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首页> 外文期刊>BMC Nursing >Effects of interprofessional education for medical and nursing students: enablers, barriers and expectations for optimizing future interprofessional collaboration – a qualitative study
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Effects of interprofessional education for medical and nursing students: enablers, barriers and expectations for optimizing future interprofessional collaboration – a qualitative study

机译：跨专业教育对医学和护理专业学生的影响：优化未来跨专业合作的推动力，障碍和期望–定性研究

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To ensure high quality patient care an effective interprofessional collaboration between healthcare professionals is required. Interprofessional education (IPE) has a positive impact on team work in daily health care practice. Nevertheless, there are various challenges for sustainable implementation of IPE. To identify enablers and barriers of IPE for medical and nursing students as well as to specify impacts of IPE for both professions, the ‘Cooperative academical regional evidence-based Nursing Study in Mecklenburg-Western Pomerania’ (Care-N Study M-V) was conducted. The aim is to explore, how IPE has to be designed and implemented in medical and nursing training programs to optimize students’ impact for IPC. A qualitative study was conducted using the Delphi method and included 25 experts. Experts were selected by following inclusion criteria: (a) ability to answer every research question, one question particularly competent, (b) interdisciplinarity, (c) sustainability and (d) status. They were purposely sampled. Recruitment was based on existing collaborations and a web based search. The experts find more enablers than barriers for IPE between medical and nursing students. Four primary arguments for IPE were mentioned: (1) development and promotion of interprofessional thinking and acting, (2) acquirement of shared knowledge, (3) promotion of beneficial information and knowledge exchange, and (4) promotion of mutual understanding. Major barriers of IPE are the coordination and harmonization of the curricula of the two professions. With respect to the effects of IPE for IPC, experts mentioned possible improvements on (a) patient level and (b) professional level. Experts expect an improved patient-centered care based on better mutual understanding and coordinated cooperation in interprofessional health care teams. To sustainably implement IPE for medical and nursing students, IPE needs endorsement by both, medical and nursing faculties. In conclusion, IPE promotes interprofessional cooperation between the medical and the nursing profession. Skills in interprofessional communication and roles understanding will be primary preconditions to improve collaborative patient-centered care. The impact of IPE for patients and caregivers as well as for both professions now needs to be more specifically analysed in prospective intervention studies.
机译：为了确保高质量的患者护理，需要医疗保健专业人员之间的有效的专业间合作。专业间教育（IPE）对日常保健实践中的团队合作产生积极影响。尽管如此，可持续实施IPE仍然面临着各种挑战。为了确定IPE对医学和护理专业学生的推动力和障碍，以及确定IPE对这两个专业的影响，开展了“梅克伦堡-前波美拉尼亚基于合作性学术研究的区域性护理研究”（Care-N研究M-V）。目的是探讨如何在医疗和护理培训计划中设计和实施IPE，以优化学生对IPC的影响。使用Delphi方法进行了定性研究，其中包括25名专家。通过以下入选标准选择专家：（a）回答每个研究问题的能力，一个特别胜任的问题，（b）跨学科性，（c）可持续性和（d）地位。他们是故意取样的。招聘基于现有的协作和基于Web的搜索。专家们发现，在医学和护理专业学生之间，实现IPE的障碍比障碍更多。提到了IPE的四个主要论点：（1）发展和促进专业间的思维和行动;（2）获得共享知识;（3）促进有益的信息和知识交流;（4）促进相互理解。 IPE的主要障碍是两个专业课程的协调和统一。关于IPE对IPC的影响，专家们提到了（a）患者水平和（b）专业水平的可能改进。专家们期望，基于专业间医疗团队之间更好的相互理解和协调合作，可以改善以患者为中心的护理。为了可持续地为医学和护理专业学生实施IPE，IPE需要得到医学和护理学院的认可。总之，IPE促进了医疗和护理专业之间的跨专业合作。专业间的沟通技巧和角色理解将是改善以患者为中心的协作医疗的主要前提。 IPE对患者和护理人员以及这两个行业的影响现在需要在前瞻性干预研究中更具体地分析。

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