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[临床实习背景下跨专业学习强度的分类:基于跨专业教育理论基础及叙述性综述结果的一项提议]

[Classification of the intensity of interprofessional learning in the context of clinical placements: a proposal based on theoretical foundations in interprofessional education and the results of a narrative review].

作者信息

Richard Amélie, Perreault Kadija, Savard Isabelle, Pinard Anne-Marie, Careau Emmanuelle

机构信息

Faculté d'éducation, Université de Sherbrooke, Québec, Canada.

Faculté de médecine, Centre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Université Laval, Québec, Canada.

出版信息

Can Med Educ J. 2025 Feb 28;16(1):15-25. doi: 10.36834/cmej.76460. eCollection 2025 Feb.

Abstract

CONTEXT

In terms of interprofessional education (IPE), clinical internships are an interesting opportunity to anchor theoretical knowledge of interprofessionalism in an authentic context. However, even if there is a diversity of experiences described in the scientific literature regarding placement contexts, objectives, and modalities, no taxonomy is adapted to interprofessional internships.

PURPOSE

This article, therefore, proposes an original classification of the intensity of experiences and learning in the context of interprofessional internship experiences based on the modality of learning offered, the degree of experience with patients, the predictability and complexity of tasks required, the focus of learning and the duration of the internship. This classification is grounded in the theoretical foundations of IPE and on data from a narrative review analysis on this subject.

METHOD

A narrative literature review was conducted to target articles on interprofessional internship experiences in health and social services. The analysis process unfolded through iterations between data collection from the articles and analysis based on the theoretical foundations of IPE and expertise of research team members. In accordance with the instructional design research specifications, this process led to the proposal, then to the validation, of a classification of the intensity of interprofessional learning in clinical placements.

RESULTS

This classification is composed of four levels suggesting an evolution of the intensity of the educational experience according to the modality and focus of learning, the degree of exposure to patients; the predictability and complexity of the tasks and the duration of the internship.

CONCLUSION

This type of classification will help future instigators of internships to plan, rigorously, and coherently, the progression of learners' knowledge and skills development in IPE based on their program context and goals.

摘要

背景

就跨专业教育(IPE)而言,临床实习是将跨专业理论知识应用于真实情境的一个有趣契机。然而,尽管科学文献中描述了关于实习环境、目标和方式的多样经历,但尚无适用于跨专业实习的分类法。

目的

因此,本文基于所提供的学习方式、与患者接触的程度、所需任务的可预测性和复杂性、学习重点以及实习时长,对跨专业实习经历中的体验和学习强度提出了一种原创分类。这种分类基于IPE的理论基础以及关于该主题的叙述性综述分析数据。

方法

开展了一项叙述性文献综述,以查找关于健康和社会服务领域跨专业实习经历的文章。分析过程通过从文章中收集数据与基于IPE理论基础及研究团队成员专业知识进行分析之间的反复迭代展开。根据教学设计研究规范,这一过程促成了临床实习中跨专业学习强度分类的提出及验证。

结果

该分类由四个级别组成,表明教育体验强度会根据学习方式和重点、与患者接触的程度、任务的可预测性和复杂性以及实习时长而有所变化。

结论

这种分类将有助于未来的实习组织者根据其项目背景和目标,严谨且连贯地规划学习者在IPE中知识和技能发展的进程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac6/11931173/426e68f431c6/CMEJ-16-015-g001.jpg

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