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支持医疗保健专业跨专业教育的教师发展:一项实在论综合研究。

Faculty development to support interprofessional education in healthcare professions: A realist synthesis.

作者信息

Watkins Katherine Dolan

机构信息

a School of Nursing , Northern Arizona University , Flagstaff , Arizona , USA.

出版信息

J Interprof Care. 2016 Nov;30(6):695-701. doi: 10.1080/13561820.2016.1209466. Epub 2016 Jul 26.

DOI:10.1080/13561820.2016.1209466
PMID:27459591
Abstract

Interprofessional collaboration is expected of healthcare providers to effect positive patient care experiences, reduce healthcare costs, and improve population health. While interprofessional education (IPE) is essential to graduate collaboration-ready healthcare professionals, faculty have limited experience and expertise in facilitating IPE, slowing adoption of this strategy. Faculty who are expected to develop, implement, and facilitate IPE activities in health professions need support and training to be successful. Faculty development programmes specific to IPE are examined through a comprehensive realist synthesis. The review began by identification of the mechanisms underpinning the intervention and then continued through a search for evidence relevant to the identified mechanisms. From 1,749 citations reviewed, 15 articles and book chapters were synthesised. The findings demonstrate that through the mechanisms-roles and role modelling, valuing diversity, reflection, group process, and knowledge, skills, and attitudes for IPE-positive outcomes can be achieved. Outcomes of increasing capacity and sustainability of IPE programmes, forming networks of individuals concerned with IPE, and evaluating and assessing of outcomes of IPE, may all be achieved through these mechanisms. The contextual factors include attitudes and expectations, programme logistics, leadership, and commitment, which interact with the mechanisms to impact the outcomes. Multiple context-mechanism-outcome configurations were revealed and analysed which help to explain how faculty development for IPE works in varying settings.

摘要

医疗保健提供者之间需要进行跨专业协作,以实现积极的患者护理体验、降低医疗成本并改善人群健康。虽然跨专业教育(IPE)对于培养具备协作能力的医疗保健专业人员至关重要,但教师在促进IPE方面的经验和专业知识有限,这减缓了该策略的采用。期望在卫生专业中开展、实施和促进IPE活动的教师需要支持和培训才能取得成功。通过全面的现实主义综合分析来审视特定于IPE的教师发展计划。该综述首先确定干预措施的基础机制,然后继续寻找与已确定机制相关的证据。从审查的1749条引用文献中,综合了15篇文章和书籍章节。研究结果表明,通过角色与角色示范、重视多样性、反思、小组过程以及IPE的知识、技能和态度等机制,可以实现积极的成果。通过这些机制,可以实现提高IPE计划的能力和可持续性、形成关注IPE的个人网络以及评估和评价IPE成果等结果。背景因素包括态度和期望、计划后勤、领导力和承诺,这些因素与机制相互作用以影响结果。揭示并分析了多种背景-机制-结果配置,这有助于解释IPE教师发展在不同环境中的运作方式。

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