Center for Adaptive Rationality, Max Planck Institute for Human Development,k9Berlin, Germany.
Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin,Institute of Health and Nursing Science, Berlin, Germany.
J Interprof Care. 2022 May-Jun;36(3):350-361. doi: 10.1080/13561820.2021.1903405. Epub 2021 May 20.
Interprofessional teamwork often suffers from the existence of negative stereotypes. To combat their prevalence, interprofessional education (IPE) activities are being implemented worldwide. The aim of this study is to inform IPE developers of the prevalence and content of interprofessional stereotypes in the workplace in Germany and similarly structured healthcare systems. We surveyed health professionals with several years of work experience as nurse, midwife, or therapist concerning their attitudes toward their own professions and those of doctors using an established trait rating measure and a qualitative approach. Stereotypes of respondents ( = 129) were mostly related to (1) academic, medical competence (being perceived as lower than that of doctors) and (2) the traditional role relationship (strict hierarchy, dependence on doctors) that guides a lot of behavior, such as the little participation of nurses, midwives and therapists. Despite profound structural differences in the education and healthcare systems, our analyses further revealed similar topics for further IPE activities as in international research, such as the general demand to convey knowledge about the roles, skills and responsibilities of the other professions. The demand to improve the teamwork skills of all health professionals and empower them to be full and equal members of the healthcare team was also evident. Thus, a more reflective approach to stereotypes and their impact on interprofessional teamwork is indicated, particularly in workplace-based interprofessional learning activities. More generally, to counteract stereotypes a more widespread adoption of IPE in pre and post licensure health professions education and continuing professional development in Germany is needed.
跨专业团队合作常常受到负面刻板印象的影响。为了应对这些刻板印象的普遍存在,世界各地都在开展跨专业教育(IPE)活动。本研究旨在向 IPE 开发者告知德国和类似结构的医疗保健系统中工作场所中存在的跨专业刻板印象的普遍性和内容。我们使用已建立的特质评价量表和定性方法,调查了具有多年护士、助产士或治疗师工作经验的卫生专业人员对自己的职业以及医生的态度。受访者的刻板印象(n=129)主要与以下两个方面有关:(1)学术、医学能力(被认为低于医生)和(2)传统的角色关系(严格的等级制度,依赖医生),这指导着很多行为,例如护士、助产士和治疗师的参与度较低。尽管教育和医疗保健系统存在深刻的结构性差异,但我们的分析还揭示了与国际研究中类似的进一步开展 IPE 活动的主题,例如普遍需要传达其他专业的角色、技能和责任知识。提高所有卫生专业人员的团队合作技能并赋予他们作为医疗保健团队的完整和平等成员的能力的需求也很明显。因此,需要对刻板印象及其对跨专业团队合作的影响采取更具反思性的方法,特别是在基于工作场所的跨专业学习活动中。更广泛地说,为了消除刻板印象,德国需要在卫生专业人员的许可前和许可后教育以及继续专业发展中更广泛地采用 IPE。