[[alternative]]Using Online Forum to Assess the Learning Attitude of Interprofessional Practice in General Surgery Healthcare Professionals

[[abstract]]背景：跨領域團隊合作照護模式提供以病人為中心，提升照護品質，然而目前推行方式大多為既定時間與地點，以及制定的教案進行討論或情境模擬，無法處理臨床上立即問題，且以單向溝通缺乏互動。研究目的：藉由建構「網路論壇」對一般外科醫事人員「跨領域團隊合作照護學習態度」之成效及建構跨領域團隊合作照護教育網路論壇運作模式。研究方法：本研究採單組前後測之類實驗設計，以立意取樣方式，取樣於台灣北部某醫學中心一般外科病房醫事人員為研究對象，共收錄61位，運用「網路論壇」學習平台，增加促進者角色，鼓勵與引導同儕分享與溝通。於介入前、後填寫「跨領域團隊合作照護態度量表｣及滿意度問卷調查，以了解初次使用網路論壇狀況。以描述性統計、成對樣本t檢定、獨立樣本t檢定分析，了解跨領域團隊合作照護學習態度之改變，並以皮爾森相關分析來分析個人背景特徵與跨領域團隊合作學習態度與滿意度之相關性，最後以逐步迴歸分析學習態度對平台滿意度之預測力。研究結果：一般外科醫事人員接受「網路論壇」介入後於「跨領域團隊合作照護學習態度」達顯著差異。工作年資與分量表「角色與責任」進步有正向弱相關；後測學習態度分量表「正向專業認同」可有效地預測參與人員對跨領域團隊合作學習平台滿意度，並對平台滿意度有高度認同。結論：研究結果可提供其他科別於跨領域團隊合作照護教育實施之參考。[[abstract]]Background: The Interprofessional Practice care model provides patient-centered care and improves the quality of care. However, the current Interprofessional education (IPE)bases on teaching plans or simulation training program within fixed schedules andlocations, which is one-way communication without interaction. Furthermore,it indicates that the health professions can not deal with individual problems immediately.Objective: This study aims to determine the learning attitude and effectiveness of Interprofessional practice in General Surgery Healthcare Professionals by constructing an online forum for IPE.Methods: This study adopts an experimental design of one-group pretest-posttest by the purposive sampling, from a medical center of Taipei City, Taiwan, which includes61 participants of General Surgery Healthcare Professionals.There is a facilitator to encourage peer to share their professional perspectives,and facilitate communication.The participants’ learning attitude will be assessed onReadiness for Interprofessional Learning Scale (RIPLS) in pretest and posttest by platform. Moreover, participants also complete the satisfaction questionnaires about their using experience. Using descriptive statistics, paired sample t-tests, and independent sample t-test analysis the changes of participates’ learning attitudes towards using online forum.Pearson correlation coefficient is used to analysis personal background characteristics between Interprofessional Practice learning attitude and satisfaction.Finally using a stepwise regression analysis to predict the learning attitude and satisfaction of Online Forum is correlated.Results:The participates’ learning attitude have changed significant after using online forum. There is a positive and weak correlation between work experience and the subscale of“Role and Responsibilities”. The post-test learning attitude especially in “Positive Professional Identity” can effectively predict the satisfaction of participantswith online forum. Moreover, participants give online forum the positive evaluation.Conclusion:The results of the study can be referred to other department and centers