Reeves Scott
Department of Psychiatry, Development, Keenan Research Centre, Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Med Teach. 2008;30(7):699-704. doi: 10.1080/01421590801949958.
Clinical placements have been traditionally offered on a profession specific basis, and as a result, we have a good understanding of salient issues related to their development and delivery. We know less about the planning and implementation of collaborative clinical placements.
This paper presents key findings from a qualitative study that explored the collaborative processes connected to an interprofessional planning group who created and implemented a clinical placement for medical, nursing and allied health students.
An ethnographic approach was employed to explore the successes and challenges connected with the planning group's interprofessional work. Interviews, observations and documents were gathered over two years to obtain a comprehensive understanding of this placement.
The study found that while the planning group achieved a number of successes in their work including the implementation of a well-received pilot placement, their enthusiasm for the placement created a number of challenges. In particular, it resulted in them neglecting their roles, responsibilities and collaborative group processes, which created difficulties in their ability to work together. In addition, a turnover of members, changes in management and a hospital reorganization inhibited the group's collaborative work.
Collaboration around the planning and implementation of interprofessional placements is a complex venture. In striving for success in this work, planning groups need to focus their attention on both internal group-based factors as well external organizational factors.
传统上临床实习是基于特定专业提供的，因此，我们对与临床实习发展和实施相关的突出问题有很好的理解。我们对合作临床实习的规划和实施了解较少。
本文介绍了一项定性研究的主要发现，该研究探讨了与一个跨专业规划小组相关的合作过程，该小组为医学、护理和相关健康专业的学生创建并实施了一次临床实习。
采用人种志方法来探究与规划小组跨专业工作相关的成功经验和挑战。在两年时间里收集了访谈、观察资料和文件，以全面了解这次实习。
研究发现，虽然规划小组在工作中取得了一些成功，包括实施了一次广受好评的试点实习，但他们对实习的热情也带来了一些挑战。特别是，这导致他们忽视了自己的角色、职责和合作小组流程，从而给他们的合作能力带来了困难。此外，成员更替、管理变化和医院重组阻碍了小组的合作工作。
跨专业实习规划和实施方面的合作是一项复杂的工作。为了在这项工作中取得成功，规划小组需要关注基于小组内部的因素以及外部组织因素。
