Braithwaite Jeffrey, Westbrook Johanna I, Foxwell A Ruth, Boyce Rosalie, Devinney Timothy, Budge Marc, Murphy Karen, Ryall Mary-Ann, Beutel Jenny, Vanderheide Rebecca, Renton Elizabeth, Travaglia Joanne, Stone Judy, Barnard Amanda, Greenfield David, Corbett Angus, Nugus Peter, Clay-Williams Robyn
Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, 10 Arthur St, Kensington, NSW 2052, Australia.
BMC Health Serv Res. 2007 Sep 13;7:144. doi: 10.1186/1472-6963-7-144.
Inter-professional learning (IPL) and inter-professional practice (IPP) are thought to be critical determinants of effective care, improved quality and safety and enhanced provider morale, yet few empirical studies have demonstrated this. Whole-of-system research is even less prevalent. We aim to provide a four year, multi-method, multi-collaborator action research program of IPL and IPP in defined, bounded health and education systems located in the Australian Capital Territory (ACT). The project is funded by the Australian Research Council under its industry Linkage Program.
METHODS/DESIGN: The program of research will examine in four inter-related, prospective studies, progress with IPL and IPP across tertiary education providers, professional education, regulatory and registration bodies, the ACT health system's streams of care activities and teams, units and wards of the provider facilities of the ACT health system. One key focus will be on push-pull mechanisms, ie, how the education sector creates student-enabled IPP and the health sector demands IPL-oriented practitioners. The studies will examine four research aims and meet 20 research project objectives in a comprehensive evaluation of ongoing progress with IPL and IPP.
IPP and IPL are said to be cornerstones of health system reforms. We will measure progress across an entire health system and the clinical and professional education systems that feed into it. The value of multi-methods, partnership research and a bi-directional push-pull model of IPL and IPP will be tested. Widespread dissemination of results to practitioners, policymakers, managers and researchers will be a key project goal.
跨专业学习（IPL）和跨专业实践（IPP）被认为是有效医疗、提高质量与安全性以及提升医疗人员士气的关键决定因素，但鲜有实证研究能证明这一点。全系统研究更为少见。我们旨在针对澳大利亚首都地区（ACT）特定的、有明确范围的卫生与教育系统，开展一项为期四年的、多方法、多合作方的关于IPL和IPP的行动研究项目。该项目由澳大利亚研究理事会在其行业合作项目下提供资金支持。
方法/设计：该研究项目将通过四项相互关联的前瞻性研究，考察IPL和IPP在高等教育机构、专业教育、监管与注册机构、ACT卫生系统的护理活动流程以及ACT卫生系统提供机构设施的团队、科室和病房中的进展情况。一个关键重点将是推拉机制，即教育部门如何创造有利于学生的IPP，以及卫生部门如何需求以IPL为导向的从业者。这些研究将考察四个研究目标，并在对IPL和IPP的持续进展进行全面评估时实现20个研究项目目标。
IPP和IPL据说是卫生系统改革的基石。我们将衡量整个卫生系统以及为其提供支持的临床和专业教育系统的进展情况。多方法、合作研究以及IPL和IPP的双向推拉模式的价值将得到检验。向从业者、政策制定者、管理人员和研究人员广泛传播研究结果将是该项目的一个关键目标。
