristina Hoyos García; Sandra Milena Velásquez Palacio

María Cristina Hoyos García Universidad de Antioquia (Medellín, Colombia)
Sandra Milena Velásquez Palacio Centros Especializados de San Vicente Fundación (Medellín, Colombia)

Palabras clave: Educación interprofesional, Colaboración interprofesional, Seguridad del paciente

Key-words: Interprofessional education, Interprofessional collaboration, Patient safety

Palavras chave: Educação interprofissional, Colaboração interprofissional, Segurança do paciente

Resumen

Introducción: la educación interprofesional (EIP) se define como una iniciativa educativa, formativa o docente que involucra a más de una profesión en el aprendizaje conjunto e interactivo. La formación del recurso humano en salud tiene como desafío plantear soluciones a la escasez de personal sanitario en el mundo y formar profesionales que tengan un desempeño óptimo. Objetivo: caracterizar las publicaciones relacionadas con la implementación de modelos en educación interprofesional y el impacto generado en algunos aspectos relacionados con la seguridad del paciente. Método: se realizó una revisión sistemática de la literatura científica en Pubmed, Science Direct, Scielo, LILACS y Google Scholar con siete estrategias de búsqueda garantizando la exhaustividad y reproducibilidad en las fases de la guía PRISMA. Resultados: se incluyeron n = 33 estudios de los cuales n = 19 (57,5%) fueron aplicados en el contexto hospitalario, n = 14 (42,4%) utilizaron metodologías cuasiexperimentales, de estos n = 4 estudios miden desenlaces directos relacionados con la seguridad del paciente, y en los otros n = 29 (87,8%) se encontró una mejora en la comunicación, percepción y conocimiento en los equipos de trabajo. Conclusión: el aprendizaje interprofesional mejora la comunicación y la interacción entre los profesionales de salud. No obstante, es difícil generalizar los resultados debido a la diversidad de metodologías de interacción interprofesional aplicadas en los estudios

Abstract

Introduction: interprofessional education (IPE) is an educational, training, or teaching initiative involving more than one profession in joint and interactive learning. The challenge of training human resources in health is to propose solutions to the shortage of health personnel globally and to train professionals who have optimal performance. Objective: characterize the publications related to the implementation of interprofessional education models and the impact generated in aspects related to patient safety. Method: a systematic review of the scientific literature was carried out in PubMed, Science Direct, SciElo, LILACS, and Google Scholar with seven search strategies guaranteeing completeness and reproducibility in the phases of the PRISMA guide. Results: n = 33 studies were included, of which n = 19 (57.5%) were applied in the hospital context, n = 14 (42.4%) used quasi-experimental methodologies, of these n = 4 studies measure direct outcomes related to patient safety, and in the other n = 29 (87.8%) an improvement was found in communication, perception, and knowledge in in the work teams. Conclusion: interprofessional learning improves communication and interaction between health professionals. However, it is difficult to generalize the results due to the diversity of interprofessional interaction methodologies applied in the studies

Resumo

Introdução: a educação interprofissional (EIP) é definida como uma iniciativa educacional, de treinamento ou de ensino que envolve mais de uma profissão na aprendizagem conjunta e interativa. O desafio da formação de recursos humanos em saúde é propor soluções para a carência de pessoal de saúde no mundo e formar profissionais com ótimo desempenho. Objetivo: caracterizar as publicações relacionadas à implantação de modelos na educação interprofissional e o impacto gerado em alguns aspectos relacionados à segurança do paciente. Método: foi realizada uma revisão sistemática da literatura científica no Pubmed, Science Direct, Scielo, LILACS e Google Scholar com sete estratégias de busca garantindo completude e reprodutibilidade nas fases do guia PRISMA. Resultados: n = 33 estudos foram incluídos, dos quais n = 19 (57,5%) foram aplicados no contexto hospitalar, n = 14 (42,4%) utilizaram metodologias quase-experimentais, destes n = 4 estudos medem resultados diretos relacionados com a segurança do paciente, e nos demais n = 29 (87,8%) houve melhora na comunicação, percepção e conhecimento nas equipes de trabalho. Conclusão: a aprendizagem interprofissional melhora a comunicação e a interação entre os profissionais de saúde. No entanto, é difícil generalizar os resultados devido à diversidade de metodologias de interação interprofissional aplicadas nos estudos

Bibliografía

1. World Health Organization. Framework for action on interprofessional education and collaborative practice. Geneva: WHO; 2010.
2. istlethwaite JE. Interprofessional education. J Clin Nurs. 2008;17(4):425-6. https://doi.org/10.1111/j.1365-27 02.2007.02161.x
3. istlethwaite J. Interprofessional education: a review of context, learning and the research agenda. Med Educ. 2012;46(1):58-70. 10.1111/j.1365-2923.2011.04143.x
4. istlethwaite J. Interprofessional education: 50 years and counting. Med Educ. 2012 Ene;50(11):1082-6. https:/ /doi.org/10.1111/medu.12959
5. Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010 Nov;376(9756):1923-58. ht tps://doi.org/10.1016/S0140-6736(10)61854-5
6. Menezes F, Rodrigues F, Cassiani S. Interprofessional health education in the region of the Americas. Rev. Latino- Am. Enfermagem. 2018;26:e3013. https://doi.org/10.1590/1518-8345.0000.3013
7. Zwarenstein M, Reeves S, Barr H, Hammick M, Koppel I, Atkins J. Interprofessional education: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2001;(1):CD002213. https://do i.org/10.1002/14651858.CD002213
8. Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev.6:CD000072.
9. Reeves S, Clark E, Lawton S, Ream M, Ross F. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Int J Qual Health Care. 2017 Abr;29(2):144-50. https://doi.org/1 0.1093/intqhc/mzx008
10. Poling D, Labarbera D, Kiersma M. Does interprofessional education change student attitudes about interprofessional learning and patient safety? Health, Interprofessional Practice and Education. 2015;2(3):eP1074. http://doi.org/10.7772/2159-1253.1074
11. Liaw SY, Zhou WT, Lau TC, Siau C, Chan SW. An interprofessional communication training using simulation to enhance safe care for a deteriorating patient. Nurse Educ Today. 2014 Feb;34(2):259-64. http://doi.org/10. 1016/j.nedt.2013.02.019
12. Vandenbroucke JP., Von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Mejorar la comunicación de estudios observacionales en epidemiología (STROBE): explicación y elaboración. Gac Sanit. 2009 Abr; 23(2):158e1-158e28.
13. Sauter TC, Hautz WE, Hostettler S, Brodmann-Maeder M, Martinolli L, Lehmann B, et al. Interprofessional and interdisciplinary simulation-based training leads to safe sedation procedures in the emergency department. Scand J Trauma Resusc Emerg Med. 2016;24:97. https://doi.org/10.1186/s13049-016-0291-7
14. James TA, Page JS, Sprague J. Promoting interprofessional collaboration in oncology through a teamwork skills simulation programme. J Interprof Care. 2016;30(4):539-41. https://doi.org/10.3109/13561820.2016.1169261
15. Wong AH, Gang M, Szyld D, Mahoney H. Making an “attitude adjustment”: using a simulation-enhanced interprofessional education strategy to improve attitudes toward teamwork and communication. Simul Healthc. 2016 Abr;11(2):117-25. https://doi.org/10.1097/SIH.0000000000000133
16. Nagelkerk J, Peterson T, Pawl BL, Teman S, Anyangu AC, Mlynarczyk S, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64. https://doi.org/10 .3109/13561820.2014.885935
17. Wilson AJ, Palmer L, Levett-Jones T, Gilligan C, Outram S. Interprofessional collaborative practice for medication safety: Nursing, pharmacy, and medical graduates’ experiences and perspectives. J Interprof Care. 2016 Sep;30(5):649-54. https://doi.org/10.1080/13561820.2016.1191450
18. Cox M, Cuff P, Brandt B, Reeves S, Zierler B. Measuring the impact of interprofessional education on collaborative practice and patient outcomes. J Interprof Care. 2016;30(1):1-3. https://doi.org/10.3109/13561820.2015.11 11052
19. Brock D, Abu-Rish E, Chiu CR, Hammer D, Wilson S, Vorvick L, et al. Interprofessional education in team communication: working together to improve patient safety. Postgrad Med J. 2013 Nov;22(5):414-23. https:// doi.org/10.1136/postgradmedj-2012-000952rep
20. Foronda C, MacWilliams B, McArthur E. Interprofessional communication in healthcare: An integrative review. Nurse Educ Pract. 2016;19:36-40. https://doi.org/10.1016/j.nepr.2016.04.005
21. Evans AM, Ellis G, Norman S, Luke K. Patient safety education - a description and evaluation of an international, interdisciplinary e-learning programme. Nurse Educ Today. 2014 Feb;34(2):248-51. https://doi.org/10.1016/ j.nedt.2013.03.009
22. Lisbon D, Allin D, Cleek C, Roop L, Brimacombe M, Downes C, et al. Improved knowledge, attitudes, and behaviors aer implementation of teamstepps training in an academic emergency department: a pilot report. Am J Med Qual. 2016;31(1):86-90. https://doi.org/10.1177/1062860614545123

Educación interprofesional y seguridad del paciente: una revisión sistemática

Interprofessional Education and Patient Safety: A Systematic Review

Educação interprossional e segurança do paciente: uma revisão sistemática

Resumen

Abstract

Resumo

Bibliografía