Sulosaari Virpi, Dodlek Nikolina, Brandl Andreas, De Munter Johan, Eriksen Jesper Grau, McInally Wendy, O'Higgins Niall, Benstead Kim, Díez de Los Ríos de la Serna Celia
Turku University of Applied Sciences, Joukahaisenkatu 3, 20520, Turku, Finland.
Cyprus University of Technology, Archiepiskopou Kyprianou 30, Limassol, Cyprus.
BMC Med Educ. 2024 Jul 16;24(1):767. doi: 10.1186/s12909-024-05669-8.
Comprehensive cancer care requires effective collaboration by interprofessional healthcare teams. The need to develop educational initiatives to improve interprofessional collaboration is increasingly recognised. However, there is no agreement regarding the interprofessional competencies required for effective cancer care leading to much variation on the focus of research, planning and managing change. A scoping review was conducted to identify the current status of IPE in cancer care and to summarise the results of previous research in order to guide the development of interprofessional education in cancer care.
The JBI Scoping Review guidelines were used to guide the process of the review. A search of the available literature was conducted in CINAHL, MEDLINE (Ovid), PubMed, PsycInfo, Scopus databases from January 2012 to March 2023 to investigate IPE for health professional clinicians working in cancer care.
Of the 825 initial references and 153 studies imported for screening, a total of 28 studies were included in the final review. From those studies, seven focused on the need for IPE and interprofessional competence for oncology healthcare professionals, four reviewed existing IPE programs and 17 described the development and evaluation of interprofessional education. Findings show variation and lack of concept definitions underpinning research in IPE in cancer care settings. Variation also exists in the range of research activities in IPE, most notably related to communication, teamwork and the development of interprofessional practice. The evaluation of impact of IPE is mainly focused on health care professionals' self-evaluation and general feedback. Impact on patient care was only evaluated in one study.
Based on the results, interprofessional education research in the field of cancer care is limited in Europe. Thus, there is a significant increase in publications in the last five years. A more systematic focus on the theoretical framework and definition of concepts would be of value. Research and programme development should be based on a shared understanding on what constitutes the interprofessional competences and IPE. Programmes to develop interprofessional practice should be developed and implemented systematically with inclusion of validated assessment methods, and evaluated and improved regularly.
全面的癌症护理需要跨专业医疗团队的有效协作。人们越来越认识到需要开展教育举措以改善跨专业协作。然而,对于有效癌症护理所需的跨专业能力尚无共识,这导致研究、规划和管理变革的重点存在很大差异。进行了一项范围综述,以确定癌症护理中跨专业教育(IPE)的现状,并总结先前研究的结果,从而指导癌症护理跨专业教育的发展。
采用循证卫生保健国际协作组织(JBI)范围综述指南指导综述过程。于2012年1月至2023年3月在护理学与健康领域数据库(CINAHL)、医学在线数据库(MEDLINE,Ovid平台)、美国国立医学图书馆生物医学数据库(PubMed)、心理学文摘数据库(PsycInfo)、Scopus数据库中检索可用文献,以调查针对从事癌症护理工作的卫生专业临床医生的跨专业教育。
在最初检索到的825篇参考文献和导入筛选的153项研究中,最终综述纳入了28项研究。在这些研究中,7项关注肿瘤医疗专业人员对跨专业教育和跨专业能力的需求,4项回顾了现有的跨专业教育项目,17项描述了跨专业教育的发展与评估。研究结果表明,癌症护理环境中跨专业教育研究存在差异,且缺乏概念定义。跨专业教育的研究活动范围也存在差异,最显著的是在沟通、团队合作和跨专业实践发展方面。跨专业教育影响的评估主要集中在卫生保健专业人员的自我评估和总体反馈上。仅有一项研究评估了对患者护理的影响。
基于研究结果,欧洲癌症护理领域的跨专业教育研究有限。因此,在过去五年中出版物数量有显著增加。更系统地关注理论框架和概念定义将很有价值。研究和项目开发应基于对跨专业能力和跨专业教育构成要素的共同理解。应系统地开发和实施培养跨专业实践的项目,包括采用经过验证的评估方法,并定期进行评估和改进。