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本文引用的文献

1
Interprofessional education in a rural community: the perspectives of the clinical workplace providers.农村社区的跨专业教育:临床工作场所提供者的观点。
J Prim Health Care. 2016 Sep;8(3):210-219. doi: 10.1071/HC16010.
2
What makes medical students receptive to interprofessional education? Findings from an exploratory case study.是什么让医学生接受跨专业教育?一项探索性案例研究的结果。
J Interprof Care. 2017 Sep;31(5):673-676. doi: 10.1080/13561820.2017.1340876. Epub 2017 Aug 9.
3
Pre-registration interprofessional clinical education in the workplace: a realist review.工作场所的预注册跨专业临床教育:一项现实主义综述
Med Educ. 2017 Sep;51(9):903-917. doi: 10.1111/medu.13346. Epub 2017 Jun 14.
4
Balancing health care education and patient care in the UK workplace: a realist synthesis.英国工作场所中医疗保健教育与患者护理的平衡:一个现实主义的综合研究。
Med Educ. 2017 Aug;51(8):787-801. doi: 10.1111/medu.13290. Epub 2017 Apr 20.
5
Learning to prescribe through co-working: junior doctors, pharmacists and consultants.通过合作学习开处方:初级医生、药剂师和顾问。
Med Educ. 2017 Apr;51(4):442-451. doi: 10.1111/medu.13227. Epub 2017 Feb 6.
6
Developing junior doctors' prescribing practices through collaborative practice: Sustaining and transforming the practice of communities.通过合作实践培养初级医生的处方习惯:维持和转变社区实践
J Interprof Care. 2017 Mar;31(2):263-272. doi: 10.1080/13561820.2016.1254164. Epub 2017 Jan 31.
7
Educating for interprofessional practice: moving from knowing to being, is it the final piece of the puzzle?跨专业实践教育:从知晓到践行,这是拼图的最后一块吗?
BMC Med Educ. 2017 Jan 6;17(1):5. doi: 10.1186/s12909-016-0844-5.
8
Using video-reflexive ethnography to capture the complexity of leadership enactment in the healthcare workplace.运用视频反思民族志来捕捉医疗工作场所领导行为的复杂性。
Adv Health Sci Educ Theory Pract. 2017 Dec;22(5):1101-1121. doi: 10.1007/s10459-016-9744-z. Epub 2016 Dec 30.
9
Learning in professionally 'distant' contexts: opportunities and challenges.在专业“远程”环境中的学习:机遇与挑战。
Adv Health Sci Educ Theory Pract. 2017 Aug;22(3):581-600. doi: 10.1007/s10459-016-9693-6. Epub 2016 Jun 13.
10
An overview of pedagogy and organisation in clinical interprofessional training units in Sweden and Denmark.瑞典和丹麦临床跨专业培训单位的教学法与组织概述。
J Interprof Care. 2016;30(2):156-64. doi: 10.3109/13561820.2015.1110690. Epub 2016 Mar 8.

了解学生和临床医生在工作场所进行非正式跨专业学习的经历:一项澳大利亚的定性研究。

Understanding students' and clinicians' experiences of informal interprofessional workplace learning: an Australian qualitative study.

作者信息

Rees Charlotte E, Crampton Paul, Kent Fiona, Brown Ted, Hood Kerry, Leech Michelle, Newton Jennifer, Storr Michael, Williams Brett

机构信息

Monash Centre for Scholarship in Health Education (MCSHE), Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.

Research Department of Medical Education, University College London, London, UK.

出版信息

BMJ Open. 2018 Apr 17;8(4):e021238. doi: 10.1136/bmjopen-2017-021238.

DOI:10.1136/bmjopen-2017-021238
PMID:29666140
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5905730/
Abstract

OBJECTIVES

While postgraduate studies have begun to shed light on informal interprofessional workplace learning, studies with preregistration learners have typically focused on formal and structured work-based learning. The current study investigated preregistration students' informal interprofessional workplace learning by exploring students' and clinicians' experiences of interprofessional student-clinician (IPSC) interactions.

DESIGN

A qualitative interview study using narrative techniques was conducted.

SETTING

Student placements across multiple clinical sites in Victoria, Australia.

PARTICIPANTS

Through maximum variation sampling, 61 participants (38 students and 23 clinicians) were recruited from six professions (medicine, midwifery, nursing, occupational therapy, paramedicine and physiotherapy).

METHODS

We conducted 12 group and 10 individual semistructured interviews. Themes were identified through framework analysis, and the similarities and differences in subthemes by participant group were interrogated.

RESULTS

Six themes relating to four research questions were identified: (1) conceptualisations of IPSC interactions; (2) context for interaction experiences; (3) the nature of interaction experiences; (4) factors contributing to positive or negative interactions; (5) positive or negative consequences of interactions and (6) suggested improvements for IPSC interactions. Seven noteworthy differences in subthemes between students and clinicians and across the professions were identified.

CONCLUSIONS

Despite the results largely supporting previous postgraduate research, the findings illustrate greater breadth and depth of understandings, experiences and suggestions for preregistration education. Educators and students are encouraged to seek opportunities for informal interprofessional learning afforded by the workplace.

摘要

目的

虽然研究生学习已开始揭示非正规的跨专业职场学习情况,但针对预注册学习者的研究通常集中在正规的、结构化的基于工作的学习上。本研究通过探索学生和临床医生在跨专业学生 - 临床医生(IPSC)互动中的经历,调查预注册学生的非正规跨专业职场学习情况。

设计

采用叙事技巧进行定性访谈研究。

背景

澳大利亚维多利亚州多个临床地点的学生实习岗位。

参与者

通过最大差异抽样,从六个专业(医学、助产、护理、职业治疗、护理急救和物理治疗)中招募了61名参与者(38名学生和23名临床医生)。

方法

我们进行了12次小组和10次个人半结构化访谈。通过框架分析确定主题,并探究参与者群体在子主题上的异同。

结果

确定了与四个研究问题相关的六个主题:(1)IPSC互动的概念化;(2)互动经历的背景;(3)互动经历的性质;(4)促成积极或消极互动的因素;(5)互动的积极或消极后果;(6)对IPSC互动的改进建议。确定了学生与临床医生之间以及各专业之间在子主题上的七个显著差异。

结论

尽管结果在很大程度上支持了先前的研究生研究,但研究结果表明,对于预注册教育,在理解、经验和建议方面有了更广泛和深入的认识。鼓励教育工作者和学生寻求职场提供的非正规跨专业学习机会。