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五年过去了:农村跨专业预注册沉浸项目对早期职业卫生专业人员的影响。

Five years on: Influences on early career health professionals from a rural interprofessional pre-registration immersion program.

机构信息

Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.

Department of Primary Health Care and General Practice Tairāwhiti, Tairāwhiti District Health Board, Gisborne, New Zealand.

出版信息

Aust J Rural Health. 2021 Apr;29(2):146-157. doi: 10.1111/ajr.12705. Epub 2021 Apr 1.

DOI:10.1111/ajr.12705
PMID:33793016
Abstract

OBJECTIVE

To ascertain former students' perceptions of and influences from a final-year pre-registration, rurally located, clinically based, 5 week interprofessional program on their subsequent work and career in the health professions.

DESIGN

Online survey delivered 5 years post-program (4 years post-graduation).

SETTING

The Tairāwhiti interprofessional education program was first undertaken in 2012/2013 by students from six health professional degree programs (dentistry, dietetics, medicine, nursing, pharmacy and physiotherapy) in the Tairāwhiti region, New Zealand.

PARTICIPANTS

Health professionals who attended the Tairāwhiti interprofessional education program in 2012/2013 as students were invited to participate; 70 of 86 (81%) responded in 2017/2018.

RESULTS

Five years on, most respondents (91%;64/70) were working as health professionals, with a fifth (23%;15/64) working overseas. Of those currently practising in New Zealand, 51% (24/47) were working in hospital practice and 49% (23/47) in the community, with 56% (27/48) working in metropolitan areas and 44% (21/48) in regional/rural locations. Of the 51 respondents who provided free-text comments about perceived influences of program participation, the majority described positive influences on their clinical practice as health professionals or their subsequent career choices. Five themes emerged from the free-text data: 'made me a better clinician'; 'made me consider rural/regional work'; 'collaborating for care'; 'choosing an area of practice to work in,' and 'little or no impact.'

CONCLUSION

This work reports positive influences on subsequent careers among respondents who had previously participated as final-year students in a rurally located IPE program, particularly with respect to interprofessional working, rural health, and contextual and cultural influences.

摘要

目的

了解应届毕业生对最后一年的农村地区临床基础 5 周跨专业课程的看法及其对毕业后从事健康职业的影响。

设计

在线调查,在课程结束 5 年后(毕业后 4 年)进行。

地点

2012/2013 年,来自新西兰泰瑞维提地区六个健康专业学位课程(牙科、饮食学、医学、护理、药学和物理治疗学)的学生首次参加了泰瑞维提跨专业教育项目。

参与者

邀请参加 2012/2013 年泰瑞维提跨专业教育项目的健康专业毕业生参加;2017/2018 年有 70 人(81%)做出回应。

结果

五年后,大多数受访者(91%;64/70)从事健康专业工作,其中五分之一(23%;15/64)在海外工作。在目前在新西兰工作的人中,51%(24/47)在医院工作,49%(23/47)在社区工作,56%(27/48)在大都市区工作,44%(21/48)在地区/农村地区工作。在提供关于课程参与感知影响的自由文本评论的 51 位受访者中,大多数人表示课程参与对他们作为健康专业人员的临床实践或随后的职业选择产生了积极影响。从自由文本数据中出现了五个主题:“使我成为更好的临床医生”;“使我考虑农村/地区工作”;“为护理合作”;“选择一个工作领域”和“几乎没有影响”。

结论

这项工作报告了以前作为最后一年学生参加农村地区 IPE 课程的受访者对后续职业的积极影响,特别是在跨专业工作、农村卫生以及背景和文化影响方面。

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引用本文的文献

1
Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes.注册前跨专业教育对卫生专业人员早期职业态度和技能的纵向影响:一项具有 4 年结果的非随机试验。
BMJ Open. 2022 Jul 20;12(7):e060066. doi: 10.1136/bmjopen-2021-060066.