Bau Institute of Medical and Health Sciences Education, The University of Hong Kong, Hong Kong.
Bau Institute of Medical and Health Sciences Education, The University of Hong Kong, Hong Kong.
Nurse Educ Today. 2022 Jul;114:105393. doi: 10.1016/j.nedt.2022.105393. Epub 2022 May 6.
Interprofessional education (IPE) harnesses the power of teams to facilitate collaborative learning across disciplines. However, prior research has not paid sufficient attention to the role of team-level factors on IPE outcomes, posing a major theoretical and methodological limitation. In response to this, using social interdependence theory (SIT), this study aimed to delineate the independent contributions of both team-level and student-level interprofessional attitudes (teamwork, roles, and responsibilities; patient-centeredness; and community-centeredness) in predicting IPE collaboration outcomes (goal achievement, team effectiveness, and team performance) employing multi-level analysis.
To test whether interprofessional attitudes at the team and student levels predict IPE collaboration outcomes, conducted multilevel modeling. We used the pretest and posttest data from 323 healthcare students in Hong Kong from Chinese medicine, medicine, nursing, pharmacy, and social work programmes enrolled in the IPE Cancer module.
Among the interprofessional attitudes, "teamwork, roles, and responsibilities" was found to be the best predictor of IPE outcomes, both at the student and team levels. Students who recognized the benefits of shared learning had better goal achievement and team effectiveness. Furthermore, teams that emphasized shared learning also had better overall team performance.
Students' attitudes towards teamwork, roles, and responsibilities in interprofessional collaborative practice, both at the student and team levels, are important to attaining positive student- and team-level outcomes. The study contributes to the expansion of existing knowledge in medical education, theoretically, by adopting SIT as a lens through which collaborative learning in healthcare teams can be understood, and methodologically, by applying multi-level approaches and delineating important student- and team-level predictors of IPE outcomes.
跨专业教育 (IPE) 利用团队的力量促进跨学科的协作学习。然而,先前的研究并没有充分关注团队层面因素对 IPE 结果的影响,这构成了一个主要的理论和方法学限制。针对这一问题,本研究使用社会相互依存理论 (SIT),旨在通过多层次分析,阐明团队层面和学生层面的跨专业态度(团队合作、角色和责任;以患者为中心;以社区为中心)对 IPE 协作结果(目标达成、团队有效性和团队绩效)的独立贡献。
为了检验团队和学生层面的跨专业态度是否能预测 IPE 协作结果,我们进行了多层次建模。我们使用了来自香港中医、医学、护理、药学和社会工作专业的 323 名医学生在 IPE 癌症模块中的前测和后测数据。
在跨专业态度中,“团队合作、角色和责任”被发现是 IPE 结果的最佳预测因素,无论是在学生层面还是团队层面。认识到共享学习益处的学生在目标达成和团队有效性方面表现更好。此外,强调共享学习的团队在整体团队绩效方面也表现更好。
学生对跨专业协作实践中的团队合作、角色和责任的态度,无论是在学生层面还是团队层面,对于实现积极的学生和团队层面结果都很重要。本研究从理论上通过采用 SIT 作为理解医疗团队中协作学习的视角,以及从方法上通过应用多层次方法并描绘 IPE 结果的重要学生和团队层面预测因素,为医学教育领域的现有知识扩展做出了贡献。