Alfaro Patricia, Larouche Sandie S, Ventura Nicole M, Hudon Jonathan, Noel Geoffroy Pjc
Ingram School of Nursing, McGill University, Montreall, Quebec, Canada.
Division of Anatomical Sciences, Department of Anatomy and Cell Biology, McGill University, Montreal, Quebec, Canada.
Adv Med Educ Pract. 2019 Sep 5;10:769-780. doi: 10.2147/AMEP.S209412. eCollection 2019.
BACKGROUND/AIMS: An anatomy interprofessional near-peer learning activity (AIP-NPLA) between nursing and medical students was piloted to assess its implementability. This study aimed to: (1) identify key factors of feasibility and (2) describe student-group perceptions of their experience of the interprofessional education (IPE) activity.
A total of 59 medical and 179 nursing students participated in the AIP-NPLA whereby medical students were asked to facilitate and lead group discussions with their nursing students colleagues on an anatomical topic using a donor cadaver. Each AIP-NPLA session lasted a total of two hours. A mixed methods approach was employed using both quantitative and qualitative means of assessment. Variables such as Readiness for Interprofessional Learning, Professional Self-Identity, Clinical Teaching Preference, and Near-Peer Teaching and Learning Experience were assessed quantitatively using validated surveys. Qualitative measures included thematic content analysis of focus group interviews conducted following the AIP-NPLA to capture the perceptions of the student groups' experience in the IPE activity.
The results of this investigation demonstrated that there are key factors to consider when designing successful and sustainable IPE activities; the level of clinical exposure and therefore student-group pairing based on professional self-identify scores, optimal tutor-to-tutee group ratios and an activity format that maintained an informal, flexible and free forum for discussion on a topic of common knowledge. Focus group interviews also revealed reflections on professional stereotypes.
These findings suggest that early implementation of IPE activities outside of a clinical setting are beneficial and can foster both learning from one another and positive perceptions of interprofessional roles when carefully designed.
背景/目的:在护理专业和医学专业学生之间开展了一项解剖学跨专业近伴学习活动(AIP-NPLA)试点,以评估其可实施性。本研究旨在:(1)确定可行性的关键因素;(2)描述学生群体对其跨专业教育(IPE)活动体验的看法。
共有59名医学专业学生和179名护理专业学生参与了AIP-NPLA,其中要求医学专业学生与护理专业学生同事就解剖学主题使用捐赠尸体进行小组讨论并担任引导。每次AIP-NPLA课程总共持续两小时。采用了混合方法,使用定量和定性评估手段。诸如跨专业学习准备度、专业自我认同、临床教学偏好以及近伴教与学体验等变量,通过经过验证的调查问卷进行定量评估。定性措施包括在AIP-NPLA之后进行焦点小组访谈的主题内容分析,以了解学生群体对IPE活动体验的看法。
本次调查结果表明,在设计成功且可持续的IPE活动时存在关键因素需要考虑;临床接触程度以及因此基于专业自我认同分数进行的学生群体配对、最佳师生比以及一种能为关于常识性主题的讨论保持非正式、灵活和自由论坛的活动形式。焦点小组访谈还揭示了对专业刻板印象的反思。
这些发现表明,在临床环境之外尽早开展IPE活动是有益的,并且经过精心设计能够促进相互学习以及对跨专业角色产生积极看法。