培养人文主义和专业精神的跨专业教师:最重要的定性分析

E. Rider, D. Navedo, William T. Branch, Jr.
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摘要

医疗保健专业人员的协作能力影响教师和学员的职业认同形成、福祉和护理质量。作为一个多机构项目*的一部分,我们在波士顿儿童医院/哈佛医学院为人文跨专业教育的领导者创建了教师奖学金。我们的目标是培养信任关系、反思能力、协作技能,并在学习环境中共同促进人文价值。目的:从参与者“学到的最重要的东西”的报告中考察教师奖学金的影响。方法:我们研究了参与者在16个半小时的团契会议后的反思。课程内容包括:高效团队、高级团队组建、多样性/包容性、价值观、幸福/更新/倦怠、欣赏探究、叙事反思等。对于“你学到的最重要的东西是什么?”使用实证演绎方法定性分析。结果:参与者在16次会议中完成136次反思- 77%的回复率(136/176)。队列91%为女性;平均年龄52.6岁(32-65岁);完成最高学位后的平均年数21.4;64%拥有博士学位,36%拥有硕士学位。46%是医生,27%是护士,18%是社工,9%是心理学家。27%的人之前参加过专注于跨专业教育、合作或实践的学习经历。最重要的学习包括:关系能力/在关系中使用自我96/131 (73%);注意值46/131 (35%);反思/自我意识44/131 (34%);培养人文学习环境21/131(16%)。讨论:结果揭示了在人际关系中提高关系能力和使用自我的重要性,包括处理情绪;重视价值观;反思/自我意识和对假设的认识;营造人性化的学习环境。这些主题应该在跨专业教师发展计划中得到更多的重视,并可能有助于确定教学重点。*部分由Josiah Macy, Jr. Foundation的多机构资助(Branch博士担任PI;莱德博士为现场PI)。
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Training interprofessional faculty in humanism and professionalism: a qualitative analysis of what is most important
Introduction: The capacity of healthcare professionals to work collaboratively influences faculty and trainees’ professional identity formation, well-being, and care quality. Part of a multi-institutional project*, we created the Faculty Fellowship for Leaders in Humanistic Interprofessional Education at Boston Children’s Hospital/ Harvard Medical School. We aimed to foster trusting relationships, reflective abilities, collaboration skills, and work together to promote humanistic values within learning environments. Objective: To examine the impact of the faculty fellowship from participants’ reports of “the most important thing learned”. Methods: We studied participants’ reflections after each of 16 1½ hour fellowship sessions. Curriculum content included: highly functioning teams, advanced team formation, diversity/inclusion, values, wellbeing/renewal/burnout, appreciative inquiry, narrative reflection, and others. Responses to “What was the most important thing you learned?” were analyzed qualitatively using a positivistic deductive approach. Results: Participants completed 136 reflections over 16 sessions–77% response rate (136/176). Cohort was 91% female; mean age 52.6 (range 32-65); mean years since completion of highest degree 21.4; 64% held doctorates, 36% master’s degrees. 46% were physicians, 27% nurses, 18% social workers, 9% psychologists. 27% participated previously in a learning experience focusing on interprofessional education, collaboration or practice. Most important learning included: Relational capacities/ Use of self in relationships 96/131 (73%); Attention to values 46/131 (35%); Reflection/ Self-awareness 44/131 (34%); Fostering humanistic learning environments 21/131 (16%). Discussion: Results revealed the importance of enhancing relational capacities and use of self in relationships including handling emotions; attention to values; reflection/self-awareness and recognition of assumptions; and fostering humanistic learning environments. These topics should receive more emphasis in interprofessional faculty development programs and may help identify teaching priorities. *Supported in part by a multi-institutional grant from the Josiah Macy, Jr. Foundation (Dr. Branch as PI; Dr. Rider as site PI).
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