Monash University (Monash Centre for Scholarship in Health Education), Melbourne, Victoria, Australia.
Monash University (Department of Nutrition, Dietetics and Food), Melbourne, Victoria, Australia.
Nurse Educ Today. 2023 Feb;121:105707. doi: 10.1016/j.nedt.2023.105707. Epub 2023 Jan 5.
Frameworks in higher education can support strategic curriculum change in complex systems. The impact of these frameworks in achieving their stated purpose is less known. An interprofessional education (IPE) framework and related multi-activity curriculum designed to develop health profession graduates with the requisite skills for collaborative care, was introduced in a large university, across eleven health professions.
To determine the utility of an interprofessional framework and impact upon perceived work readiness for collaborative practice.
A multimethod design using the context, input, process, product (CIPP) evaluation model was selected taking a social constructivist theoretical stance. Data collection included staffing allocation to IPE, curriculum audit, and reflections from representatives of all health professions courses offered at the institution. Data was analyzed using framework analysis.
Interviews or focus groups were undertaken with academic Faculty (n = 13), recent graduates (n = 24) and clinical supervisors/employers of recent graduates (n = 17).
The framework assisted the systematic implementation of interprofessional curriculum across the different health courses at the university. Collaborative work-ready learning outcomes were identified in graduates where targeted curriculum had been implemented across all four domains of the framework. Gaps identified in framework implementation were consistent with gaps identified in graduate knowledge and skills related to collaborative practice. The combination of formal university-based IPE and informal workplace learning as part of clinical placements contributed to achieving the desired learning outcomes.
These findings offer insights into the use of shared frameworks to drive specific learning activities related to collaborative practice.
高等教育框架可以支持复杂系统中的战略课程变革。这些框架在实现其既定目标方面的影响知之甚少。一个跨专业教育(IPE)框架和相关的多活动课程旨在培养具有协作护理所需技能的健康专业毕业生,在一所大型大学中,在 11 个健康专业中引入了这一框架和课程。
确定跨专业框架的实用性及其对协作实践的感知准备程度的影响。
采用多方法设计,使用背景、投入、过程、产品(CIPP)评价模型,采用社会建构主义理论立场。数据收集包括对 IPE 的人员配置、课程审计,以及该机构提供的所有健康专业课程代表的反思。使用框架分析对数据进行分析。
对学术教师(n=13)、应届毕业生(n=24)和应届毕业生的临床主管/雇主(n=17)进行了访谈或焦点小组讨论。
该框架有助于在大学的不同健康课程中系统地实施跨专业课程。在实施了框架的所有四个领域的针对性课程的毕业生中,确定了协作工作准备的学习成果。在框架实施方面发现的差距与协作实践相关的毕业生知识和技能方面的差距一致。正式的大学基础 IPE 与作为临床实习一部分的非正式工作场所学习的结合有助于实现预期的学习成果。
这些发现为使用共享框架来推动与协作实践相关的具体学习活动提供了深入了解。