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菲律宾治疗师对跨专业教育与协作的经验及态度:一项横断面调查。

Filipino therapists' experiences and attitudes of interprofessional education and collaboration: A cross-sectional survey.

作者信息

Sy Michael Palapal

机构信息

a Department of Occupational Therapy , Tokyo Metropolitan University , Tokyo , Japan.

b Department of Occupational Therapy , Angeles University Foundation , Angeles City , Philippines.

出版信息

J Interprof Care. 2017 Nov;31(6):761-770. doi: 10.1080/13561820.2017.1359509.

Abstract

For the past more than 50 years, the World Health Organisation has acknowledged through empirical findings that health workers that learn together work together effectively to provide the best care for their patients. This study aimed to: (1) describe the perceived extent of interprofessional education (IPE) experience among Filipino occupational therapists (OTs), physical therapists (PTs), and speech-language-pathologists (SLPs); (2) identify their attitudes towards interprofessional collaboration (IPC); and (3) compare their attitudes towards IPC according to: prior IPE experience, classification of IPE experience, profession, years of practice, and practice setting. Using a cross-sectional survey design, a two-part questionnaire was sent to Filipino OTs, PTs, and SLPs working in the Philippines via an online survey application. The first part of the survey contained eight items of demographic information and the second part contained the 14-item Attitudes Towards Health Care Teams Scale (ATHCTS). Findings revealed that among the Filipino OT, PT and SLP respondents (n = 189), 70.9% had prior experience on IPE. Moreover, the three most commonly used IPE teaching-learning strategies were case discussion (clinical setting), small group discussion, didactics, and case discussion (community setting), while the use of didactics and case discussion (community setting) yielded more agreeable attitudes towards IPC. Among the 14 items in the ATHCTS, 11 were rated with agreeability and three items with neutrality. For professional variables, only the practice setting variable yielded a statistically significant finding confirming those working in the academia to be more agreeable towards IPC compared to other settings. However, years of practice and professional background variables both yielded no statistically significant difference implying no association between years of practice and attitude towards IPC and a homogenous composition among respondents, respectively. The results of this research are to springboard IPE initiatives within Philippine higher education institutions to enable evidence-based IPC approaches in clinical practice.

摘要

在过去五十多年里,世界卫生组织通过实证研究发现,共同学习的医护人员能够有效协作,为患者提供最佳护理。本研究旨在:(1)描述菲律宾职业治疗师(OT)、物理治疗师(PT)和言语语言病理学家(SLP)对跨专业教育(IPE)体验的感知程度;(2)确定他们对跨专业协作(IPC)的态度;(3)根据以下因素比较他们对IPC的态度:先前的IPE经历、IPE经历分类、专业、执业年限和执业环境。采用横断面调查设计,通过在线调查应用程序向在菲律宾工作的菲律宾OT、PT和SLP发送了一份两部分的问卷。调查的第一部分包含八项人口统计学信息,第二部分包含14项医疗团队态度量表(ATHCTS)。研究结果显示,在菲律宾OT、PT和SLP受访者(n = 189)中,70.9%有过IPE经历。此外,三种最常用的IPE教学策略是病例讨论(临床环境)小组讨论、讲授法和病例讨论(社区环境),而讲授法和病例讨论(社区环境)的使用对IPC产生了更积极的态度。在ATHCTS的14项中,11项被评为积极,3项为中性。对于专业变量,只有执业环境变量产生了统计学上的显著结果,证实与其他环境相比,在学术界工作的人对IPC更积极。然而,执业年限和专业背景变量均未产生统计学上的显著差异,这分别意味着执业年限与对IPC的态度之间没有关联,以及受访者之间的构成具有同质性。本研究结果将为菲律宾高等教育机构内的IPE倡议提供跳板,以便在临床实践中采用循证IPC方法。

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