'More effort and more time.' Considerations in the establishment of interprofessional education programs in the workplace

'More effort and more time.' Considerations in the establishment of interprofessional education programs in the workplace
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DOI:
10.1080/13561820.2017.1381076
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发表时间:
2018-01-01
影响因子:
2.7
通讯作者:
Haines, Terry
Haines, Terry
中科院分区:
医学3区
文献类型:
--
作者:
Kent, Fiona;Nankervis, Katrina;Haines, Terry

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将跨专业教育(IPE)活动整合到工作场所的论点与协作临床实践的呼吁同时提出。对一个大城市卫生保健网络的现有活动进行了探索性的个案研究调查,以了解未来IPE倡议的发展情况。目的抽样邀请参与设计或提供工作场所IPE活动的临床医生参加半结构化访谈,讨论他们现有的计划以及未来工作面临的机遇和挑战。访谈被录音、转录和主题分析。总共采访了15名临床医生,分别代表医学、护理、职业治疗、药剂学、物理治疗、心理学、社会工作和言语病理学。确定的IPE计划包括一个医学和助产士学生研讨会,几个专门的应届毕业生或实习生计划,结合专业和多个继续专业发展计划。确定了三个主导主题来指导未来工作的发展:临床医生因素、组织因素和IPE考虑因素。除了与在工作场所融入职业的教育相关的文化、物质和后勤挑战外,在制定此类计划时,还应考虑到设计和提供综合团队培训所需的时间。对可持续性的考虑包括对临床医生教育技能的持续投资、建立专门的教育角色和扩大现有的教育活动。
The argument for integrating interprofessional education (IPE) activities into the workplace has been made concurrently with the call for collaborative clinical practice. An exploratory case study investigation of existing activities in a large metropolitan health care network was undertaken to inform the development of future IPE initiatives. Purposive sampling invited clinicians involved in the design or delivery of workplace IPE activities to participate in a semi-structured interview to discuss their existing programs and the opportunities and challenges facing future work. Interviews were audiotaped, transcribed and thematically analysed. In total, 15 clinicians were interviewed representing medicine, nursing, occupational therapy, pharmacy, physiotherapy, psychology, social work and speech pathology. The IPE programs identified included one medical and midwifery student workshop, several dedicated new graduate or intern programs combining the professions and multiple continuing professional development programs. Three dominant themes were identified to inform the development of future work: clinician factors, organisational factors and IPE considerations. In addition to the cultural, physical and logistical challenges associated with education that integrates professions in the workplace, the time required for the design and delivery of integrated team training should be accounted for when establishing such programs. Considerations for sustainability include ongoing investment in education skills for clinicians, establishment of dedicated education roles and expansion of existing education activities.