de Groot Esther, van den Broek Mirte, Fokkens Janneke T, Witte Janneke A M, Damoiseaux Roger A M J, Zwart Dorien L M
Julius Center for Health Sciences and Primary Care, UMC Utrecht, Utrecht, Netherlands.
Faculty of Medicine, Utrecht University, Utrecht, Netherlands.
J Interprof Care. 2021 Mar-Apr;35(2):185-192. doi: 10.1080/13561820.2020.1712336. Epub 2020 Feb 9.
This work aims to understand intra- and interprofessional networks of general practitioners (GPs) and ear, nose, and throat specialists (ENT specialists), and in what manner supervisors in these specialties involve interns in their professional network to help them learn intra- and interprofessional collaboration. An egocentric social network approach was used to collect and analyze quantitative as well as qualitative data. For this, semi-structured interviews were held with ten GP and ten ENT specialists. GPs had significantly more interprofessional contacts than ENT specialists ( < .01), with no significant difference in the network sizes of both professions ( = .37). All supervisors involved interns in their (ego)network actively as well as more passively. They actively discussed how collaboration with other professionals evolved, or passively assumed that an intern would learn from observing the supervisors' network interactions. Many supervisors considered the interns' initiative essential in deciding to involve an intern in their network. Although the workplace of GPs differed notably from hospital settings where ENT specialists work, the network sizes of both were comparable. Clerkships at the general practice seemed to provide more opportunities to learn interprofessional collaboration, for example with the medical nurse. Supervisors in both specialties could involve interns more actively in their intra- and interprofessional network while interns could take more initiative to learn collaboration from their supervisors' network.
这项工作旨在了解全科医生(GPs)和耳鼻喉科专家(ENT专家)的专业内和专业间网络,以及这些专业的带教老师以何种方式让实习生融入他们的专业网络,以帮助他们学习专业内和专业间的协作。采用自我中心社会网络方法来收集和分析定量及定性数据。为此,对10名全科医生和10名耳鼻喉科专家进行了半结构化访谈。全科医生的专业间联系显著多于耳鼻喉科专家(<0.01),两个专业的网络规模无显著差异(=0.37)。所有带教老师都积极或更被动地让实习生融入他们的(自我)网络。他们积极讨论与其他专业人员的合作如何发展,或被动地认为实习生会通过观察带教老师的网络互动来学习。许多带教老师认为实习生的主动性对于决定让实习生融入他们的网络至关重要。尽管全科医生的工作场所与耳鼻喉科专家工作的医院环境明显不同,但两者的网络规模相当。全科医疗实习似乎提供了更多学习专业间协作的机会,例如与医疗护士协作。两个专业的带教老师都可以更积极地让实习生融入他们的专业内和专业间网络,而实习生可以更主动地从带教老师的网络中学习协作。