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跨专业教育系统评价证据的综合

Synthesis of systematic review evidence of interprofessional education.

作者信息

Reeves Scott, Goldman Joanne, Burton Andrea, Sawatzky-Girling Brenda

机构信息

Keenan Research Centre, Li Ka Shing Knowledge Institute of St Michaels Hospital, 30 Bond Street, Toronto, ON M5B 1X2, Canada. Tel 416-864-6060 ext 2417, fax 416-864-3025.

出版信息

J Allied Health. 2010 Fall;39 Suppl 1:198-203.

PMID:21174040
Abstract

Interprofessional education (IPE) continues to be a central focus within health care and research spheres. As a result, there is a sustained interest in understanding its overall effects on learners, professions, organizations, and patients. Systematic reviews are instrumental in assessing evidence and informing disciplinary fields about the effects of interventions and providing direction for future activity and research. This paper provides a synthesis and critical appraisal of the evidence for IPE contained in the small, but growing, systematic review literature. Six IPE reviews were located. In general, the reviews shared similar definitions of IPE and similar methodological approaches to their inclusion of studies. Findings from the synthesis indicated that IPE varied in terms of content, duration, and professional participation. The synthesis also indicated that studies that evaluated this form of education were of variable quality and captured a range of different outcomes-from reports of learner satisfaction to changes in the delivery of care. While a number of methodological problems were found, in general the synthesis indicated that IPE delivered in a variety of settings was generally well received by learners and enabled the acquisition of knowledge and skills necessary for collaborative working. Some evidence was also found that IPE can improve the delivery of services and make a positive impact on care. The paper goes on to discuss the synthesis findings in relation to the most recent IPE literature and also offers a series of suggestions for future directions.

摘要

跨专业教育(IPE)仍然是医疗保健和研究领域的核心关注点。因此,人们一直对了解其对学习者、专业、组织和患者的总体影响保持浓厚兴趣。系统评价有助于评估证据,为各学科领域提供有关干预措施效果的信息,并为未来的活动和研究提供方向。本文对虽数量不多但不断增加的系统评价文献中有关IPE的证据进行了综合和批判性评估。共找到六项IPE综述。总体而言,这些综述对IPE的定义相似,纳入研究的方法也相似。综合分析结果表明,IPE在内容、时长和专业参与方面存在差异。综合分析还表明,评估这种教育形式的研究质量参差不齐,涵盖了一系列不同的结果——从学习者满意度报告到护理服务提供方面的变化。虽然发现了一些方法学问题,但总体而言,综合分析表明,在各种环境中开展的IPE普遍受到学习者的欢迎,并能使他们获得协作工作所需的知识和技能。还发现一些证据表明,IPE可以改善服务提供,并对护理产生积极影响。本文接着讨论了与最新IPE文献相关的综合分析结果,并为未来方向提出了一系列建议。

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