School of Nursing, Dalhousie University, Halifax, NS, Canada.
Canadian Institutes of Health Research (CIHR) Health Populations Institute, Dalhousie University, Halifax, NS, Canada.
Med Educ. 2021 Apr;55(4):478-485. doi: 10.1111/medu.14437. Epub 2021 Jan 7.
Interprofessional collaboration (IPC) among health professionals is well-recognised to enhance care delivery and patient outcomes. Emerging evidence suggests that the early socialisation of students in health professional programmes to teamwork may have a positive impact on their future as collaborative practitioners. With a purpose of contributing to growing evidence on the processes of professional identity construction, and to explore how early expectations and perceptions of IPC develop during professional socialisation and pre-licensure education, our study examined the early professional socialisation experiences among five groups of health professional students.
A qualitative, narrative approach was used to examine early professional socialisation among five programmes of health professional students (dentistry, medicine, nursing, pharmacy, physiotherapy) at an Atlantic Canadian University. In March and October 2016, students participated in interviews after first term (n = 44) and first year of study (n = 39). Interviews focused on participants' professional identify formation, as well as their perceptions and experiences of IPC. The authors analysed interview transcripts using narrative analysis.
Findings identify that despite the espoused importance of IPC within health professional training, students have a limited understanding of their professional roles and are largely focused on developing a uniprofessional, vs. interprofessional identity. Clinical experiences, role models and exposure to teamwork are critical to contextualise collaborative practice and enhance the development of an interprofessional identity.
Findings can be used to guide the development of curricula that promote interprofessional identity development and IPC during early professional socialisation.
卫生专业人员之间的跨专业合作(IPC)已被广泛认可,可以提高护理质量和患者的治疗效果。新出现的证据表明,在健康专业课程中对学生进行早期的团队合作社会化可能会对他们未来作为协作从业者产生积极影响。本研究旨在为有关专业身份建构过程的不断增加的证据做出贡献,并探索在专业社会化和许可前教育期间,IPC 的早期期望和看法是如何发展的,我们研究了五组卫生专业学生的早期专业社会化经历。
采用定性、叙事方法,对大西洋加拿大一所大学的五组卫生专业学生(牙科、医学、护理、药学、物理治疗)的早期专业社会化进行了研究。2016 年 3 月和 10 月,学生在第一学期(n=44)和第一学年(n=39)后参加了访谈。访谈重点关注参与者的专业身份形成,以及他们对 IPC 的看法和经验。作者使用叙事分析对访谈记录进行了分析。
研究结果表明,尽管 IPC 在卫生专业培训中被认为很重要,但学生对自己的专业角色的理解有限,主要关注于发展单一专业身份,而不是跨专业身份。临床经验、榜样和接触团队合作对于使协作实践具体化并增强跨专业身份的发展至关重要。
研究结果可以用来指导课程的发展,促进早期专业社会化过程中的跨专业身份发展和 IPC。