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急症护理环境中的跨专业教育:临床教师的观点。

Inter-professional Education in the Acute-Care Setting: The Clinical Instructor's Point of View.

作者信息

Chau Jennifer, Denomme Jocelyn, Murray Judy, Cott Cheryl A

机构信息

Jennifer Chau, BScPT, MScPT: Physiotherapist, Day Hospital, Bruyère Continuing Care, Ottawa, Ontario.

出版信息

Physiother Can. 2011 Winter;63(1):65-75. doi: 10.3138/ptc.2009-41. Epub 2011 Jan 20.

Abstract

PURPOSE

The purpose of this study was to gain an understanding of the opportunities and challenges involved in providing clinical inter-professional education (IPE) to physical therapy (PT) students in the acute-care setting from the perspective of PT clinical instructors (CIs).

METHODS

Focus groups were conducted in four acute-care hospitals in Toronto. Participants were recruited using a purposive and convenience sampling approach in order to enhance our understanding of the perceptions of acute-care PT CIs. Eighteen full-time PT CIs with an average of 11 years in practice participated. A constant comparative process was employed to identify recurrent issues and themes within and between groups.

RESULTS

Three main themes emerged from the focus groups: (1) Clinical IPE happens when inter-professional collaboration (IPC) occurs; however, IPC differs according to setting, access to other professions, time, support, and structure. (2) IPE is a lifelong learning process that applies to both CIs and students. (3) Student preparedness is a prerequisite for clinical IPE.

CONCLUSIONS

IPC is an integral part of clinical IPE that requires ongoing commitment and reflection by CIs to ensure that they are ready to instruct students who have some preparation in formal IPE. More knowledge about providing clinical IPE in a structured manner, through academic and health institutions, will allow CIs to become role models for future generations of PT students.

摘要

目的

本研究旨在从物理治疗临床带教教师(CIs)的角度,了解在急症护理环境中为物理治疗(PT)专业学生提供临床跨专业教育(IPE)所涉及的机遇与挑战。

方法

在多伦多的四家急症护理医院开展了焦点小组访谈。采用立意抽样和便利抽样相结合的方法招募参与者,以加深我们对急症护理PT临床带教教师看法的理解。18位平均从业11年的全职PT临床带教教师参与了研究。运用持续比较法来确定组内和组间反复出现的问题及主题。

结果

焦点小组访谈得出了三个主要主题:(1)当跨专业协作(IPC)发生时,临床IPE才会出现;然而,IPC会因环境、与其他专业人员接触的机会、时间、支持和结构的不同而有所差异。(2)IPE是一个适用于临床带教教师和学生的终身学习过程。(3)学生的准备情况是临床IPE的先决条件。

结论

IPC是临床IPE不可或缺的一部分,临床带教教师需要持续投入并进行反思,以确保他们能够指导那些在正规IPE中有所准备的学生。通过学术机构和医疗机构以结构化方式提供更多关于临床IPE的知识,将使临床带教教师成为未来几代PT专业学生的榜样。

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