Faculty of Health Sciences, University of Tromsø, Tromsø, Norway.
J Multidiscip Healthc. 2012;5:201-5. doi: 10.2147/JMDH.S33089. Epub 2012 Aug 13.
There are an increasing number of educational programs to improve clinical competence and skills to treat mental disorders. For complex disorders there is also a focus on improving the quality of interprofessional work. This paper reports on interprofessional outputs of an educational program on eating disorders. A total of 207 professionals who completed the program were requested to describe up to 12 possible scenarios depicted as realistic prospects for their future work within this field. Analyzing the scenarios resulted in three categories of describing the participants' preferences: (1) interprofessional interventions and treatment; (2) the further development of competence; and (3) organization of the health care system. The findings showed that the participants were considering working across new lines in their current workplaces or crossing borders to new frontiers in the execution of competence. Our findings may be summarized into the concept of "clinical confidence." This concept has so far been understood as some kind of personal trait, disposition, or attitude. The present findings add nuances to this concept in terms of state-dependent encouragement, engagement, and a potential to act and to cross professional borders in order to better treat complex mental disorders.
越来越多的教育项目旨在提高治疗精神障碍的临床能力和技能。对于复杂的障碍，也注重提高跨专业工作的质量。本文报告了一个关于饮食障碍的教育项目的跨专业成果。要求完成该项目的 207 名专业人员描述最多 12 个可能的场景，这些场景被描绘为他们未来在该领域工作的现实前景。对这些场景进行分析得出了描述参与者偏好的三个类别：（1）跨专业干预和治疗；（2）能力的进一步发展；（3）医疗保健系统的组织。研究结果表明，参与者正在考虑在其当前工作场所跨越新的界限开展工作，或者跨越边界，在执行能力方面开拓新的前沿。我们的研究结果可以概括为“临床信心”的概念。迄今为止，这个概念被理解为某种个人特质、性格或态度。本研究结果从依赖于状态的鼓励、参与以及采取行动和跨越专业界限以更好地治疗复杂精神障碍的潜力方面，为这个概念增添了微妙之处。
