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心胸外科的跨专业教育:一项叙述性综述。

Interprofessional education in cardiothoracic surgery: a narrative review.

作者信息

Lampridis Savvas, Scarci Marco, Cerfolio Robert J

机构信息

National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, United Kingdom.

Department of Thoracic Surgery, 424 General Military Hospital, Thessaloniki, Greece.

出版信息

Front Surg. 2024 Sep 4;11:1467940. doi: 10.3389/fsurg.2024.1467940. eCollection 2024.

Abstract

Interprofessional education, an approach where healthcare professionals from various disciplines learn with, from, and about each other, is widely recognized as an important strategy for improving collaborative practice and patient outcomes. This narrative review explores the current state and future directions of interprofessional education in cardiothoracic surgery. We conducted a literature search using the PubMed, Scopus, and Web of Science databases, focusing on English-language articles published after 2000. Our qualitative synthesis identified key themes related to interprofessional education interventions, outcomes, and challenges. The integration of interprofessional education in cardiothoracic surgery training programs varies across regions, with a common focus on teamwork and interpersonal communication. Simulation-based training has emerged as a leading modality for cultivating these skills in multidisciplinary settings, with studies showing improvements in team performance, crisis management, and patient safety. However, significant hurdles remain, including professional socialization, hierarchies, stereotypes, resistance to role expansion, and logistical constraints. Future efforts in this field should prioritize deeper curricular integration, continuous faculty development, strong leadership support, robust outcome evaluation, and sustained political and financial commitment. The integration of interprofessional education in cardiothoracic surgery offers considerable potential for enhancing patient care quality, but realizing this vision requires a multifaceted approach. This approach must address individual, organizational, and systemic factors to build an evidence-based framework for implementation.

摘要

跨专业教育是一种让来自不同学科的医疗保健专业人员相互学习、相互借鉴并了解彼此的方法,被广泛认为是改善协作实践和患者治疗效果的重要策略。本叙述性综述探讨了心胸外科跨专业教育的现状和未来发展方向。我们使用PubMed、Scopus和Web of Science数据库进行了文献检索,重点关注2000年以后发表的英文文章。我们的定性综合分析确定了与跨专业教育干预、成果和挑战相关的关键主题。心胸外科培训项目中跨专业教育的整合在不同地区存在差异,共同关注团队合作和人际沟通。基于模拟的培训已成为在多学科环境中培养这些技能的主要方式,研究表明团队绩效、危机管理和患者安全都有所改善。然而,仍存在重大障碍,包括职业社会化、等级制度、刻板印象、对角色扩展的抵触以及后勤限制。该领域未来的努力应优先考虑更深层次的课程整合、持续的教师发展、强有力的领导支持、有力的成果评估以及持续的政治和财政承诺。心胸外科跨专业教育的整合在提高患者护理质量方面具有巨大潜力,但要实现这一愿景需要采取多方面的方法。这种方法必须解决个人、组织和系统因素,以建立一个基于证据的实施框架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc9f/11408362/47bc8482b0ca/fsurg-11-1467940-g001.jpg

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