健康和社会护理的跨专业教育:时尚还是知情实践?

Deborah Craddock MA BSc (Hons) PGDip DPodM MChS, Cath O’Halloran PhD, Alan Borthwick PhD, Kath McPherson PhD
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引用次数: 80

摘要

这篇论文提出了一个重要的文献回顾跨专业教育在健康和社会护理的专业发展的连续性。特别地,它探讨了英国跨专业教育倡议的理论框架的范围和多样性。在这样做的过程中,本文强调了教育理论在更广泛的文献中的有限应用,特别是在所采用的方法的描述以及所选择的过程或结果测量的选择方面。尽管存在这些缺点,但对每个跨专业教育方案中使用的学习和教学方法的关注使正在应用的教育理论得到明确的分类(尽管是隐含的)。所确定的教育理论主要与成人学习理论和反思性实践者理论有关。然而,人们承认,仅凭这些理论不足以支撑跨专业教育。因此,理论也来源于群体行为和团队合作方法的社会心理学研究;以团队协作为核心的团队发展与团队学习理论;以及为跨专业教育提供信息的生物心理学理论。本文的结论是:(a)在开发新的干预措施时需要更明确地考虑理论;(b)应鼓励和促进在评价中参考教育理论;(c)如果要使保健和社会保健方面的跨专业教育发展成为一种知情的做法,而不是成为一种短暂的教育方式,就需要对不同的跨专业教育干预模式进行评估。
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Interprofessional education in health and social care: fashion or informed practice?

This paper presents a critical review of literature on interprofessional education in the continuum of professional development in health and social care. In particular it explores the range and variety of theoretical frameworks underpinning interprofessional education initiatives across the United Kingdom. In doing so this paper highlights the limited application of educational theory within the broader literature, particularly in the description of the methods employed and in the choices of processes or outcome measures selected. Despite these drawbacks, a focus on the learning and teaching methods used within each interprofessional education programme enabled an explicit categorization of the educational theories being applied (albeit implicitly). The educational theories identified predominantly linked to adult learning theory and reflective practitioner theory. It is, however, acknowledged that such theories alone are not enough to underpin interprofessional education. Theories were therefore also derived from social psychological studies of group behaviour and teamwork approaches; group development and team learning theories focusing on intragroup collaboration; and bio-psychological theories to inform interprofessional education. The paper concludes that (a) more explicit consideration of theory is required in the development of new interventions; (b) reference to educational theory in evaluation should be encouraged and facilitated; (c) evaluation of different models of interprofessional educational interventions is required if interprofessional education in health and social care is to develop as an informed practice rather than become a transient educational fashion.

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