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Interprofessional meetings, organization, and interactive practices: the reflexive achievement of patient-centeredness. 跨专业会议、组织和互动实践:以病人为中心的反思性成就。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-28 DOI: 10.1080/13561820.2024.2407070
Sara Keel, Anja Schmid, Veronika Schoeb

Interprofessional meetings are crucial for achieving patient-centeredness in healthcare. Exactly how patient-centeredness is reached during these meetings remains underexamined. Adopting an Ethnomethodology and Conversation Analysis (hereafter EMCA) perspective, this contribution looks at video-recordings of interprofessional meetings in two distinct healthcare settings: rehabilitation and internal medicine. It aims to provide new insight into how investigations of patient-centeredness as a reflexive achievement allow us to better understand the organizational and relational efforts required to achieve it in practice. This contribution outlines how different healthcare contexts result in variety in the meeting frequency, duration, aims, participants, and agendas, which in turn means that the opportunities for patient-centeredness are not the same. But it also illustrates how patient-centeredness depends on the ways the various opportunities are seized and play out in the interprofessional interactions. It is therefore argued here that research on how patient-centeredness is reached in interprofessional meetings and the development of recommendations for enhancing it both require consideration of context-specific conditions and how participants adapt to and simultaneously modify them to achieve patient-centeredness in practice.

专业间会议对于在医疗保健中实现以患者为中心至关重要。在这些会议中,究竟是如何实现以患者为中心的,目前仍未得到充分研究。本文采用民族方法学和会话分析(以下简称 EMCA)的视角,研究了在康复和内科这两种不同的医疗环境中跨专业会议的视频录像。其目的是提供新的见解,让我们了解将 "以患者为中心 "作为一种反思性成就的研究如何让我们更好地理解在实践中实现 "以患者为中心 "所需的组织和关系努力。本文概述了不同的医疗环境如何导致会议频率、持续时间、目的、参与者和议程的多样性,这反过来又意味着实现以患者为中心的机会也不尽相同。但这也说明,以病人为中心如何取决于抓住各种机会的方式,以及在专业间互动中的表现。因此,本文认为,研究如何在跨专业会议中实现以患者为中心,以及制定加强以患者为中心的建议,都需要考虑特定的背景条件,以及参与者如何适应并同时改变这些条件,以便在实践中实现以患者为中心。
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引用次数: 0
Correction. 更正。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-17 DOI: 10.1080/13561820.2024.2417559
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引用次数: 0
Leveraging the strengths of a global network to adapt and sustain interprofessional education and collaborative practice during the COVID-19 pandemic. 利用全球网络的优势,在 COVID-19 大流行期间调整和维持跨专业教育与合作实践。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-14 DOI: 10.1080/13561820.2024.2405981
Vikki Park, Dean Lising, Jill E Thistlethwaite, Anthony P Breitbach, Andrea L Pfeifle, Hossein Khalili

The COVID-19 pandemic impacted interprofessional education and collaborative practice (IPECP), and global educators collaborated to mitigate the impact. This report reflects the innovations of the global network InterprofessionalResearch.Global (IPR.Global), exploring adaptations and emerging practices in IPECP, and formation of the COVID-19 Taskforce. In response to widespread change and crisis in the pandemic, the Taskforce mobilized global collaboration by forming working groups which led to IPECP innovations through IPR.Global reports, publications, and knowledge forums. Tuckman's theory of group formation is used to explore interprofessional group structures and to understand how network members adapted and collaborated effectively through stages of group development. By leveraging the strengths of IPR.Global, an established global network, adaptations could be made to sustain IPECP in the pandemic, sharing and exploring experiences of emerging best practice through collaborations, group working and knowledge mobilization. Whilst the pandemic impacted IPECP across the world, global networks and teams were key to developing, advancing, and sustaining interprofessional innovations. Through exploring the lessons learned, future collaborations can consider how to promote knowledge mobilization, and sustainability within the global community of practice and advance IPECP by considering team formation theory.

COVID-19 大流行影响了跨专业教育与合作实践 (IPECP),全球教育工作者通力合作以减轻影响。本报告反映了全球网络 InterprofessionalResearch.Global(IPR.Global)的创新,探讨了 IPECP 的适应性和新兴实践,并成立了 COVID-19 特别工作组。为应对大流行病的广泛变化和危机,特别工作组通过成立工作组来动员全球合作,这些工作组通过 IPR.Global 报告、出版物和知识论坛实现了 IPECP 创新。塔克曼的小组形成理论被用来探索跨专业小组结构,了解网络成员如何在小组发展的各个阶段进行有效的调整和合作。IPR.Global 是一个成熟的全球网络,通过利用 IPR.Global 的优势,可以在大流行病期间对 IPECP 进行调整,通过合作、小组工作和知识动员来分享和探索新出现的最佳实践经验。虽然大流行病影响了全球的 IPECP,但全球网络和团队是发展、推进和维持跨专业创新的关键。通过探索经验教训,未来的合作可以考虑如何在全球实践社区内促进知识动员和可持续性,并通过考虑团队组建理论来推进 IPECP。
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引用次数: 0
From classroom to collaboration: how pre-graduation interprofessional learning shapes health professional graduates' interactions in practice. 从课堂到合作:毕业前的跨专业学习如何影响卫生专业毕业生在实践中的互动。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-10 DOI: 10.1080/13561820.2024.2407073
Sherryn Evans, Nicole Shaw, Catherine Ward, Gary D Rogers

Interprofessional education (IPE) aims to prepare health professional students with the knowledge, attitudes and skills required for collaborative healthcare practice. Although positive outcomes have been documented at the completion of university-based IPE experiences, or longitudinally across health care degrees, the literature is unclear on how university-based IPE influences graduate practice. This study therefore explores how health professional graduates experience interprofessional interactions in practice and how these may be connected to their university-based IPE experiences. Interviews with seven health professional graduates who had participated in an 11-week IPE course as part of their pre-licensure degrees were analyzed using interpretative phenomenological analysis. The participants were able to articulate instances of effective and less effective collaboration from their professional experiences, making sense of these experiences with explicit reference to the themes of role understanding, collaborative working relationships, interprofessional communication, patient-centered care and contextual influences; all ideas introduced in their university-based IPE. They connected their understanding of roles, collaborative working relationships and interprofessional communication explicitly to their prior university-based IPE, identifying these learnings as foundational knowledge. This connection was not as explicit for patient-centered care and contextual issues. These findings highlight the critical importance of IPE in preparing health professionals for high-quality contemporary practice.

跨专业教育(IPE)旨在培养医疗专业学生具备合作医疗实践所需的知识、态度和技能。虽然在完成大学跨专业教育(IPE)或纵向跨医疗保健专业教育后,都会取得积极的成果,但有关大学跨专业教育如何影响毕业生实践的文献尚不明确。因此,本研究探讨了医疗专业毕业生在实践中是如何经历跨专业互动的,以及这些互动是如何与他们在大学的 IPE 经历联系在一起的。本研究采用解释现象学分析法,分析了对七名健康专业毕业生的访谈,这些毕业生参加了为期 11 周的 IPE 课程,该课程是他们获得执照前学位的一部分。参与者能够从他们的职业经历中阐明有效和不太有效的合作事例,并通过明确提及角色理解、协作工作关系、跨专业沟通、以患者为中心的护理和环境影响等主题(这些都是他们在大学 IPE 中引入的理念)来理解这些经历。他们将自己对角色、协作工作关系和跨专业沟通的理解与之前的大学 IPE 明确联系起来,将这些学习内容视为基础知识。在以病人为中心的护理和背景问题方面,这种联系就不那么明确了。这些发现凸显了 IPE 在培养卫生专业人员进行高质量的当代实践方面的至关重要性。
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引用次数: 0
Qualitative focus group study of interprofessional healthcare providers to inform the development of a virtual psychoeducational training program for the treatment of childhood interpersonal trauma. 对跨专业医疗服务提供者进行焦点小组定性研究,为开发治疗儿童人际创伤的虚拟心理教育培训项目提供信息。
IF 2.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-12 DOI: 10.1080/13561820.2024.2395989
Dana C Ross,Nancy McCallum,Aysha Butt,Annie K Truuvert,David Rojas,Sophie Soklaridis,Simone Vigod
The shortage of adequately trained healthcare providers (HCPs) able to treat adults who have experienced childhood interpersonal trauma (CIT) is a pressing concern. This study explored HCPs' training needs for a trauma-focused psychoeducational group intervention and the potential barriers and facilitators to accessing such training. Three 1-hour focus group sessions were conducted with HCPs (n = 17) from two urban and one rural community healthcare organization serving diverse populations in Ontario, Canada, including under-housed people, women struggling with mental health and addiction, and LGBTQ+ populations. On average, participants had 2.4 years in their current role and 18.1 years of mental health field experience. Thematic analysis revealed key findings: a strong clinical need for trauma services, accessible training programs, and broadly applicable interventions relevant for diverse populations. Notably, participants emphasized the clinical advantages and increased accessibility of a virtual training programs focused on psychoeducational treatment interventions, particularly within community-based healthcare settings. This study highlights the potential of a virtual psychoeducational training programs for HCPs to address this critical gap in healthcare provision for individual with CIT. It also underscores the need to move beyond training program development and focus on implementation and sustainability of interventions in clinical practice.
在治疗经历过童年人际创伤(CIT)的成年人方面,训练有素的医疗保健提供者(HCPs)的短缺是一个亟待解决的问题。本研究探讨了医护人员对以创伤为重点的心理教育小组干预的培训需求,以及获得此类培训的潜在障碍和促进因素。研究人员与来自加拿大安大略省两个城市和一个农村社区医疗机构的初级保健人员(n = 17)进行了 3 次 1 小时的焦点小组讨论,这些机构为不同人群提供服务,包括住房不足人群、与精神健康和成瘾作斗争的女性以及 LGBTQ+ 人群。参与者平均有 2.4 年的工作经验和 18.1 年的心理健康领域工作经验。主题分析揭示了主要发现:临床对创伤服务的强烈需求、可获得的培训计划以及与不同人群相关的广泛适用的干预措施。值得注意的是,参与者强调了以心理教育治疗干预为重点的虚拟培训项目的临床优势和可及性,尤其是在社区医疗机构中。本研究强调了为保健医生提供虚拟心理教育培训项目的潜力,以解决 CIT 患者保健服务中的这一关键缺口。研究还强调,除了开发培训项目外,还需要关注干预措施在临床实践中的实施和可持续性。
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引用次数: 0
Rethinking IPE duration: a five-year comparative analysis of competency development across two introductory IPE course models. 重新思考 IPE 持续时间:对两种入门 IPE 课程模式的能力培养进行为期五年的比较分析。
IF 2.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-12 DOI: 10.1080/13561820.2024.2395984
Peter Scal,Brian Sick,Christine Arenson,Sara E North
Best practices have not yet been established in the interprofessional education (IPE) literature to guide the ideal dose and duration of IPE experiences across the curriculum. As such, the content, structure, and delivery format of IPE offerings vary significantly across institutions. The University of Minnesota had the rare opportunity to evaluate learner-perceived collaborative competency outcomes due to the transition of its centrally offered introductory IPE course. Data were collected consistently, longitudinally, and for a high volume of learners and professions across two IPE course models applied within the same academic institution. Retrospective analysis of pre-post interprofessional collaborative competency scores collected for over 5,000 learners from 17 health profession degree programs demonstrated nearly identical self-reported competency attainment for both a 12- and 4-hour introductory IPE offering, assessed using the ICCAS tool over the course of 5-year format transition. If student-reported competency attainment is the same following an introductory IPE experience regardless of the dosage, then academic IPE programs may be better positioned by decreasing their introductory emphasis and instead focus their resources on exploring innovative workplace-based and competency-based IPE strategies in line with contemporary recommendations. Further studies are needed to explore the implications of and next steps in this line of research.
跨专业教育(IPE)文献中尚未确立最佳实践来指导整个课程中 IPE 体验的理想剂量和持续时间。因此,各院校提供的 IPE 课程在内容、结构和授课形式上存在很大差异。明尼苏达大学由于集中开设的 IPE 入门课程的过渡,难得有机会对学习者感知的合作能力成果进行评估。在同一所学术机构中,针对两种 IPE 课程模式的大量学习者和专业人员进行了持续、纵向的数据收集。对从 17 个卫生专业学位课程中收集的 5000 多名学生的跨专业合作能力前后评分进行了回顾性分析,结果表明,在 5 年的课程模式转换过程中,使用 ICCAS 工具对 12 小时和 4 小时的 IPE 入门课程进行评估后,学生的自我报告能力几乎完全相同。如果学生报告的能力达到情况在入门级 IPE 体验后是相同的,而不管其剂量如何,那么学术性 IPE 项目可能会通过减少其入门级重点而处于更有利的位置,转而将其资源集中在探索创新的基于工作场所和能力的 IPE 战略上,以符合当代的建议。我们还需要进一步的研究来探索这一研究方向的意义和下一步行动。
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引用次数: 0
Interprofessional education in traditional and complementary medicine: a scoping review. 传统医学和辅助医学的跨专业教育:范围界定综述。
IF 2.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-12 DOI: 10.1080/13561820.2024.2395978
Janaina Carneiro de Camargo,Mirelle Finkler,Juliana Praxedes Campagnoni,Mariana Cabral Schveitzer,Marta Verdi,Amie Steel,Fernando Hellmann
Interprofessional education (IPE) is a teaching method that improves collaboration and communication across health professions. There are consistent reports of poor interprofessional collaboration and communication between conventional health professionals and traditional and complementary medicine (TCM) professions. The application of IPE within courses that provide training in TCM requires close examination. This research aimed to identify the state of the art in IPE in TCM teaching. A scoping review was conducted. Thirteen databases were searched to identify citations up to March 2021. Thirty articles were selected after filtering for relevance against the inclusion criteria. The included articles were categorized into four a priori categories: Knowledge and Attitudes of students and professionals about TCM and IPE; Competencies of IPE in TCM; Teaching about TCM using IPE and Challenges and Opportunities for IPE in TCM. Nineteen of the included articles reported empirical research and primarily presented the evaluation of IPE activities within TCM courses or workshops; six studies consisted of texts with propositions and theoretical analyses; and five were case/experiential reports of IPE and TCM interventions, with or without evaluation of results. The studies report all health science students (undergraduate and graduate) exposed to IPE demonstrate a decrease in prejudice and an increase in knowledge about TCM. A sense of partnership developed through the collaborative competencies common to IPE and TCM and integrated care of patients. IPE in the context of TCM has been used for fostering integrative health care through the collaborative work of professional teams. Implementing IPE in TCM teaching requires inclusion in the curriculum, primarily undergraduate and research training.
跨专业教育(IPE)是一种能改善医疗卫生专业间合作与交流的教学方法。不断有报告指出,传统医疗专业人员与传统和补充医学(中医)专业人员之间的跨专业合作与沟通不畅。在提供中医培训的课程中应用 IPE 需要仔细研究。本研究旨在确定中医教学中 IPE 的现状。研究进行了范围审查。对 13 个数据库进行了检索,以确定截至 2021 年 3 月的引文。根据纳入标准筛选出 30 篇相关文章。纳入的文章被分为四个先验类别:学生和专业人员对中医药和 IPE 的认识和态度;中医药 IPE 的能力;利用 IPE 讲授中医药知识;中医药 IPE 的挑战和机遇。收录的文章中有 19 篇报告了实证研究,主要介绍了对中医课程或讲习班中的 IPE 活动的评估;有 6 篇研究由带有命题和理论分析的文本组成;有 5 篇是关于 IPE 和中医干预措施的案例/经验报告,带有或不带有结果评估。这些研究报告显示,所有接触过IPE的健康科学专业学生(本科生和研究生)对中医的偏见有所减少,对中医的认识有所提高。通过 IPE 和中医共同的协作能力以及对病人的综合护理,建立了合作意识。在中医背景下,IPE 被用于通过专业团队的协作工作促进综合医疗保健。在中医教学中实施IPE需要纳入课程,主要是本科生和研究培训。
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引用次数: 0
The Bright Ideas TBI Camp: fostering innovation in interprofessional education and collaborative practice for traumatic brain injury by students in rehabilitation professions. Bright Ideas TBI 夏令营:促进康复专业学生在跨专业教育和脑外伤协作实践方面的创新。
IF 2.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-12 DOI: 10.1080/13561820.2024.2395970
Laura W White,Kimberly G Smith,Carolyn Bates,Blair Saale,Dahye Choi,Shawn M Drake,Tara Thompson,Tara M Davis
This report describes an innovative interprofessional education collaborative practice (IPCP) experience for rehabilitation professions students using a unique on-campus camp model through a community-academic partnership. Throughout the three-day camp, known as the Bright Ideas TBI Camp, interprofessional student groups deliver tailored health and wellness services to individuals with disabilities due to traumatic brain injury and their caregivers. Initial program evaluation suggests that this camp model offers an effective IPCP experience for students while addressing community health needs. Further outcome evaluation is needed to determine the impact of the camp on students' development of IPCP competencies and health outcomes of clients and caregivers.
本报告介绍了通过社区-学术合作,采用独特的校内夏令营模式,为康复专业学生提供的创新跨专业教育合作实践(IPCP)体验。在为期三天的夏令营(即 Bright Ideas TBI 夏令营)中,跨专业学生小组为因创伤性脑损伤而致残的个人及其照顾者提供量身定制的健康和保健服务。初步项目评估表明,这种夏令营模式为学生提供了有效的 IPCP 体验,同时满足了社区的健康需求。还需要进一步的成果评估,以确定夏令营对学生 IPCP 能力发展以及客户和护理人员健康成果的影响。
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引用次数: 0
Patients' experiences of involvement at a clinical training ward: a qualitative interview study. 病人在临床培训病房的参与体验:定性访谈研究。
IF 2.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-12 DOI: 10.1080/13561820.2024.2395971
Sofia Hemle Jerntorp,Elisabeth Carlson,Malin Axelsson,Anna Carin Aho,Jenny Jakobsson
Interprofessional education aims to foster healthcare students' ability to collaborate in interprofessional teams with the patients at the center of care as active participants. However, little is known about how patients experience this collaboration. Therefore, this study aimed to explore patients' experiences of being involved in the interprofessional team of healthcare students at a clinical training ward in Sweden. A descriptive design with a qualitative approach was used. Data were collected through semi-structured individual interviews with 22 patients. Braun and Clarke's reflexive thematic analysis was used. The main finding was that patients were only included as passive participants. Although most patients wanted to be involved, they were hindered due to their health condition or excluded from care planning and decision-making. The patients needed family members' support to be involved. However, this need was not recognised by the interprofessional team of healthcare students. Patient involvement must be highlighted as an important component of interprofessional education initiatives. Further research is needed to explore family members' perspectives on involvement in interprofessional training ward settings.
跨专业教育旨在培养医护学生在跨专业团队中的协作能力,让患者作为积极的参与者成为医疗服务的中心。然而,人们对患者如何体验这种合作却知之甚少。因此,本研究旨在探讨瑞典一家临床培训病房的医护学生参与跨专业团队的患者体验。研究采用了描述性设计和定性方法。通过对 22 名患者进行半结构化个人访谈收集数据。采用了布劳恩和克拉克的反思性主题分析法。主要发现是患者只是作为被动参与者参与其中。虽然大多数患者都希望参与其中,但由于健康状况,他们受到阻碍,或被排除在护理规划和决策之外。病人需要家人的支持才能参与其中。然而,由医学生组成的跨专业团队并没有认识到这一需求。必须强调患者参与是跨专业教育活动的重要组成部分。需要进一步开展研究,探讨家属在跨专业培训病房环境中的参与观点。
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引用次数: 0
Evaluation of an interprofessional educational program in nursing home practice: a mixed methods multiple-case study. 疗养院实践中的跨专业教育项目评估:混合方法多案例研究。
IF 2.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-11 DOI: 10.1080/13561820.2024.2395966
Irene J M Muller-Schoof,Miranda Snoeren,Marjolein E A Verbiest,Katrien G Luijkx
Research has shown that interprofessional collaboration (IPC) and education (IPE) may potentially lead to better care for residents in nursing homes, but their implementation is challenging. This study evaluates the implementation of a co-designed IPE program and investigates what and how healthcare students learn and what factors influence their learning. A mixed-methods approach was used to evaluate three cases, with student participation in the IPE (n = 72). The study comprised pre- and posttests, focus groups, and interviews (n = 54). The results indicate that students developed their interprofessional skills and person-centered practice, as confirmed by both the students and educators in the interviews. Additionally, the findings suggest that others also learned from the program. The study emphasizes the influence of workplace learning culture, resources, organizational infrastructure for IPC, and educators' embeddedness in the care organization on learning outcomes. The findings suggest that IPE is stimulated and accelerated by existing IPC and can stimulate or accelerate existing IPC. As the enabling factors are interrelated, addressing them simultaneously on all organizational levels may result in the faster development of an IPE-ready organization.
研究表明,跨专业合作(IPC)和教育(IPE)有可能为疗养院的居民提供更好的护理,但其实施却充满挑战。本研究评估了共同设计的 IPE 项目的实施情况,并调查了医护学生的学习内容和方式,以及影响他们学习的因素。研究采用混合方法对三个案例进行评估,学生参与了 IPE(n = 72)。研究包括前测和后测、焦点小组和访谈(n = 54)。结果表明,学生发展了跨专业技能和以人为本的实践,这一点在访谈中得到了学生和教育者的证实。此外,研究结果表明,其他人也从该计划中学到了东西。研究强调了工作场所的学习文化、资源、IPC 的组织基础设施以及教育者嵌入护理组织对学习成果的影响。研究结果表明,现有的 IPC 可以激发和加速 IPE,也可以激发或加速现有的 IPC。由于这些有利因素是相互关联的,因此在组织的各个层面同时解决这些因素可能会加快发展一个为 IPE 做好准备的组织。
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引用次数: 0
期刊
Journal of Interprofessional Care
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