Rees Charlotte E, Crampton Paul, Kent Fiona, Brown Ted, Hood Kerry, Leech Michelle, Newton Jennifer, Storr Michael, Williams Brett
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.
BMJ Open. 2018 Apr 17;8(4):e021238. doi: 10.1136/bmjopen-2017-021238.
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.
A qualitative interview study using narrative techniques was conducted.
Student placements across multiple clinical sites in Victoria, Australia.
Through maximum variation sampling, 61 participants (38 students and 23 clinicians) were recruited from six professions (medicine, midwifery, nursing, occupational therapy, paramedicine and physiotherapy).
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.
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.
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.
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。
采用叙事技巧进行定性访谈研究。
澳大利亚维多利亚州多个临床地点的学生实习岗位。
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)。
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。
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。
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。