Parsell G, Bligh J
Department of Health Care Education, Faculty of Medicine, University of Liverpool, UK.
Postgrad Med J. 1998 Feb;74(868):89-95. doi: 10.1136/pgmj.74.868.89.
Effective care in hospitals and in the community requires doctors, nurses and other healthcare professionals to work together to achieve the best possible outcomes for patients. In the UK, a shift in emphasis towards a primary care led service and recent changes to the ways in which healthcare is funded and organised, are profoundly affecting traditional patterns of working. Boundaries which define the roles and responsibilities of individual professions are becoming less clear and there is increasing overlap of knowledge and skills. The provision of effective patient care now depends much more on the individual practitioner's understanding of the need to collaborate within and between healthcare teams in community settings and the care provided in hospitals. This paper describes some of the ways in which those providing education and training for the professions are seeking to create opportunities for learners which will not only help them to understand the complexities of working in a multiprofessional healthcare environment, but also enable them to develop the skills and attitudes they need for interprofessional working. However, it is not yet established whether 'learning together' during basic training will result in better 'working together' in practice. Higher education institutions are understandably cautious about adopting new learning methods which make extra demands on decreasing resources. More studies are therefore needed to show whether interprofessional learning during basic education has an impact on future working practice.
医院和社区的有效护理需要医生、护士及其他医疗保健专业人员共同努力,为患者实现尽可能好的治疗效果。在英国,重点向以初级保健为主导的服务转变,以及近期医疗保健资金筹集和组织方式的变化,正在深刻影响传统的工作模式。界定各个专业角色和职责的界限变得越来越模糊,知识和技能的重叠也日益增加。现在,提供有效的患者护理更多地取决于个体从业者对在社区环境中的医疗团队内部及之间以及医院提供的护理中进行协作的必要性的理解。本文描述了一些为各专业提供教育和培训的人员为学习者创造机会的方式,这些机会不仅有助于他们理解在多专业医疗环境中工作的复杂性,还能使他们培养跨专业工作所需的技能和态度。然而,基础培训期间的“共同学习”是否会在实际工作中带来更好的“协同工作”尚未确定。高等教育机构对采用对日益减少的资源提出额外要求的新学习方法持谨慎态度是可以理解的。因此,需要更多研究来表明基础教育期间的跨专业学习是否会对未来的工作实践产生影响。