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自主动机解释了跨专业教育的成果。

Autonomous motivation explains interprofessional education outcomes.

机构信息

Bau Institute of Medical and Health Sciences Education, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong, Hong Kong.

Department of Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong, Hong Kong.

出版信息

Med Educ. 2021 Jun;55(6):701-712. doi: 10.1111/medu.14423. Epub 2020 Dec 16.

Abstract

OBJECTIVES

In response to the observations that interprofessional education (IPE) is seemingly atheoretical or under-theorised, this quantitative research seeks to uncover students' motivational mechanisms which could explain their behavioural and collaborative outcomes using self-determination theory (SDT). While SDT has been studied in various contexts, its applicability to IPE remains underexplored. This study aims to integrate a new perspective in understanding students' motivation in IPE by exploring how the fulfilment of a need for sense of autonomy, competence and relatedness is linked to desirable IPE outcomes.

METHODS

Utilising quantitative methods, we involved 255 health care students in Hong Kong from the medical, nursing and pharmacy disciplines enrolled in IPE anticoagulation therapy module. They were invited to respond to the Psychological Need Satisfaction Questionnaire and other measures as part of the post-test.

RESULTS

Sense of autonomy emerged as the strongest positive predictor of behavioural (collective dedication, behavioural engagement) and collaboration outcomes (team effectiveness, goal achievement). There were no significant program-level differences across these outcomes except for behavioural engagement for which nursing students had a higher perception than medicine students.

CONCLUSIONS

We were able to demonstrate that SDT is a meaningful framework in understanding behavioural and collaboration outcomes in IPE. The major theoretical contribution of this study refers to the ability of students' motivation to explain variance in their behavioural outcomes. That is, sense of autonomy consistently predicted team effectiveness, collective dedication, behavioural engagement and goal achievement. Autonomous motivation among a sample of health care students can explain behavioural outcomes. Theoretical, methodological and practical implications are discussed.

摘要

目的

针对跨专业教育(IPE)似乎缺乏理论或理论基础不足的观察结果,本定量研究旨在利用自我决定理论(SDT)揭示学生的动机机制,这些机制可以解释他们的行为和协作成果。虽然 SDT 已经在各种情况下进行了研究,但它在 IPE 中的应用仍未得到充分探索。本研究旨在通过探索自主性、能力和关联性需求的满足如何与理想的 IPE 成果相关联,为理解学生在 IPE 中的动机提供一个新视角。

方法

我们在香港使用定量方法,涉及来自医学、护理和药学专业的 255 名医疗保健学生,他们参加了 IPE 抗凝治疗模块。他们被邀请回答心理需求满足问卷和其他措施,作为后测的一部分。

结果

自主性是行为(集体奉献、行为投入)和协作成果(团队效能、目标达成)的最强正向预测指标。除了护理学生比医学学生对行为投入的感知更高外,这些结果在不同课程中没有显著差异。

结论

我们能够证明 SDT 是理解 IPE 中行为和协作成果的有意义框架。本研究的主要理论贡献是学生的动机能够解释他们行为成果的差异。也就是说,自主性始终预测团队效能、集体奉献、行为投入和目标达成。医疗保健学生样本中的自主动机可以解释行为成果。讨论了理论、方法和实践意义。

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