Pullon Sue, McKinlay Eileen, Beckingsale Louise, Perry Meredith, Darlow Ben, Gray Ben, Gallagher Peter, Hoare Kath, Morgan Sonya
Department of Primary Health Care and General Practice, University of Otago, PO Box 7343, Wellington South, New Zealand.
J Prim Health Care. 2013 Mar 1;5(1):52-8.
Interprofessional education (IPE) has been shown to enhance interprofessional practice among health professionals. Until recently there has been limited opportunity to undertake such initiatives within existing pre-registration degree courses in New Zealand.
This study aimed to test the feasibility of delivering an interprofessional component within existing health professional courses for medicine, physiotherapy and dietetics at the University of Otago, Wellington, New Zealand.
An interprofessional case-based course component (on chronic condition management) was developed by academic clinical teachers from schools of medicine, physiotherapy and dietetics at the same location. Evaluation was undertaken using a previously validated pre- and post-survey tool, to ascertain changes in attitude among students towards interprofessional practice, IPE and the effectiveness of health care teams. Focus groups were conducted with students and teachers.
Survey results indicated pre-existing positive attitudes to interprofessional practice and education among students. There was a statistically significant increase in positive attitude towards such practice and education, and increased confidence in the effectiveness of heath care teams. Focus group findings were consistent with the survey results for students, and highlighted challenges experienced by the teachers.
Students and teachers alike enjoyed the interprofessional interaction and benefited from a collaborative approach to chronic condition management. The timing and nature of learning activities and assessment methods created logistical challenges. Such course components have potential to improve collaborative practice and the quality and safety of health care among graduates. Interprofessional course components need to be equitable across disciplines and embedded in the unidisciplinary courses.
跨专业教育(IPE)已被证明可增强卫生专业人员的跨专业实践能力。直到最近,在新西兰现有的预注册学位课程中开展此类举措的机会还很有限。
本研究旨在测试在新西兰惠灵顿奥塔哥大学现有的医学、物理治疗和营养学卫生专业课程中设置跨专业内容的可行性。
由同一地点的医学、物理治疗和营养学专业的学术临床教师开发了一个基于跨专业案例的课程部分(关于慢性病管理)。使用先前经过验证的课前和课后调查工具进行评估,以确定学生对跨专业实践、跨专业教育的态度变化以及医疗团队的有效性。对学生和教师进行了焦点小组访谈。
调查结果表明学生对跨专业实践和教育预先持有积极态度。对这种实践和教育的积极态度有统计学上的显著增加,并且对医疗团队的有效性信心增强。焦点小组的调查结果与学生的调查结果一致,并突出了教师所面临的挑战。
学生和教师都喜欢跨专业互动,并从慢性病管理的协作方法中受益。学习活动的时间安排和性质以及评估方法带来了后勤方面的挑战。此类课程部分有潜力改善毕业生的协作实践以及医疗保健的质量和安全性。跨专业课程部分需要在各学科之间保持公平,并融入单学科课程中。