Landriault Angèle, McMurtry Angus
The Royal College of Physicians and Surgeons of Canada, Ontario, Canada.
Faculty of Education, University of Ottawa, Ontario, Canada.
Can Med Educ J. 2021 Feb 26;12(1):e76-e80. doi: 10.36834/cmej.68905. eCollection 2021 Feb.
During rotations, post-graduate medical residents must learn about interprofessional teamwork and collaboration. Our study examined the role of non-physician healthcare team members in such education, from the perspectives of both residents and team members themselves.
This qualitative study took place in the intensive care unit (ICU) of a teaching hospital in a Canadian city. We conducted semi-structured individual and focus group interviews with both residents ( = 6) and the team members with whom they collaborated: pharmacists, nurses, respiratory therapists, and a social worker ( = 19).
We developed a number of themes about interprofessional education (IPE) in this context from the data, including the presence of planned, unplanned, and tacit teaching; the influence of contextual factors like ICU culture, work demands, resident motivation, power hierarchies, and perceptions of 'good' and 'bad' residents; the gap between team member perceptions of their contribution to residents' IP education and residents' own perceptions; and concerns about the transferability of IPE to other contexts.
The influence of non-physician team members on residents' IPE in the clinical environment is an understudied topic. While our study was limited to one ICU, the themes that emerged may be of interest to others in similar contexts.
在轮转期间,医学研究生住院医师必须学习跨专业团队合作。我们的研究从住院医师和团队成员自身的角度,考察了非医师医疗团队成员在这种教育中的作用。
这项定性研究在加拿大一个城市的一家教学医院的重症监护病房(ICU)进行。我们对住院医师(n = 6)及其合作的团队成员:药剂师、护士、呼吸治疗师和一名社会工作者(n = 19)进行了半结构化的个人访谈和焦点小组访谈。
我们从数据中得出了一些关于这种情况下跨专业教育(IPE)的主题,包括计划性、非计划性和隐性教学的存在;诸如ICU文化、工作需求、住院医师动机、权力等级制度以及对“好”与“坏”住院医师的看法等背景因素的影响;团队成员对其对住院医师IPE贡献的看法与住院医师自身看法之间的差距;以及对IPE向其他环境可转移性的担忧。
非医师团队成员在临床环境中对住院医师IPE的影响是一个研究不足的主题。虽然我们的研究仅限于一个ICU,但出现的主题可能会引起类似环境中的其他人的兴趣。