Kuipers Ruud, Reinke Laurens, Tulleken Jaap, Reinders Jan-Jaap
Skills & Simulation Network Northern Netherlands, Groningen, the Netherlands.
Martini Academy, Institute for Education and Research, Martini Hospital, Groningen, the Netherlands.
J Multidiscip Healthc. 2025 Sep 4;18:5521-5533. doi: 10.2147/JMDH.S512952. eCollection 2025.
Speaking up can manifest in various forms, such as raising concerns or sharing ideas. While conceptual overlap exists within its behavioural dimensions, distinctions remain, including context-dependent social risks. Regarding the assurance of quality and safety in patient care, speaking up is paramount, particularly in mixed-profession groups. Speaking up requires specific competencies and depends on individuals' motivation to do so. Interprofessional identity (IPI) is a specific source of intrinsic motivation for interprofessional collaboration (IPC). Little is known about its relationship with speaking up. This study aims to investigate whether conversational topics act as triggers of IPI affecting speaking-up behaviour, and whether the strength of their influence varies across different conversational topics.
Participants of this study were 41 dental bachelor and 43 dental hygiene students. IPI was measured using the Extended Professional Identity Scale (EPIS) eight weeks prior to a simulation session (not a training). Students were assigned into weak or strong identity conditions based on EPIS scores. Small mixed-profession groups with four to five members were formed based on their identity condition and in alphabetic order. Every mixed-profession group discussed eight conversational topics. Groups listed up to ten ideas per topic. The number of ideas generated per topic in each group was used to measure speaking up. A higher idea percentage in the strong IPI group indicated activated IPI, reflecting identity-congruent behaviour.
Mixed-profession groups with relatively strong IPI showed more speaking up than groups with weak identifiers. Conversational topics can trigger IPI to varying degrees, reflected in differing levels of speaking up.
Some topics raise awareness of IPI, boosting speaking up in groups with relatively strong IPI. Using Extended Professional Identity Theory (EPIT) and effective IPI triggers in simulations helps trigger this behaviour. Moreover, reflective debriefing is likely to further support IPI and encourage speaking up.
表达意见可以有多种形式，比如提出担忧或分享想法。虽然在其行为维度上存在概念重叠，但仍有区别，包括取决于具体情境的社会风险。在患者护理的质量和安全保障方面，表达意见至关重要，尤其是在跨专业团队中。表达意见需要特定的能力，并且取决于个人这样做的动机。跨专业身份认同（IPI）是跨专业协作（IPC）内在动机的一个特定来源。关于它与表达意见之间的关系，人们了解甚少。本研究旨在调查对话主题是否作为影响表达意见行为的IPI触发因素，以及它们的影响强度在不同对话主题中是否有所不同。
本研究的参与者为41名牙科专业本科学生和43名口腔卫生专业学生。在模拟课程（而非培训）前八周，使用扩展专业身份量表（EPIS）测量IPI。根据EPIS分数，将学生分为身份认同弱或强的两组。根据他们的身份状况并按字母顺序组成四到五人的小型跨专业小组。每个跨专业小组讨论八个对话主题。每个小组每个主题列出多达十个想法。每个小组每个主题产生的想法数量用于衡量表达意见的程度。强IPI组中较高的想法百分比表明IPI被激活，反映了身份一致的行为。
IPI相对较强的跨专业小组比身份认同较弱的小组表达意见更多。对话主题可以在不同程度上触发IPI，这体现在不同的表达意见水平上。
一些主题提高了对IPI的认识，促进了IPI相对较强的小组中的表达意见。在模拟中使用扩展专业身份理论（EPIT）和有效的IPI触发因素有助于引发这种行为。此外，反思性汇报可能会进一步支持IPI并鼓励表达意见。
