Howarth Sarah D, Fielden Shelley A, O'Hara Jane K
Leeds Institute of Medical Education, School of Medicine, University of Leeds, Leeds, UK.
School of Healthcare, University of Leeds, Leeds; Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
J Interprof Care. 2022 Mar-Apr;36(2):259-267. doi: 10.1080/13561820.2021.1878116. Epub 2021 May 4.
Medical education has an important role in developing attitudes, behaviors and cultures that support safe care. Increasingly, however, research has argued for a more interprofessional approach to be taken. This scoping review examines the design and impact of interprofessional education interventions involving medical students that focus on patient safety. We systematically searched PubMed, EMBASE, PsycINFO and CINAHL between January 2000 and November 2019. Studies were eligible if they included medical students and at least one other profession, interactive learning, a strong emphasis on patient safety in the learning objectives, and an empirical method of evaluation. Forty-three studies met these criteria and the diverse range of approaches to intervention design and method of evaluation are detailed in this review. We found that interprofessional patient safety education interventions are generally well received by students with knowledge and skill gain documented; several also reported changes in student behaviour. However, the lack of empirically driven study designs, combined with the lack of rigour when reporting, makes it difficult to draw clear comparisons. Future research should address this, and in particular, report how and why the intervention has been designed to be delivered interprofessionally.
医学教育在培养支持安全护理的态度、行为和文化方面发挥着重要作用。然而,越来越多的研究主张采用一种更加跨专业的方法。本综述探讨了涉及医学生且聚焦于患者安全的跨专业教育干预措施的设计与影响。我们在2000年1月至2019年11月期间系统检索了PubMed、EMBASE、PsycINFO和CINAHL。如果研究包括医学生和至少一个其他专业、互动式学习、在学习目标中高度强调患者安全以及实证评估方法,则这些研究符合入选标准。43项研究符合这些标准,本综述详细介绍了干预设计的各种方法和评估方法。我们发现,跨专业患者安全教育干预措施通常受到学生的好评,并有知识和技能提升的记录;有几项研究还报告了学生行为的变化。然而,缺乏实证驱动的研究设计,再加上报告时缺乏严谨性,使得难以进行明确的比较。未来的研究应解决这一问题,特别是要报告干预措施如何以及为何设计为跨专业实施。