College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
College of Medicine and Public Health, Flinders University, Adelaide, Australia.
J Interprof Care. 2020 Mar-Apr;34(2):173-183. doi: 10.1080/13561820.2019.1645648. Epub 2019 Aug 20.
This article explores how work-based interprofessional education (IPE) influences collaborative practice in rural health services in Australia. Using a qualitative case study design, three rural hospitals were the focal point of the project. Marginal participant observations (98 hours) and semistructured interviews ( = 59) were undertaken. Participants were medical practitioners, nursing and midwifery professionals, physiotherapists, paramedics, social workers and administrative staff, who provided services in relation to each hospital. Data in the form of audio recordings and field notes, including researcher reflections were recorded over a three-year period. Whilst this study comprised of three phases, this article explores the extent to which collaborative practice was present or before and after IPE. An inductive content analysis resulted in the following themes: Conceptualizing Collaborative Practice, Profession-Driven Education, and Professional Structures and Socialization. Community of practice theory is used to explore the barriers created through profession-based communities of practice.
本文探讨了以工作为基础的跨专业教育(IPE)如何影响澳大利亚农村卫生服务中的协作实践。采用定性案例研究设计,以三个农村医院为项目重点。进行了边缘参与观察(98 小时)和半结构化访谈(= 59)。参与者包括在每个医院提供服务的医疗从业者、护理和助产专业人员、物理治疗师、护理人员、社会工作者和行政人员。在三年的时间里,以音频记录和实地笔记的形式记录了数据,包括研究人员的反思。虽然这项研究包括三个阶段,但本文探讨了在 IPE 之前和之后协作实践存在的程度。归纳内容分析产生了以下主题:协作实践的概念化、职业驱动的教育以及专业结构和社会化。实践社区理论用于探讨通过基于职业的实践社区造成的障碍。