Begley Cecily M
School of Nursing and Midwifery, Trinity College Dublin, Dublin 2, Ireland.
Nurse Educ Today. 2009 Apr;29(3):276-83. doi: 10.1016/j.nedt.2008.09.006. Epub 2009 Jan 4.
Teamwork and collaboration between all health professionals results in high quality clinical care, and increased job satisfaction for staff. Encouraging inter-professional learning (IPL) may be advantageous in developing more effective teams. There is little rigorous research in this area, but many small uncontrolled studies do demonstrate positive results. IPL involves structured learning opportunities that enhance problem-solving abilities and conflict resolution. It should be clearly differentiated from shared teaching (or multidisciplinary/multiprofessional learning), where common content is taught to many professions without any intention to develop interaction. To counteract the sometimes negative attitudes in both students and staff, educators need to commence IPL early in the programme, base it in both theoretical and clinical placements and ensure that it is valued and assessed. Difficulties with timetabling and accommodation need to be solved prior to commencement. A facilitator should be employed, and a team of committed lecturers developed, with an emphasis on teamwork and the discouragement of individualism. Opportunities for student interaction and ways of improving group dynamics within non-threatening learning environments should to be sought, and instances of conflict embraced and resolved. Future IPL programmes should be rigorously evaluated and may demonstrate enhanced inter-professional relationships and improved quality of patient/client care.
所有医疗专业人员之间的团队合作与协作可带来高质量的临床护理,并提高员工的工作满意度。鼓励跨专业学习(IPL)可能有利于组建更高效的团队。该领域的严谨研究较少,但许多小型非对照研究确实显示出了积极成果。IPL包括结构化的学习机会,可提高解决问题的能力和冲突解决能力。它应与共享教学(或多学科/多专业学习)明确区分开来,共享教学是向多个专业教授共同的内容,无意促进互动。为了消除学生和员工有时存在的消极态度,教育工作者需要在课程早期就开展IPL,将其建立在理论和临床实习基础上,并确保其得到重视和评估。在课程开始前,需要解决时间安排和住宿方面的困难。应聘请一名协调员,并组建一支敬业的讲师团队,强调团队合作并抑制个人主义。应寻求学生互动的机会以及在无威胁的学习环境中改善团队氛围的方法,接受并解决冲突事件。未来的IPL课程应进行严格评估,可能会展现出更紧密的跨专业关系以及更高质量的患者/客户护理。