Reeves S, Freeth D
Department of Family & Community Medicine, University of Toronto, Toronto, ON, Canada.
J Psychiatr Ment Health Nurs. 2006 Dec;13(6):765-70. doi: 10.1111/j.1365-2850.2006.01032.x.
This paper revisits the formative evaluation of a pilot project that offered in-service interprofessional education (IPE), which is designed to enhance the collaborative practice, to two UK community mental health teams (CMHTs). While the IPE was well received and resulted in some improvements in team functioning, wider successes were elusive. Specifically, collaborative action plans were not implemented, and the pilot programme was ultimately not rolled out to other CMHTs. The purpose of this paper is to test the usefulness of the presage-process-product (3P) framework for analysis as a means to untangle the complex web of factors that promoted and inhibited success in this initiative. The framework, which captures key features of the initiative as a dynamic system, proved effective, yielding new insights, making connections clearer and highlighting the critical importance of presage. We argue that use of the 3P model during the development of in-service IPE could ensure that planning oversights are minimized, thereby improving outcomes.
本文重新审视了一个试点项目的形成性评估,该项目为两个英国社区心理健康团队(CMHTs)提供了在职跨专业教育(IPE),旨在加强协作实践。虽然IPE受到了好评,并在团队运作方面取得了一些改进,但更广泛的成功却难以实现。具体而言,协作行动计划未得到实施,试点项目最终也未推广到其他CMHTs。本文的目的是检验预因-过程-结果(3P)分析框架的实用性,以此作为理清促进和阻碍该项目成功的复杂因素网络的一种手段。该框架将该项目的关键特征作为一个动态系统进行捕捉,证明是有效的,产生了新的见解,使联系更加清晰,并突出了预因的至关重要性。我们认为,在在职IPE的开发过程中使用3P模型可以确保将规划疏忽降至最低,从而改善结果。