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健康专业学生在观摩跨专业姑息治疗查房后对跨专业协作原则的反思

Health Professions Students' Reflections About Principles of Interprofessional Collaboration after Shadowing Interprofessional Palliative Care Rounds.

作者信息

Kates Jeannette, Brown Ceasia, Campolieto Jenna, Brucato Maria

机构信息

College of Nursing, Thomas Jefferson University, Philadelphia, PA, USA.

Jefferson Center for Interprofessional Practice and Education, Thomas Jefferson University, Philadelphia, PA, USA.

出版信息

Am J Hosp Palliat Care. 2025 Nov;42(11):1102-1108. doi: 10.1177/10499091241296856. Epub 2024 Oct 27.

DOI:10.1177/10499091241296856
PMID:39462943
Abstract

Future healthcare professionals are educated on collaborative practice methods through interventions that may include shadowing. While shadowing allows students to learn and other health professions, it often fails to offer an opportunity for the student to work and collaborate other health professionals. This study sought to investigate themes regarding interprofessional students' experiences during a palliative care shadowing activity and their understanding of collaborative patient-centered care, social determinants of health, and health disparities. Twenty-eight students representing 13 health professions from the Interprofessional Palliative Care program at Jefferson Center for Interprofessional Practice and Education at Thomas Jefferson University submitted reflection essays at the conclusion of their shadowing experience. Four hundred ninety-eight sentences from 28 essays were analyzed via qualitative directed content analysis. Coding categories were determined a priori using definitions of collaborative practice from the 2023 Interprofessional Education Collaborative (IPEC) competencies and definitions of social determinants of health from Healthy People 2030. Thirty-two percent of sentences described IPEC competencies, 18% described social determinants of health/ health disparities, 4% included student emotional reactions, and 2% included student descriptions of the development of their professional role. These results suggest that shadowing offers an opportunity to identify and learn interprofessional competencies in interprofessional palliative care curricula, as made evident through student reflection assignments.

摘要

未来的医疗保健专业人员通过可能包括跟班见习在内的干预措施,接受协作实践方法方面的教育。虽然跟班见习能让学生向其他医疗专业人员学习,但它往往无法为学生提供与其他医疗专业人员一起工作和协作的机会。本研究旨在调查跨专业学生在姑息治疗跟班见习活动中的经历主题,以及他们对以患者为中心的协作护理、健康的社会决定因素和健康差距的理解。来自托马斯·杰斐逊大学杰斐逊跨专业实践与教育中心跨专业姑息治疗项目的28名代表13个医疗专业的学生在跟班见习结束时提交了反思文章。通过定性定向内容分析对28篇文章中的498个句子进行了分析。编码类别是根据2023年跨专业教育协作(IPEC)能力中协作实践的定义以及《健康人民2030》中健康的社会决定因素的定义预先确定的。32%的句子描述了IPEC能力,18%描述了健康的社会决定因素/健康差距,4%包括学生的情绪反应,2%包括学生对其职业角色发展的描述。这些结果表明,通过学生反思作业可以明显看出,跟班见习为在跨专业姑息治疗课程中识别和学习跨专业能力提供了机会。

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