通过改进概念框架,提高视角来评估跨专业教育和跨专业合作:一个批判性的讨论
Florian B Neubauer1, Felicitas L Wagner2, Andrea Lörwald2
1Institute for Medical Education, Department for Assessment and Evaluation, University of Bern, Bern, Switzerland. florian.neubauer@unibe.ch.
BMC medical education
|June 4, 2024
概括
证明跨专业教育 (IPE) 和协作 (IPC) 对患者护理的影响是具有挑战性的. 一个新的模型强调,专业间组织 (IPO) 和外部因素对于有效评估IPE和IPC结果至关重要.
科学领域:
- 医疗保健管理的管理
- 健康 职业 教育 教育 专业
- 提高质量 提高质量
背景情况:
- 跨专业教育 (IPE) 和跨专业协作 (IPC) 得到广泛推广,但证明它们对患者护理质量,成本效益和提供者的满意度产生积极影响仍然很困难.
- 现有的因果模型往往过于简化了IPE,IPC和最终结果之间的关系,导致评估结果不确切.
研究的目的:
- 批判性地分析IPE和IPC结果评估中使用的当前因果模型的弱点.
- 提出一个更精确的,多阶段的,多因果模型,以了解影响医疗保健结果的复杂关系.
- 加强评估IPE,专业间组织 (IPO) 和IPC有效性的方法.
主要方法:
- 一个基于综合文献评估的批判性理论讨论.
- 分析连接IPE,IPO,IPC和患者,提供者和系统结果的因果途径.
- 检查在IPE/IPC研究中滥用像柯克帕特里克模型这样的评估框架.
主要成果:
- 单一因果,以IPE为中心的观点是不够的;专业间组织 (IPO) 是IPC的必要原因,外部因素影响最终结果.
- 提出了一个"多阶段多因果关系"模型,提供了更准确的结果决定因素表示.
- 拟议的模型解释了为什么以前的评估,特别是那些滥用柯克帕特里克模型的评估,产生了不确定的结果.
结论:
- 未来的评估必须考虑IPO和外部因素以及IPE和IPC.
- 专注于全面评估事实IPC作为一个基本的指标是必不可少的.
- 分离IPE和IPC结果评估的逐步方法将提高有关其益处的发现的清晰度和有效性.
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