Wood Angela, Copley Jodie, Hill Anne, Cottrell Neil
The University of Queensland, Brisbane, Australia.
Princess Alexandra Hospital, Metro South Hospital & Health Service, Brisbane, Australia.
J Interprof Care. 2022 Jul 26:1-12. doi: 10.1080/13561820.2022.2086222.
Interprofessional collaborative practice (IPCP) has been recognized as invaluable in delivering safe, high-quality patient care with finite resources. However, despite a decade of advances in interprofessional (IP) research, policy, and competency frameworks, IPCP does not always occur in practice. One reason may be the influence of a clinician's identity in an IP context. The purpose of this scoping review was to understand the nature of IP identity in healthcare clinicians. The PRISMA framework was used to support a comprehensive search strategy and screening of 1746 articles. Inclusion criteria included original research, theses, and reviews, a primary focus on IP identity or professional identity (PI) in an IP team, and a focus on health professionals, including students transitioning to practice. Ninety-five papers met the eligibility criteria, though once charted, just four of the 95 papers focused on IP identity in clinicians. Three further papers examined shared team identity, 25 papers referred to, but did not focus on IP identity, and the remaining 63 papers explored PI in an IP team. While limited studies on clinician IP identity restrict conclusive findings, patterns were identified to direct further research on the nature of IP identity in clinicians. These include values and beliefs, individual and personal factors, profession and professional experience, education, socialization, context, leadership, and the process of IP identity development. While identity is undeniably central to being a clinician, the values, beliefs, attributes, and experiences that contribute to clinician IP identity, how clinician IP identity develops, and factors that influence IP identity remain unclear. The results of this review highlight the value of further investigation of the nature of IP identity, the interplay between PI and IP identity, and identity in an IP context.
跨专业协作实践（IPCP）在利用有限资源提供安全、高质量的患者护理方面被认为具有极高价值。然而，尽管跨专业（IP）研究、政策和能力框架在过去十年中取得了进展，但IPCP在实践中并不总是能够实现。一个原因可能是临床医生在跨专业环境中的身份影响。本范围综述的目的是了解医疗保健临床医生中跨专业身份的本质。PRISMA框架用于支持全面的搜索策略和对1746篇文章的筛选。纳入标准包括原创研究、论文和综述，主要关注跨专业团队中的跨专业身份或专业身份（PI），以及关注健康专业人员，包括向实践过渡的学生。95篇论文符合资格标准，但经梳理后，95篇论文中只有4篇关注临床医生的跨专业身份。另外3篇论文研究了共享团队身份，25篇论文提及但未聚焦于跨专业身份，其余63篇论文探讨了跨专业团队中的专业身份。虽然关于临床医生跨专业身份的研究有限，限制了得出确凿结论，但仍确定了一些模式，以指导对临床医生跨专业身份本质的进一步研究。这些包括价值观和信念、个人因素、职业和专业经验、教育、社会化、环境、领导力以及跨专业身份发展过程。虽然身份无疑是成为临床医生的核心，但促成临床医生跨专业身份的价值观、信念、属性和经验、临床医生跨专业身份如何发展以及影响跨专业身份的因素仍不清楚。本综述结果强调了进一步研究跨专业身份本质、专业身份与跨专业身份之间的相互作用以及跨专业环境中身份的价值。
