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探索专家对使用跨专业教育以支持社区居住老年人护理中的协作实践的看法。

An exploration of experts' perceptions on the use of interprofessional education to support collaborative practice in the care of community-living older adults.

作者信息

Ploeg Jenny, Markle-Reid Maureen, Fisher Anita, Bookey-Bassett Sue, Chambers Tracey, Kennedy Laurie, Morsy Mona, Dufour Sinéad

机构信息

a Aging, Community and Health Research Unit, School of Nursing, Faculty of Health Sciences , McMaster University , Hamilton , ON , Canada.

b Department of Health, Aging and Society, Faculty of Social Sciences , McMaster University , Hamilton , ON , Canada.

出版信息

J Interprof Care. 2017 Sep;31(5):638-647. doi: 10.1080/13561820.2017.1347610. Epub 2017 Aug 9.

Abstract

Globally, as older adults are living longer and with more chronic conditions, there is a need to support their ability to age optimally in their homes and communities. Community-based interprofessional teams working closely with these older adults, their families, and informal caregivers will be instrumental in achieving this goal. Interprofessional education (IPE) is the means through which these teams can develop expertise in collaboratively working together with older adults. However, most IPE occurs in academic settings, and acute and long-term care sectors and little is known about IPE in the context of home and community care of older adults. The purpose of this study was to describe perceptions of academic and practice experts related to the current state of IPE in home and community care of older adults and the changes that are necessary to meet the future needs of practitioners and older adults. Using a qualitative descriptive design, interviews were conducted with 32 national and international key informants representing practitioners, educators, researchers, and health system decision-makers in the field of IPE. Thematic analysis of the data identified six themes: (a) client and family-centred care at the core of IPE, (b) the community as a unique learning setting across the learning continuum; (c) an aging-relevant IPE curriculum; (d) faculty commitment and resources for IPE; (e) technological innovation to support IPE; and (f) comprehensive IPE programme evaluation and research. These findings are explored through the lens of an interprofessional learning continuum model. The article concludes with a discussion of the study implications for IPE practice and research specifically in the care of community-living older adults.

摘要

在全球范围内,由于老年人寿命延长且患有更多慢性疾病,因此需要支持他们在家庭和社区中实现最佳老龄化的能力。与这些老年人、他们的家人以及非正式护理人员密切合作的社区跨专业团队将有助于实现这一目标。跨专业教育(IPE)是这些团队培养与老年人协作专业知识的途径。然而,大多数IPE发生在学术环境以及急性和长期护理部门,对于老年人家庭和社区护理背景下的IPE了解甚少。本研究的目的是描述学术和实践专家对老年人家庭和社区护理中IPE现状的看法,以及满足从业者和老年人未来需求所需的变革。采用定性描述性设计,对32名代表IPE领域从业者、教育工作者、研究人员和卫生系统决策者的国内外关键信息提供者进行了访谈。对数据的主题分析确定了六个主题:(a)以客户和家庭为中心的护理是IPE的核心;(b)社区作为贯穿学习连续体的独特学习环境;(c)与老龄化相关的IPE课程;(d)教师对IPE的承诺和资源;(e)支持IPE的技术创新;(f)全面的IPE项目评估和研究。通过跨专业学习连续体模型来探讨这些发现。文章最后讨论了该研究对IPE实践和研究的意义,特别是在社区居住老年人护理方面。

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