Grymonpre Ruby, Bowman Susan, Rippin-Sisler Cathy, Klaasen Kathleen, Bapuji Sunita B, Norrie Ola, Metge Colleen
a IPE Coordinator , University of Manitoba , Winnipeg , Manitoba , Canada.
b Physiotherapy and Orthopedic Clinic , Grace Hospital , Winnipeg , Manitoba , Canada.
J Interprof Care. 2016 Sep;30(5):559-66. doi: 10.1080/13561820.2016.1181611. Epub 2016 Jun 13.
Despite growing awareness of the benefits of interprofessional education and interprofessional collaboration (IPC), understanding how teams successfully transition to IPC is limited. Student exposure to interprofessional teams fosters the learners' integration and application of classroom-based interprofessional theory to practice. A further benefit might be reinforcing the value of IPC to members of the mentoring team and strengthening their IPC. The research question for this study was: Does training in IPC and clinical team facilitation and mentorship of pre-licensure learners during interprofessional clinical placements improve the mentoring teams' collaborative working relationships compared to control teams? Statistical analyses included repeated time analysis multivariate analysis of variance (MANOVA). Teams on four clinical units participated in the project. Impact on intervention teams pre- versus post-interprofessional clinical placement was modest with only the Cost of Team score of the Attitudes Towards Healthcare Team Scale improving relative to controls (p = 0.059) although reflective evaluations by intervention team members noted many perceived benefits of interprofessional clinical placements. The significantly higher group scores for control teams (geriatric and palliative care) on three of four subscales of the Assessment of Interprofessional Team Collaboration Scale underscore our need to better understand the unique features within geriatric and palliative care settings that foster superior IPC and to recognise that the transition to IPC likely requires a more diverse intervention than the interprofessional clinical placement experience implemented in this study. More recently, it is encouraging to see the development of innovative tools that use an evidence-based, multi-dimensional approach to support teams in their transition to IPC.
尽管人们越来越意识到跨专业教育和跨专业协作(IPC)的益处,但对于团队如何成功过渡到IPC的理解仍然有限。学生接触跨专业团队有助于他们将基于课堂的跨专业理论整合并应用到实践中。另一个好处可能是强化IPC对指导团队成员的价值,并加强他们的IPC能力。本研究的研究问题是:与对照组相比,在跨专业临床实习期间对预执照学习者进行IPC培训、临床团队促进和指导,是否能改善指导团队的协作工作关系?统计分析包括重复时间分析多元方差分析(MANOVA)。四个临床科室的团队参与了该项目。跨专业临床实习前后对干预团队的影响不大,尽管干预团队成员的反思性评价指出了跨专业临床实习的许多益处,但只有医疗保健团队态度量表中的团队成本得分相对于对照组有所改善(p = 0.059)。在跨专业团队协作评估量表的四个子量表中的三个上,对照组(老年病科和姑息治疗科)的得分显著更高,这凸显了我们需要更好地理解老年病科和姑息治疗科环境中促进卓越IPC的独特特征,并认识到向IPC的过渡可能需要比本研究中实施的跨专业临床实习经历更多样化的干预措施。最近,令人鼓舞的是看到开发了创新工具,这些工具采用基于证据的多维度方法来支持团队向IPC过渡。