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护理和医学专业学生对跨专业工作的态度、信念和行为的转变:在门诊护理中的跨专业实习。

Shifts in nursing and medical students' attitudes, beliefs and behaviours about interprofessional work: An interprofessional placement in ambulatory care.

机构信息

School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.

Brightwater Care Group, Perth, WA, Australia.

出版信息

J Clin Nurs. 2018 Aug;27(15-16):3123-3130. doi: 10.1111/jocn.14506. Epub 2018 Jun 21.

Abstract

AIM AND OBJECTIVES

To examine students' beliefs, behaviours and attitudes in relation to interprofessional socialisation, and their expectations and experience, before and after a 2-week clinical placement in ambulatory care.

BACKGROUND

Interprofessional clinical placements for students are important for developing an understanding of interprofessional collaboration and identity, for the benefit of patient care. Ambulatory care environment involves collaborative management of complex chronic problems. This educator supported placement that enabled final-year nursing and medical students to work together.

DESIGN

A descriptive matched before-after study was conducted.

METHODS

Students' completed an online questionnaire before and after their clinical placement. The questionnaire comprised of three sections: demographic information, the Interprofessional Socialisation and Valuing Scale and open-ended questions. Descriptive analysis and paired t-tests were conducted for the three subscales, and thematic analysis of qualitative responses was conducted.

RESULTS

Sixty-two of the 151 students between 2011-2014 completed both surveys. There was a significant increase after placement in the overall Interprofessional Socialisation and Valuing Scale scores. The change was greater for nursing students compared with medical students, although for both groups the change was small. The majority had a good-to-very good experience learning each other's and their own professions and identified the nurse educator and teaching registrar as key to success.

CONCLUSION

A clinical placement in an ambulatory setting for nursing and medical students resulted in an increase in self-perceived ability to work with others and in valuing working with others.

RELEVANCE TO CLINICAL PRACTICE

Interprofessional clinical placements are essential for students to understand interprofessional practice for better patient outcomes and developing their own perspective of future work within an interprofessional team. Ambulatory care is an ideal environment for nursing and other health professional students to engage in interprofessional clinical placements.

摘要

目的和目标

在门诊护理 2 周临床实习前后,考察学生在专业社会化方面的信念、行为和态度,以及他们的期望和体验。

背景

对于学生来说,跨专业临床实习对于理解跨专业合作和身份认同非常重要,这有利于患者护理。门诊护理环境涉及对复杂慢性问题的协作管理。本教育者支持的实习使护理和医学专业的最后一年学生能够共同工作。

设计

进行了描述性匹配前后研究。

方法

学生在临床实习前后完成了在线问卷。问卷包括三部分:人口统计学信息、跨专业社会化和重视量表以及开放式问题。对三个子量表进行描述性分析和配对 t 检验,并对定性回答进行主题分析。

结果

2011-2014 年间的 151 名学生中有 62 名完成了两次调查。实习后,整体跨专业社会化和重视量表得分显著增加。与医学专业学生相比,护理专业学生的变化更大,尽管两组的变化都很小。大多数人都很好地体验到了学习彼此和自己专业的知识,并认为护士教育者和教学注册员是成功的关键。

结论

对护理和医学专业学生来说,在门诊环境中进行临床实习会增加他们自我感知与他人合作的能力,并重视与他人合作。

临床相关性

跨专业临床实习对于学生理解跨专业实践至关重要,有助于提高患者的治疗效果,并培养他们对未来跨专业团队工作的看法。门诊护理是护理和其他卫生专业学生进行跨专业临床实习的理想环境。

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