Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Nursing, KK Women's and Children's Hospital, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Nursing, KK Women's and Children's Hospital, Singapore.
Nurse Educ Pract. 2024 Jan;74:103864. doi: 10.1016/j.nepr.2023.103864. Epub 2023 Dec 7.
Patient safety is a global health priority as unsafe care is a principal cause of death and disability. Ineffective interprofessional communication and collaboration among nursing and medical professionals and students contribute to unsafe practices. Interprofessional education provides opportunities to strengthen nurse-physician collaboration and enhance patient care. However, there is inconclusive evidence regarding interprofessional education effectiveness. This review aims to systematically evaluate interprofessional education effectiveness for nursing and medical professionals and students on interprofessional educational outcomes (interprofessional attitudes, perceptions, skills, knowledge, behaviours, and organisational and patient outcomes).
PubMed, Cochrane Library, Embase, Scopus, CINAHL, ERIC, PsycInfo, Web of Science were last searched on 13 January 2022. This review included published and unpublished randomised controlled trials, quasi-experimental and mixed-method studies in English examining interprofessional education outcomes among nursing and medical professionals and students. Two reviewers independently appraised studies using the Joanna Briggs Institute Critical Appraisal Tools and extracted data using a modified Joanna Briggs Institute data extraction form. Narrative synthesis was conducted instead of meta-analysis since majority of the included studies had quasi-experimental design, and various interventions and outcomes. Certainty of evidence was appraised using the Grading of Recommendations, Assessment, Development and Evaluations tool.
This review included 15 studies involving 1185 participants. Improvements were reported in each interprofessional educational outcome after interprofessional education. High-fidelity simulation with multiple scenarios, standardised communication tools, didactic and active learning methods, theoretical frameworks, debriefing sessions and provider training enhanced interprofessional education effectiveness.
Effectiveness of interprofessional education for nursing and medical professionals and students was demonstrated since improvements were observed for each interprofessional educational outcome. This systematic review addressed literature gaps, demonstrated effectiveness of interprofessional education in clinical practice and academic curricula and provided evidence-based insights that future research can consider to enhance global patient safety standards for optimal patient outcomes and quality of healthcare. Caution is advised in interpreting findings due to 'very low' evidence certainty and limited studies. More high-quality randomised controlled trials with longitudinal designs are needed.
患者安全是全球卫生的重点，因为不安全的护理是导致死亡和残疾的主要原因。护理和医疗专业人员和学生之间无效的跨专业沟通和协作导致了不安全的做法。跨专业教育提供了加强护士与医生合作和提高患者护理的机会。然而，关于跨专业教育的效果还没有确凿的证据。本综述旨在系统评估跨专业教育对护理和医疗专业人员和学生的效果，包括跨专业教育成果（跨专业态度、观念、技能、知识、行为以及组织和患者成果）。
本综述于 2022 年 1 月 13 日最后检索了 PubMed、Cochrane 图书馆、Embase、Scopus、CINAHL、ERIC、PsycInfo 和 Web of Science。本综述纳入了以英语发表和未发表的随机对照试验、准实验和混合方法研究，研究对象为护理和医疗专业人员和学生的跨专业教育成果。两位评审员使用 Joanna Briggs 研究所的批判性评价工具独立评价研究，并使用修改后的 Joanna Briggs 研究所数据提取表提取数据。由于大多数纳入的研究为准实验设计，且干预措施和结果各异，因此采用叙述性综合而非荟萃分析。使用推荐评估、制定与评价工具评估证据确定性。
本综述纳入了 15 项研究，涉及 1185 名参与者。跨专业教育后，每种跨专业教育成果都有改善。高保真模拟与多个场景、标准化沟通工具、理论框架、讨论会议和提供者培训结合使用，可提高跨专业教育的效果。
跨专业教育对护理和医疗专业人员和学生是有效的，因为观察到每种跨专业教育成果都有改善。本系统综述解决了文献空白，展示了跨专业教育在临床实践和学术课程中的有效性，并提供了循证见解，未来的研究可以考虑这些见解来提高全球患者安全标准，以实现最佳患者结果和提高医疗保健质量。由于证据确定性“极低”且研究有限，在解释结果时应谨慎。需要更多高质量的、具有纵向设计的随机对照试验。
