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从个体到跨专业:评估医疗保健教育中跨专业合作的评估任务的特点。

From individual to interprofessional: characteristics of assessment tasks to assess interprofessional collaboration in healthcare education.

机构信息

Research Centre for Autonomy and Participation, Zuyd University of Applied Sciences, Heerlen, The Netherlands.

School of Health Professions Education, Maastricht University, Maastricht, The Netherlands.

出版信息

J Interprof Care. 2024 Sep-Oct;38(5):907-917. doi: 10.1080/13561820.2024.2381058. Epub 2024 Aug 2.

Abstract

To develop independent healthcare professionals able to collaborate in interprofessional teams, health professions education aims to support students in transitioning from an individual perspective to interprofessional collaboration. The five elements that yield the conditions for effective interprofessional collaboration are: (1) positive interdependence, (2) individual accountability, (3) promotive interaction, (4) interpersonal skills, and (5) reflection on team processes. The aim of the current study is to gain insights into how to design tasks to assess a student team as a whole on their interprofessional collaboration. This was a pilot study using a qualitative design to evaluate an interprofessional assessment task. Four interprofessional student teams, comprising physiotherapy, occupational therapy, arts therapy and nursing students ( = 13), completed this task and five assessors used a rubric to assess video recordings of the teams' task completion, and then participated in a group interview. The completed rubrics and the interview transcript were analyzed using content analysis. Findings showed that the combination of individual preparation, an interprofessional team meeting resulting in care agreements and team reflection was a strength of the assessment task, enabling the task to elicit sufficient promotive interaction between students. Areas for improvement of the assessment task were however, due to a lack of interdependence, the care agreements which now proved to be the sum of students' intraprofessional ideas rather than an interprofessional integration of agreements. Additionally, assessors suggested that a series of varying assessment tasks is required to draw conclusions about students' interprofessional competence.

摘要

为了培养能够在跨专业团队中协作的独立医疗保健专业人员,医疗保健专业教育旨在支持学生从个体视角向跨专业协作转变。产生有效跨专业协作的五个要素是:(1)积极的相互依存,(2)个体责任,(3)促进性互动,(4)人际交往能力,以及(5)对团队流程的反思。本研究旨在深入了解如何设计任务,以评估学生团队在跨专业协作方面的整体表现。这是一项使用定性设计来评估跨专业评估任务的试点研究。四个跨专业学生团队,包括物理治疗、职业治疗、艺术治疗和护理学生( = 13),完成了这项任务,五位评估员使用评分表评估团队完成任务的视频记录,然后参加了小组访谈。使用内容分析法分析完成的评分表和访谈记录。研究结果表明,个人准备、导致护理协议的跨专业团队会议以及团队反思的结合是评估任务的一个优势,使任务能够在学生之间产生足够的促进性互动。然而,由于缺乏相互依存关系,护理协议现在被证明是学生们的专业内想法的总和,而不是协议的跨专业整合,因此评估任务需要改进。此外,评估员建议需要一系列不同的评估任务来得出关于学生跨专业能力的结论。

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