Education Portfolio, FMNHS (Faculty Medicine, Nursing and Health Sciences), Monash University, Melbourne, Australia.
WISER Unit (Workforce, Innovation, Strategy, Education and Research unit), Monash Health, Melbourne, Australia.
J Interprof Care. 2020 Nov-Dec;34(6):812-818. doi: 10.1080/13561820.2019.1702932. Epub 2020 Jan 3.
Clinical placements have the potential to offer meaningful interprofessional learning opportunities for pre-registration students. Informal, as opposed to structured interprofessional learning opportunities, may offer a sustainable solution to the challenges of scheduling formal interprofessional programs in the workplace. To investigate this concept, students on clinical placement from a range of professions were invited to observe another profession undertake a patient consultation, after which they completed a standardized reflective tool. A grounded theory research design was used to explore the educational value of the one-off interprofessional observations, through an analysis of student written reflections (n = 79) and staff perceptions collected by interview (n = 11). The qualitative data was iteratively analyzed throughout the study period. A range of learning outcomes were described post student observations, ranging from knowledge or skills that informed profession-specific practice, to how others' roles related to patient needs, and the need for collaboration in order to provide high quality care. Staff orientation and facilitated reflection contributed to student learning. Positive learning value, though varying in depth, was identified through single interprofessional observations. Informal activities offer a sustainable interprofessional learning strategy that can be embedded into clinical placements; additional informal learning activities now warrant investigation.
临床实习为预注册学生提供了有意义的跨专业学习机会。与结构化的跨专业学习机会相比,非正式的学习机会可能为解决在工作场所安排正式跨专业项目的挑战提供了可持续的解决方案。为了研究这一概念,邀请了来自不同专业的临床实习学生观察另一个专业进行患者咨询,之后他们完成了标准化的反思工具。通过对学生书面反思(n=79)和通过访谈收集的工作人员看法(n=11)的分析,使用扎根理论研究设计来探索一次性跨专业观察的教育价值。在整个研究期间,对定性数据进行了迭代分析。学生观察后描述了一系列学习成果,从告知特定专业实践的知识或技能,到了解其他人的角色如何与患者需求相关,以及为了提供高质量的护理而需要合作。工作人员的指导和促进反思有助于学生学习。通过单次跨专业观察,可以确定积极的学习价值,尽管深度不同。非正式活动提供了一种可持续的跨专业学习策略,可以嵌入到临床实习中;现在需要进一步研究其他非正式学习活动。