Grace Sandra, Innes Ev, Joffe Beverly, East Leah, Coutts Rosanne, Nancarrow Susan
a School of Health and Human Sciences , Southern Cross University , Lismore , New South Wales , Australia.
b School of Health and Human Sciences , Southern Cross University , Coolangatta , Queensland , Australia.
J Interprof Care. 2017 May;31(3):325-334. doi: 10.1080/13561820.2017.1288091. Epub 2017 Mar 8.
This article reviews the competency frameworks of seven Australian health professions to explore relationships among health professions of similar status as reflected in their competency frameworks and to identify common themes and values across the professions. Frameworks were compared using a constructivist grounded theory approach to identify key themes, against which individual competencies for each profession were mapped and compared. The themes were examined for underlying values and a higher order theoretical framework was developed. In contrast to classical theories of professionalism that foreground differentiation of professions, our study suggests that the professions embrace a common structure and understanding, based on shared underpinning values. We propose a model of two core values that encompass all identified themes: the rights of the client and the capacity of a particular profession to serve the healthcare needs of clients. Interprofessional practice represents the intersection of the rights of the client to receive the best available healthcare and the recognition of the individual contribution of each profession. Recognising that all health professions adhere to a common value base, and exploring professional similarities and differences from that value base, challenges a paradigm that distinguishes professions solely on scope of practice.
本文回顾了澳大利亚七个健康职业的能力框架，以探讨在能力框架中体现出的具有相似地位的健康职业之间的关系，并确定各职业间的共同主题和价值观。采用建构主义扎根理论方法对框架进行比较，以确定关键主题，并据此对每个职业的个体能力进行映射和比较。对这些主题进行潜在价值观审视，并构建了一个高阶理论框架。与突出职业分化的经典专业理论不同，我们的研究表明，这些职业基于共同的基础价值观，拥有共同的结构和理解。我们提出了一个包含所有已确定主题的两个核心价值观模型：客户的权利以及特定职业满足客户医疗保健需求的能力。跨专业实践代表了客户获得最佳可用医疗保健的权利与对每个职业个体贡献的认可的交集。认识到所有健康职业都遵循共同的价值基础，并从该价值基础探索专业的异同，挑战了仅根据执业范围区分职业的范式。
