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临床教育工作者对跨专业教育与协作的态度:来自两个跨专业量表的见解

Attitudes of clinician educators towards interprofessional education and collaboration: Insights from two interprofessional scales.

作者信息

Ong Sik Yin, Tan Nigel C K, Knab Mary S, Farrell Susan E, Lim Wee Shiong

机构信息

a Health Outcomes and Medical Education Research (HOMER) , National Healthcare Group , Singapore.

b Department of Neurology , National Neuroscience Institute , Singapore.

出版信息

J Interprof Care. 2017 Sep;31(5):656-660. doi: 10.1080/13561820.2017.1320275. Epub 2017 May 9.

Abstract

The increasing complexity of healthcare needs underlines the growing importance of interprofessional education and collaborative practice (IPECP) in enhancing quality of patient care. In particular, clinician educators play an influential role in advocating IPECP. The primary goal of our exploratory pilot study is to explore 34 clinician educators' attitudes towards IPECP by using the adapted 14-item Attitudes Toward Health Care Teams Scale (ATHCTS) and 15-item Readiness for Interprofessional Learning Scale (RIPLS). Mean scores of ATHCTS and RIPLS were 3.81 (SD = 0.90) and 4.02 (SD = 0.79), respectively. Using exploratory factor analysis, we identified four factors: team value (ATHCTS), team efficiency (ATHCTS), teamwork and collaboration (RIPLS), and professional socialisation (RIPLS). The "team efficiency" factor on the ATHCTS scored lowest (factor mean = 3.49) compared with other factors (factor means = 3.87-4.08). Correlation analyses revealed that the "team efficiency" factor had small correlations with other factors (r = -0.05-0.37). Our clinician educators valued IPECP in promoting teamwork and professional socialisation but they perceived IPECP to compromise efficiency. The issue of perceived inefficiency by clinician educators merits attention in order to promote wider implementation of IPECP.

摘要

医疗保健需求日益复杂,凸显了跨专业教育与协作实践(IPECP)在提高患者护理质量方面的重要性与日俱增。特别是,临床医生教育工作者在倡导IPECP方面发挥着重要作用。我们探索性试点研究的主要目标是,通过使用改编后的14项医疗保健团队态度量表(ATHCTS)和15项跨专业学习准备量表(RIPLS),探究34位临床医生教育工作者对IPECP的态度。ATHCTS和RIPLS的平均得分分别为3.81(标准差 = 0.90)和4.02(标准差 = 0.79)。通过探索性因素分析,我们确定了四个因素:团队价值(ATHCTS)、团队效率(ATHCTS)、团队合作与协作(RIPLS)以及职业社会化(RIPLS)。与其他因素(因素均值 = 3.87 - 4.08)相比,ATHCTS上的“团队效率”因素得分最低(因素均值 = 3.49)。相关性分析显示,“团队效率”因素与其他因素的相关性较小(r = -0.05 - 0.37)。我们的临床医生教育工作者重视IPECP在促进团队合作和职业社会化方面的作用,但他们认为IPECP会影响效率。临床医生教育工作者认为存在效率低下的问题值得关注,以便推动IPECP更广泛的实施。

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