Snyman Stefanus, Von Pressentin Klaus B, Clarke Marina
Centre for Health Professions Education, Stellenbosch University , Tygerberg, Cape Town , South Africa and.
J Interprof Care. 2015;29(4):313-9. doi: 10.3109/13561820.2015.1004041. Epub 2015 Jan 23.
Patient-centred and community-based care is required for promotion of health equity. To enhance patient-centred interprofessional care, the World Health Organization recommends using the framework of the International Classification of Functioning, Disability and Health (ICF). Stellenbosch University's Interprofessional Education and Collaborative Practice (IPECP) strategy has promoted using ICF since 2010. Undergraduate medical students on rural clinical placements are expected to use ICF in approaching and managing patients. Students' ability to develop interprofessional care plans using ICF is assessed by a team of preceptors representing various health professions. This study explored the experiences of medical students and their preceptors using ICF in IPECP, and how patients perceived care received. Associative Group Analysis methodology was used to collect data for this study. In total, 68 study participants were enrolled of which 37 were medical students, 16 preceptors and 15 patients. Students found ICF enabled a patient-centred approach and reinforce the importance of context. Patients felt listened to and cared for. Preceptors, obliged to use ICF, came to appreciate the advantages of interprofessional care, promoting mutually beneficial teamwork and job satisfaction. The value of integrating IPECP as an authentic learning experience was demonstrated as was ICF as a catalyst in pushing boundaries for change.
促进健康公平需要以患者为中心和基于社区的护理。为加强以患者为中心的跨专业护理,世界卫生组织建议使用《国际功能、残疾和健康分类》(ICF)框架。自2010年以来,斯泰伦博斯大学的跨专业教育与协作实践(IPECP)战略一直在推动ICF的使用。农村临床实习的本科医学生在接诊和治疗患者时应使用ICF。由代表不同卫生专业的带教老师组成的团队会评估学生使用ICF制定跨专业护理计划的能力。本研究探讨了医学生及其带教老师在IPECP中使用ICF的经验,以及患者对所接受护理的看法。本研究采用关联组分析方法收集数据。共有68名研究参与者,其中37名医学生、16名带教老师和15名患者。学生们发现ICF有助于采取以患者为中心的方法,并强化了背景的重要性。患者感到自己被倾听和关心。带教老师因必须使用ICF,开始认识到跨专业护理的优势,促进了互利的团队合作和工作满意度。将IPECP作为一种真实的学习体验的价值得到了证明,ICF作为推动变革界限的催化剂的价值也得到了证明。