以工作为中心的医疗保健跨专业教育的障碍和促进因素:一项综合综述。

IF 2.5 3区 医学 Q1 REHABILITATION
Elmi Zwaan, Nina Zipfel, Wietske Kuijer-Siebelink, Shirley Oomens, Sylvia J van der Burg-Vermeulen
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引用次数: 0

摘要

目的:识别、总结和综合与以工作为中心的医疗保健专业人员(如职业医生、社会保险医生和劳动专家)的跨专业教育(IPE)相关的障碍和促进因素,以告知和促进以工作为中心的医疗保健领域的跨专业协作实践。方法:对以工作为中心的卫生保健专业人员进行综合评价,以确定报告IPE的研究。8个数据库(APA PsycInfo, CINAHL, Cochrane, Embase, ERIC,谷歌Scholar, PubMed, Web of Science)被检索到2024年3月。筛选纳入文章的参考文献表。纳入标准是描述一项IPE活动,其中至少有一组参与者是以工作为重点的医疗保健专业人员(在培训中)。使用创新决定因素测量工具(MIDI)框架构建障碍和促进因素。结果:从6123项研究中,纳入了7项。为MIDI框架的每个级别确定了障碍和促进因素。例如,在国际政治经济学活动的特征层面,熟练教育者的参与和反思机会促进了国际政治经济学的发展。在IPE参与者特征层面,角色误解和缺乏互动阻碍了IPE的发展。在组织环境层面,与工作实践的联系促进了IPE。在社会政治环境层面,缺乏外部组织的支持阻碍了IPE的发展。结论:本综述的见解可为未来IPE的发展提供参考。建议将IPE整合到学习连续体中,与日常实践相联系,并包括反思的可能性和跨专业能力的培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers and Facilitators for Interprofessional Education in Work-Focused Healthcare: An Integrative Review.

Purpose: To identify, summarize, and synthesize barriers and facilitators associated with interprofessional education (IPE) for work-focused healthcare professionals such as occupational physicians, social insurance physicians, and labor experts, to inform and stimulate interprofessional collaborative practice within the field of work-focused healthcare.

Methods: An integrative review was conducted to identify studies that report on IPE for work-focused healthcare professionals. Eight databases (APA PsycInfo, CINAHL, Cochrane, Embase, ERIC, Google Scholar, PubMed, Web of Science) were searched until March 2024. Reference lists of included articles were screened. Inclusion criteria were a description of an IPE activity of which at least one group of participants were work-focused healthcare professionals (in training). Barriers and facilitators were structured using the framework of Measurement Instruments for Determinants of Innovation (MIDI).

Results: From 6123 studies, seven were included. Barriers and facilitators were identified for each level of the MIDI framework. For example, at the level of characteristics of the IPE activity, involvement of skilled educators and reflection opportunities facilitated IPE. At the level of characteristics of IPE participants, role misunderstanding and lack of interaction hindered IPE. At the level of the organizational context, connection to work practice facilitated IPE. At the level of socio-political context, lack of support from external organizations hindered IPE.

Conclusion: Insights from this review can inform future IPE development. It is recommended that IPE is integrated in a learning continuum, is connected to daily practice, and includes reflection possibilities and training for interprofessional competencies.

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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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