College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Rady Chair in Interprofessional Collaborative Practice, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
BMC Med Educ. 2024 Feb 13;24(1):139. doi: 10.1186/s12909-024-05114-w.
Interprofessional collaborative team-based approaches to care in health service delivery has been identified as important to health care reform around the world. Many academic institutions have integrated interprofessional education (IPE) into curricula for pre-licensure students in healthcare disciplines, but few provide formal initiatives for interprofessional practice (IPP). It is recognized that experiential learning (EL) can play a significant role supporting IPP education initiatives; however, little is known of how EL is used within education for IPP in healthcare settings.
We conducted a scoping review to map peer-reviewed literature describing IPP education initiatives involving EL for pre-licensure students in healthcare disciplines. A literature search was executed in MEDLINE, CINAHL, EMBASE, ERIC, PsycINFO, Scopus, and Social Services Abstracts. After deduplication, two independent reviewers screened titles and abstracts of 5664 records and then 252 full-text articles that yielded 100 articles for data extraction. Data was extracted using an Excel template, and results synthesized for presentation in narrative and tabular formats.
The 100 included articles represented 12 countries and IPP education initiatives were described in three main typologies of literature - primary research, program descriptions, and program evaluations. Forty-three articles used a theory, framework, or model for design of their initiatives with only eight specific to EL. A variety of teaching and learning strategies were employed, such as small interprofessional groups of students, team huddles, direct provision of care, and reflective activities, but few initiatives utilized a full EL cycle. A range of perspectives and outcomes were evaluated such as student learning outcomes, including competencies associated with IPP, impacts and perceptions of the IPP initiatives, and others such as client satisfaction.
Few educational frameworks specific to EL have been used to inform EL teaching and learning strategies to consolidate IPE learning and prepare students for IPP in healthcare settings. Further development and evaluation of existing EL frameworks and models would be beneficial in supporting robust IPP educational initiatives for students in healthcare disciplines. Intentional, thoughtful, and comprehensive use of EL informed by theory can contribute important advances in IPP educational approaches and the preparation of a future health care workforce.
在全球范围内,医疗服务提供中以跨专业协作团队为基础的方法已被确定为医疗改革的重要组成部分。许多学术机构已经将跨专业教育(IPE)纳入医疗保健学科的预许可学生课程中,但很少有机构为跨专业实践(IPP)提供正式举措。人们认识到,体验式学习(EL)可以在支持 IPP 教育计划方面发挥重要作用;然而,对于在医疗保健环境中进行 IPP 教育的 EL 使用情况知之甚少。
我们进行了范围界定审查,以绘制描述涉及医疗保健学科预许可学生 EL 的 IPP 教育计划的同行评审文献。在 MEDLINE、CINAHL、EMBASE、ERIC、PsycINFO、Scopus 和 Social Services Abstracts 中进行了文献检索。在重复项消除后,两名独立评审员筛选了 5664 条记录的标题和摘要,然后筛选了 252 篇全文文章,得出了 100 篇用于数据提取的文章。使用 Excel 模板提取数据,并以叙述和表格格式综合呈现结果。
这 100 篇文章代表了 12 个国家,IPP 教育计划在三种主要类型的文献中进行了描述 - 主要研究、计划描述和计划评估。43 篇文章使用了理论、框架或模型来设计他们的计划,其中只有 8 篇计划专门针对 EL。采用了各种教学和学习策略,例如学生的小型跨专业小组、团队会议、直接提供护理和反思活动,但很少有计划利用完整的 EL 周期。评估了各种观点和结果,例如学生的学习成果,包括与 IPP 相关的能力、IPP 计划的影响和看法,以及其他方面,如客户满意度。
很少有专门针对 EL 的教育框架被用于告知 EL 教学和学习策略,以巩固 IPE 学习并为学生在医疗保健环境中进行 IPP 做好准备。进一步开发和评估现有的 EL 框架和模型将有助于为医疗保健学科的学生提供强有力的 IPP 教育计划。有目的、深思熟虑和全面地使用理论指导的 EL 可以为 IPP 教育方法的发展和未来医疗保健劳动力的培养做出重要贡献。