Mink Johanna, Mitzkat Anika, Scharzbeck Veronika, Mihaljevic André, Trierweiler-Hauke Birgit, Götsch Burkhard, Mahler Cornelia
Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg, Deutschland.
Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2022 Apr;169:94-102. doi: 10.1016/j.zefq.2022.01.003. Epub 2022 Mar 2.
Interprofessional education has gained relevance in German-speaking countries, and interprofessional training wards (IPTW) can contribute to the acquisition of interprofessional competencies and thereby improve interprofessional collaborative practice and patient care. Professional socialization and identity development have proven to be critical for future clinical practice in addition to competency development. According to Khalili (2013) socialization through interprofessional education can result in a dual identity, i. e., a sense of belonging to one's own profession as well as to the interprofessional health care team. The aim of this study was to analyse to which extent interprofessional socialization takes place on the Interprofessional Training Ward in Heidelberg (HIPSTA) and how medical students in their practical year and nursing trainees in their third year of training experience their placement there. For this purpose, five semi-structured group discussions were conducted with undergraduates at the end of their placement on HIPSTA and analysed using the documentary method. Typification resulted in two types that differ with regard to interprofessional socialization. The type interprofessional responsiblepersons is characterized by the joint assumption of responsibility for patient care, open communication with each other and joint structuring of collaboration, which contributed to a removal of barriers and interprofessional role learning; the type interprofessional learners is characterized by their focus on learning processes and their anticipation of barriers between the professional groups, which would be relevant for future collaboration. All groups experienced a sense of belonging to their peer-student/learner group, regardless of their different professional background. Their professional identity underwent further development. These results show that placement on an IPTW does not warrant interprofessional socialization processes and the development of a dual identity. However, it can be a first step in the right direction.
跨专业教育在德语国家已变得愈发重要,跨专业培训病房(IPTW)有助于培养跨专业能力,从而改善跨专业协作实践和患者护理。除能力培养外,专业社会化和身份认同发展已被证明对未来的临床实践至关重要。根据哈利利(2013年)的研究,通过跨专业教育进行的社会化可产生双重身份,即既属于自己的专业,又属于跨专业医疗团队。本研究的目的是分析海德堡跨专业培训病房(HIPSTA)的跨专业社会化程度,以及实习医学生和三年级护理实习生在那里的实习体验。为此,在本科生结束HIPSTA实习时,与他们进行了五次半结构化小组讨论,并采用文献法进行分析。类型化产生了两种在跨专业社会化方面存在差异的类型。“跨专业负责人”类型的特点是共同承担患者护理责任、相互开放沟通以及共同构建协作结构,这有助于消除障碍和进行跨专业角色学习;“跨专业学习者”类型的特点是专注于学习过程以及预期专业群体之间的障碍,这对未来的协作具有重要意义。所有小组都体验到了对其同学/学习者群体的归属感,无论他们的专业背景有何不同。他们的专业身份得到了进一步发展。这些结果表明,在IPTW实习并不一定能保证跨专业社会化过程和双重身份的发展。然而,这可能是朝着正确方向迈出的第一步。