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医学和护理专业的往届本科生在参与跨专业培训 12-18 个月后,如何描述他们的学习情况?——回顾性定性分析。

How do former medical and nursing undergraduates describe their learning on an interprofessional training Ward 12-18 months later? - A retrospective qualitative analysis.

机构信息

Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.

Faculty of Social Sciences, Institute of Sociology, Goethe-University Frankfurt am Main, Frankfurt, Germany.

出版信息

BMC Med Educ. 2023 Apr 21;23(1):275. doi: 10.1186/s12909-023-04212-5.

Abstract

BACKGROUND

Interprofessional training wards (IPTWs) seem to deliver good results in terms of development of interprofessional competencies. However, evidence of long-term effects of these training wards on learners' competency development is lacking and little is known about retrospective evaluation of IPTWs. Therefore, this study aimed to explore the retrospective evaluation of competency development and interprofessional collaboration of former undergraduates 12 or more months after a placement on an IPTW.

METHODS

Eight follow-up interviews were conducted with four nursing and four medical professionals 12-18 months after they had finished a placement on an ITPW throughout their vocational training. Interviews were translated verbatim and analysed deductively and inductively based on qualitative content analysis.

RESULTS

The qualitative content analyses deductively identified two main categories regarding the research question, namely the uniqueness of the programme and interprofessional competencies developed by the Interprofessional Education Collaborative. Sub categories were identified inductively, representing the perceived competency development and the learning opportunities on the IPTW as compared to other clinical placements throughout vocational training and in transition to practice. Interviewees seemed to have developed competencies that are important for interprofessional collaboration such as communication, roles and responsibilities, as well as competencies in patient care and management. Considered beneficial for learning were the opportunity to work self-responsibly and the interprofessional collaboration on the IPTW, both of which were neither possible in almost any other placement nor in transition to practice.

CONCLUSION

Findings show that IPTWs can be sufficient in competency development and role clarification and are perceived positively by learners, but structures in clinical practice can impede sustaining competency development and efficient interprofessional collaboration.

摘要

背景

跨专业培训病房(IPTWs)似乎在跨专业能力发展方面取得了良好的效果。然而,这些培训病房对学习者能力发展的长期影响的证据不足,而且对于 IPTW 的回顾性评估知之甚少。因此,本研究旨在探讨在 IPTW 实习 12 个月或更长时间后,前大学生对能力发展和跨专业合作的回顾性评价。

方法

在完成 IPTW 实习 12-18 个月后,对 4 名护理专业人员和 4 名医疗专业人员进行了 8 次随访访谈。访谈内容逐字翻译,并根据定性内容分析进行演绎和归纳分析。

结果

定性内容分析演绎出两个主要类别来回答研究问题,即该计划的独特性和跨专业教育协作(Interprofessional Education Collaborative)发展的跨专业能力。通过归纳确定了子类别,代表了与整个职业培训和从实习过渡到实践过程中的其他临床实习相比,在 IPTW 上感知到的能力发展和学习机会。受访者似乎已经发展出了一些对跨专业合作很重要的能力,如沟通、角色和责任,以及患者护理和管理方面的能力。受访者认为在 IPTW 上能够自主工作和进行跨专业合作是有益的,这在几乎任何其他实习或从实习过渡到实践中都是不可能的。

结论

研究结果表明,IPTW 可以充分发展能力和明确角色,并且受到学习者的积极评价,但临床实践中的结构可能会阻碍能力发展和有效的跨专业合作。

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