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迈向持续的跨专业教育:资源有限环境下卫生专业人员的互动模式。

Towards Continuing Interprofessional Education: Interaction patterns of health professionals in a resource-limited setting.

机构信息

School of Nursing, University of the Free State, Bloemfontein, South Africa.

出版信息

PLoS One. 2021 Jul 9;16(7):e0253491. doi: 10.1371/journal.pone.0253491. eCollection 2021.

Abstract

There are challenges related to collaboration among health professionals in resource-limited settings. Continuing Interprofessional Education initiatives grounded on workplace dynamics, structure and the prevailing attitudes and biases of targeted health professionals may be a vehicle to develop collaboration among health professionals. Workplace dynamics are revealed as health professionals interact. We argue that insights into the interaction patterns of health professionals in the workplace could provide guidance for improving the design and value of CIPE initiative. The study was conducted through rapid ethnography and data were collected from non-participant observations. The data were transcribed and analysed through an inductive iterative process. Appropriate ethical principles were applied throughout the study. Three themes emerged namely "Formed professional identities influencing interprofessional interaction", "Diversity in communication networks and approaches" and "Professional practice and care in resource limited contexts". This study revealed poor interaction patterns among health professionals within the workplace. These poor interaction patterns were catalyzed by the pervasive professional hierarchy, the protracted health professional shortages, limited understanding of professional roles and the lack of a common language of communication among the health professionals. Several recommendations were made regarding the design and development of Continuing Interprofessional Education initiatives for resource-limited settings.

摘要

在资源有限的环境中,卫生专业人员之间的协作存在挑战。以工作场所动态、结构以及目标卫生专业人员的普遍态度和偏见为基础的持续的跨专业教育举措可能是发展卫生专业人员之间协作的一种手段。工作场所动态是在卫生专业人员相互作用中显现出来的。我们认为,深入了解卫生专业人员在工作场所中的相互作用模式,可以为改进持续跨专业教育举措的设计和价值提供指导。该研究通过快速民族志进行,数据来自非参与式观察。通过归纳迭代过程对数据进行转录和分析。整个研究都适用了适当的伦理原则。出现了三个主题,即“影响跨专业互动的既定专业身份”、“沟通网络和方法的多样性”和“资源有限背景下的专业实践和护理”。这项研究揭示了工作场所中卫生专业人员之间不良的互动模式。这些不良的互动模式是由普遍存在的专业等级制度、长期的卫生专业人员短缺、对专业角色的理解有限以及卫生专业人员之间缺乏共同的沟通语言所催化的。针对资源有限环境中的持续跨专业教育举措的设计和发展提出了一些建议。

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