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跨专业教育对不孕不育与生殖医学团队中跨专业职业行为及沟通自我效能的影响。

Effect of interprofessional education on interprofessional professionalism behavior and Self-efficacy in communication among the infertility and reproductive medicine team.

作者信息

Dashti Saeideh, Heidari Atefeh Sadat, Keshmiri Fatemeh

机构信息

Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

National Agency for Strategic Research in Medical Education, Tehran, Iran.

出版信息

BMC Med Educ. 2025 Jul 28;25(1):1121. doi: 10.1186/s12909-025-07720-8.

Abstract

OBJECTIVE

Infertility and reproductive medicine are complex fields that rely on the collaboration of diverse healthcare professionals. The study aimed to assess the effect of interprofessional education in the infertility and reproductive field on interprofessional professionalism (IPP) behavior and self-efficacy regarding interprofessional communication and collaboration of team members.

METHOD

The quasi-experimental study was conducted at the Yazd Reproductive Sciences Institute, affiliated with Shahid Sadoughi University of Medical Sciences, Iran, from 2023 to 2024. Participants included a diverse group of healthcare professionals such as nurses, surgical nurses, midwives, fellows (gynecologists who participated in a reproductive endocrinology and infertility fellowship program), and senior Ph.D. candidates in reproductive biology. They were divided into an intervention group (n = 22) and a control group (n = 20). The intervention group utilized a case-based learning approach within small interprofessional groups, fostering collaborative learning. The control group followed a traditional education program, including lectures and uni-professional group discussions. Interprofessional Professionalism Assessment (IPA), conducted by two independent evaluators, assessed participants' interprofessional professionalism behaviors in real-world situations. Attitudes towards self-efficacy in interprofessional communication were evaluated through self-report questionnaires. Data analysis employed descriptive statistics (mean, SD, percentage, frequency), ANCOVA, and Partial Eta Squared to determine the effect size.

RESULTS

The comparison of Interprofessional Professionalism behavior scores between the intervention and control groups revealed a significant educational effect, with a Partial Eta Squared value of 0.283. The IPP behavior scores for the intervention group were 79.04 ± 5.65, indicating a higher score of IPP compared to the control group's score of 70.40 ± 8.31. (P < 0.05). The scores for attitudes toward self-efficacy in the intervention group were 100.18 ± 14.08, reflecting a slightly higher level of self-efficacy compared with the control group's score of 97.55 ± 4.38. (P > 0.05) CONCLUSION: Infertility services require collaboration among various healthcare professionals throughout different stages of the treatment process. The present study revealed a significant educational effect of interprofessional education. The intervention group showed marked improvements in behavior across three key areas: communication, excellence, and respect. These findings underscore the importance of integrating interprofessional education into both continuing education and formal educational programs within reproductive and infertility courses. This approach fosters a culture of cooperation and enhances interprofessional professionalism capabilities in infertility services.

摘要

目的

不孕不育与生殖医学是复杂的领域,依赖于不同医疗保健专业人员的协作。本研究旨在评估不孕不育与生殖领域的跨专业教育对跨专业职业素养(IPP)行为以及团队成员跨专业沟通与协作的自我效能感的影响。

方法

该准实验研究于2023年至2024年在伊朗设拉子医科大学沙希德·萨杜基分校附属的亚兹德生殖科学研究所进行。参与者包括各类医疗保健专业人员,如护士、外科护士、助产士、进修医生(参加生殖内分泌与不孕不育进修项目的妇科医生)以及生殖生物学专业的资深博士生。他们被分为干预组(n = 22)和对照组(n = 20)。干预组在跨专业小组内采用基于案例的学习方法,促进协作学习。对照组遵循传统教育计划,包括讲座和单一专业小组讨论。由两名独立评估人员进行的跨专业职业素养评估(IPA),评估参与者在实际场景中的跨专业职业素养行为。通过自我报告问卷评估对跨专业沟通自我效能感的态度。数据分析采用描述性统计(均值、标准差、百分比、频率)、协方差分析和偏 eta 平方来确定效应大小。

结果

干预组与对照组之间跨专业职业素养行为得分的比较显示出显著的教育效果,偏 eta 平方值为0.283。干预组的IPP行为得分为79.04 ± 5.65,表明其IPP得分高于对照组的70.40 ± 8.31。(P < 0.05)。干预组对自我效能感的态度得分是100.18 ± 14.08,与对照组的97.55 ± 4.38相比,自我效能感水平略高。(P > 0.05)结论:不孕不育服务在治疗过程的不同阶段需要各类医疗保健专业人员的协作。本研究揭示了跨专业教育具有显著的教育效果。干预组在沟通、卓越和尊重这三个关键领域的行为有明显改善。这些发现强调了将跨专业教育纳入生殖与不孕不育课程的继续教育和正规教育项目的重要性。这种方法培养了合作文化,提高了不孕不育服务中的跨专业职业素养能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2226/12302441/87a931fc675c/12909_2025_7720_Fig1_HTML.jpg

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