Reeves Scott, Freeth Della, McCrorie Peter, Perry David
City University, London, UK.
Med Educ. 2002 Apr;36(4):337-44. doi: 10.1046/j.1365-2923.2002.01169.x.
This paper presents findings from a multimethod evaluation of an interprofessional training ward placement for medical, nursing, occupational therapy and physiotherapy students.
Unique in the UK, and following the pioneering work at Linköping, the training ward allowed senior pre-qualification students, under the supervision of practitioners, to plan and deliver interprofessional care for a group of orthopaedic and rheumatology patients. This responsibility enabled students to develop profession-specific skills and competencies in dealing with patients. It also allowed them to enhance their teamworking skills in an interprofessional environment. Student teams were supported by facilitators who ensured medical care was optimal, led reflective sessions and facilitated students' problem solving.
Data were collected from all groups of participants involved in the ward: students, facilitators and patients. Methods included questionnaires, interviews and observations.
Findings are presented from each participating group, with a particular emphasis placed on the perspective of medicine. The study found that students valued highly the experiential learning they received on the ward and felt the ward prepared them more effectively for future practice. However, many encountered difficulties adopting an autonomous learning style during their placement. Despite enjoying their work on the ward, facilitators were concerned that the demands of their role could result in 'burn-out'. Patients enjoyed their ward experience and scored higher on a range of satisfaction indicators than a comparative group of patients.
Participants were generally positive about the training ward. All considered that it was a worthwhile experience and felt the ward should recommence in the near future.
本文介绍了一项针对医学、护理、职业治疗和物理治疗专业学生的跨专业培训病房实习的多方法评估结果。
该培训病房在英国独具特色,继林雪平的开创性工作之后,它允许高年级资格前学生在从业者的监督下,为一组骨科和风湿病患者规划并提供跨专业护理。这种职责使学生在与患者打交道时能够培养特定专业的技能和能力。这也使他们能够在跨专业环境中提高团队合作技能。学生团队得到了协调员的支持,这些协调员确保医疗护理达到最佳状态,主持反思会议并促进学生解决问题。
从参与病房实习的所有参与者群体收集数据:学生、协调员和患者。方法包括问卷调查、访谈和观察。
展示了每个参与群体的研究结果,特别强调了医学专业的视角。研究发现,学生高度重视他们在病房获得的体验式学习,并认为病房能让他们更有效地为未来的实践做好准备。然而,许多学生在实习期间难以采用自主学习方式。尽管协调员喜欢他们在病房的工作,但他们担心自己的工作要求可能导致“倦怠”。患者享受他们的病房体验,在一系列满意度指标上的得分高于一个对比患者组。
参与者对培训病房总体上持积极态度。所有人都认为这是一次有价值的经历,并认为病房应该在不久的将来重新启用。