School of Health Professions Education, Faculty of Health, Medicine and Life Sciences, Maastricht University, PO BOX 616, Maastricht 6200MD, the Netherlands.
Mil Med. 2021 Oct 26;186(Suppl 3):48-50. doi: 10.1093/milmed/usab234.
The importance of successful interprofessional collaboration for effective patient care is generally acknowledged. Research into interprofessional collaboration has thus far been mainly situated in the civilian context and has mostly indicated barriers that prevent successful interprofessional collaboration. However, military interprofessional healthcare teams (MIHTs) seem to be exceptionally successful. Building on the overarching finding of the studies within this special edition-i.e., that MIHTs' readiness and excellence are in part due to healthcare professionals' "shared understanding" of what is needed to effectively serve on an MIHT-this commentary uses the theory of Landscape of Practice as a lens to further explain the processes through which healthcare professionals attain this shared understanding. Used within the fields of Health Professions Education and workplace learning, Landscapes of Practice (LoP) helps to explain how learning occurs within practice. It highlights how, by engaging within the various working environments belonging to a profession, social interactions between the various professionals within that environment form the conduit for learning. LoP highlights that the outcome of this learning process is "knowledgeability," i.e., understanding of how to engage within the field and with its players, resulting in being an acknowledged member of the field. Fostered through a process called "identification," professionals learn to see how their professional practice aligns with that of others and how to effectively collaborate with others. The commentary explains how the findings of the separate studies within this special edition strongly resonate with knowledgeability and identification. It is concluded that civilian interprofessional healthcare teams may benefit from incorporating characteristics of MIHTs in their training programs.
成功的跨专业合作对于有效的患者护理至关重要，这一点已得到普遍认可。迄今为止，跨专业合作的研究主要集中在民用背景下，主要指出了阻碍成功跨专业合作的障碍。然而，军事跨专业医疗团队（MIHT）似乎异常成功。基于本特刊中研究的总体发现，即 MIHT 的准备和卓越部分归因于医疗保健专业人员对在 MIHT 上有效服务所需的“共同理解”，本评论使用实践景观理论作为一个视角进一步解释医疗保健专业人员如何获得这种共同理解的过程。在健康专业教育和工作场所学习领域中使用，实践景观（LoP）有助于解释学习如何在实践中发生。它强调了如何通过参与属于某个专业的各种工作环境，该环境中的各种专业人员之间的社会互动形成了学习的渠道。LoP 强调，学习过程的结果是“知识”，即理解如何在该领域中参与并与该领域的参与者互动，从而成为该领域的公认成员。通过称为“识别”的过程来促进，专业人员学会了解他们的专业实践如何与他人的实践相一致，以及如何与他人有效合作。该评论解释了本特刊中单独研究的发现如何与知识和识别强烈共鸣。结论是，民用跨专业医疗保健团队可能受益于在其培训计划中纳入 MIHT 的特征。
