Barbosa Detoni Kirla, Lopes André Ariane, Rezende Cristiane de Paula, Furtado Bárbara Taciana, de Araújo Medina Mendonça Simone, Ramalho-de-Oliveira Djenane
Graduate Program in Medicines and Pharmacy Practice - Faculty of Pharmacy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Department of Social Pharmacy, Faculty of Pharmacy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
J Interprof Care. 2023 May-Jun;37(3):491-503. doi: 10.1080/13561820.2022.2039598. Epub 2022 Mar 13.
The current complex scenario of medication use calls for the implementation of interprofessional education (IPE) initiatives focused on shared decision making (SDM) in drug therapy. A scoping review was conducted to collate, summarize, and report the evidence available on IPE teaching and learning approaches in this context, involving pre-licensure healthcare students. Searches were conducted in seven electronic databases, with 21 articles meeting the inclusion criteria. This review examines educational strategies employed for interprofessional SDM as well as characteristics of students, teachers, and tutors involved in IPE interventions. The reviewed studies lack detailed description of the students' decision-making process, and none addresses aspects related to patient preferences as a part of learning outcomes. We identified shortcomings in how IPE interventions are assessed and reported. Only a few of the studies explicitly describe the use of competency-based frameworks proposed by national and international organizations, and less than 60% describe learning outcomes. The absence of experiences focused on interprofessional SDM in drug therapy suggests a gap that needs to be addressed with future studies evaluated in a robust way. We argue that such experiences enable students, as a team, to learn to share decisions with the patient as an effective team member.
当前复杂的用药情况要求实施以药物治疗中的共同决策(SDM)为重点的跨专业教育(IPE)举措。开展了一项范围综述,以整理、总结和报告在此背景下涉及预执业医学生的IPE教学方法的现有证据。在七个电子数据库中进行了检索,有21篇文章符合纳入标准。本综述考察了用于跨专业SDM的教育策略以及参与IPE干预的学生、教师和导师的特征。所审查的研究缺乏对学生决策过程的详细描述,且没有一项研究涉及作为学习成果一部分的患者偏好相关方面。我们发现了IPE干预评估和报告方式的不足之处。只有少数研究明确描述了国家和国际组织提出的基于能力的框架的使用情况,不到60%的研究描述了学习成果。缺乏以药物治疗中的跨专业SDM为重点的经验表明存在一个需要通过未来严格评估的研究来解决的差距。我们认为,此类经验能使学生作为一个团队学会作为有效的团队成员与患者共同做出决策。