Horsburgh Margaret, Perkins Rod, Coyle Barbara, Degeling Pieter
School of Nursing, The University of Auckland, New Zealand.
J Interprof Care. 2006 Aug;20(4):425-31. doi: 10.1080/13561820600805233.
This study sought to determine the attitudes, beliefs and values towards clinical work organization of students entering undergraduate medicine, nursing and pharmacy programmes in order to frame questions for a wider study. In the Faculty of Medical and Health Sciences, The University of Auckland students entering medicine, nursing and pharmacy programmes completed a questionnaire based on that used by Degeling et al. in studies of the professional subcultures working in the health system in Australia, New Zealand, England and elsewhere. Findings indicate that before students commence their education and training medical, nursing and pharmacy students as groups or sub-cultures differ in how they believe clinical work should be organized. Medical students believe that clinical work should be the responsibility of individuals in contrast to nursing students who have a collective view and believe that work should be systemized. Pharmacy students are at a mid-point in this continuum. There are many challenges for undergraduate programmes preparing graduates for modern healthcare practice where the emphasis is on systemized work and team based approaches. These include issues of professional socialization which begins before students enter programmes, selection of students, attitudinal shifts and interprofessional education.
本研究旨在确定本科医学、护理和药学专业新生对临床工作组织的态度、信念和价值观，以便为更广泛的研究设计问题。在奥克兰大学医学与健康科学学院，医学、护理和药学专业的新生根据Degeling等人在澳大利亚、新西兰、英国及其他地方对卫生系统中专业亚文化的研究所使用的问卷，完成了一份调查问卷。研究结果表明，在开始接受教育和培训之前，医学、护理和药学专业的学生作为不同的群体或亚文化，在他们认为临床工作应如何组织方面存在差异。与具有集体观念、认为工作应系统化的护理专业学生不同，医学专业学生认为临床工作应由个人负责。药学专业学生处于这一连续体的中间位置。对于为现代医疗实践培养毕业生的本科课程来说，存在许多挑战，现代医疗实践强调系统化工作和基于团队的方法。这些挑战包括在学生进入课程之前就开始的职业社会化问题、学生选拔、态度转变和跨专业教育。
