Bau Institute of Medical and Health Sciences Education, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
School of Biomedical Sciences, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong.
Nurse Educ Today. 2024 Oct;141:106325. doi: 10.1016/j.nedt.2024.106325. Epub 2024 Jul 30.
Interprofessional education (IPE) incorporates healthcare students from various disciplines to learn with, about, and from one another, aiming to foster effective collaboration. However, the factors that promote these collaboration outcomes remain elusive. Recognizing this knowledge gap, this study utilizes self-determination theory applied in a ten-day IPE programme. The study aims are twofold: to clarify the potential influence of personal factors (autonomy, competence, and relatedness) and environmental factors (clear goals and technology support) on collaboration outcomes (team goal achievement and team effectiveness) and to examine the effect of the IPE on these outcomes.
The study utilized an IPE programme that integrated asynchronous and synchronous learning methods across two institutions in Hong Kong and the United Kingdom. This involved 147 students from diverse healthcare disciplines who were enrolled in the IPE programme. A pre- and post-test design was employed to examine programme effects. Multiple regression analysis was conducted to explore the factors influencing these outcomes, while paired samples t-tests were used to evaluate the effect of the IPE programme on collaboration outcomes.
Among the personal factors, a sense of relatedness emerged as an important predictor of team effectiveness and goal achievement. Clear goals and technology support positively influenced collaboration outcomes. A paired samples t-test indicated significant improvements in collaboration outcomes after the IPE simulation.
These findings highlight the importance of designing a large IPE programme that meets basic psychological needs (especially the sense of relatedness) and provides clear goals and adequate technology support in the IPE context. This study is helpful to understand how personal and environmental factors promote the collaboration outcomes in medical education and provide insights for future IPE curriculum development.
跨专业教育(IPE)将来自不同学科的医疗保健学生聚集在一起,让他们相互学习、相互了解,旨在促进有效的合作。然而,促进这些合作成果的因素仍然难以捉摸。鉴于这一知识差距,本研究在为期十天的 IPE 项目中应用了自我决定理论。本研究的目的有两个:一是阐明个人因素(自主性、能力和关联性)和环境因素(明确的目标和技术支持)对合作成果(团队目标的实现和团队有效性)的潜在影响;二是检验 IPE 对这些成果的影响。
本研究采用了一种 IPE 项目,该项目整合了香港和英国两所机构的异步和同步学习方法,涉及来自不同医疗保健学科的 147 名学生,他们都参加了 IPE 项目。采用前测和后测设计来检验项目效果。多元回归分析用于探索影响这些结果的因素,而配对样本 t 检验用于评估 IPE 项目对合作成果的影响。
在个人因素中,关联性被认为是团队有效性和目标实现的重要预测因素。明确的目标和技术支持对合作成果产生积极影响。配对样本 t 检验表明,在 IPE 模拟后,合作成果有显著提高。
这些发现强调了设计一个大型 IPE 项目的重要性,该项目应满足基本的心理需求(特别是关联性),并在 IPE 环境中提供明确的目标和充足的技术支持。本研究有助于了解个人和环境因素如何促进医学教育中的合作成果,并为未来的 IPE 课程开发提供见解。