Ray Amita, Ray Sujoy, Daniel Mary Saji, Kumar Bharath
Professor & Head (Obstetrics & Gynaecology), DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, India.
Assistant Professor (Psychiatry), DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, India.
Med J Armed Forces India. 2021 Feb;77(Suppl 1):S173-S179. doi: 10.1016/j.mjafi.2020.12.034. Epub 2021 Feb 2.
Inter-professional Education (IPE) has been identified as an educational program aimed at increasing collaboration among health professionals, and improving health care outcomes. IPE programs have been incorporated in several countries and have shown positive results. The same may not be true for Asian cultures which are typically more hierarchical than others. The purpose of this study was to examine the impact of IPE on undergraduate health professional students' attitudes and perceptions in an Indian context.
Following an IPE experience undergraduate health professional students (n = 96) from three professions (Medicine, Nursing and Physiotherapy) completed a validated retro-pre questionnaire. Paired-sample t test was used to compare pre-test and post-test scores and ANOVA was used to compare the magnitude of change. Qualitative analysis was done for the open ended questions.
The three professions showed a significant improvement in attitude (p < 0.001). The physiotherapists were more comfortable (p = 0.021) with questioning and being questioned and the nurses showed a significantly (p = 0.012) greater increase in extent of reliability as compared to the other two professionals. Participants identified the concepts of "team work", "knowledge of roles of other professionals" and "communication" as important to their learning and practice.
The study identified a positive attitude among students and the given intervention resulted in a significant improvement in their comfort levels and reliability on other professionals. It would be reasonable to conclude therefore that acceptability for Inter professional education in the Indian context is high in spite of the cultural differences and hierarchical nuances.
跨专业教育(IPE)已被视为一项旨在增强卫生专业人员之间的协作并改善医疗保健结果的教育计划。IPE计划已在多个国家实施并取得了积极成果。对于通常比其他文化更具等级制度的亚洲文化来说,情况可能并非如此。本研究的目的是在印度背景下考察IPE对本科卫生专业学生态度和认知的影响。
在经历了IPE体验后,来自医学、护理和物理治疗三个专业的96名本科卫生专业学生完成了一份经过验证的回顾性预调查问卷。采用配对样本t检验比较测试前和测试后的分数,并采用方差分析比较变化幅度。对开放式问题进行定性分析。
这三个专业在态度上有显著改善(p<0.001)。与其他两个专业相比,物理治疗师在提问和被提问方面更自在(p=0.021),护士在可靠性程度上的提升显著更高(p=0.012)。参与者认为“团队合作”“对其他专业人员角色的了解”和“沟通”等概念对他们的学习和实践很重要。
该研究发现学生中存在积极态度,且给定的干预措施使他们对其他专业人员的舒适度和可靠性有了显著提高。因此,可以合理地得出结论,尽管存在文化差异和等级细微差别,但在印度背景下,跨专业教育的可接受性很高。