护理硕士研究生跨专业教育的范围综述

doi:10.3761/j.issn.1672-9234.2023.06.021

摘要/Abstract

摘要：

目的对护理硕士研究生跨专业教育（interprofessional education，IPE）的教学方式、教学对象、评价方法及内容、实施效果进行范围审查，探索其跨专业教育活动的现状。方法以范围综述方法为框架，确定研究问题，检索万方、中国期刊全文数据库（CNKI）、维普和PubMed、Web of Science、Embase、EBSCO（Medline、CINAHL）、Ovid数据库中相关研究，检索时限为建库至2022年4月，根据纳入和排除标准筛选文献，并对纳入文献进行资料提取，收集、总结和报告研究结果。结果共纳入16篇文献，IPE的教学方式主要有跨专业课程、跨专业培训项目；IPE对象的专业范围和学生层次较为广泛，包括医学、健康科学及社会学等专业的本科生、硕士研究生和博士研究生；IPE评价方法主要有问卷调查、知识测试、焦点访谈和课程评价等；IPE教学在提升护理硕士研究生的跨专业态度、知识、技能，增强其跨专业合作信心，提高角色认知水平等方面具有正向积极效果，但IPE教学活动也存在课程安排冲突、教师资源缺乏、增加学生和教师负担等问题。结论国外IPE实践在护理硕士研究生中的应用取得了较好的效果，我国护理教育者应借鉴其经验，开发IPE课程和团队培训项目，切实推进IPE在护理研究生教育中的发展。

关键词: 教育，护理，研究生, 学科间信息交流, 综述, 跨专业教育

Abstract:

Objective To review the scope of teaching methods，objects，evaluation method and content，implementation effects of interprofessional education（IPE） for nursing postgraduates，and explore the application status of interprofessional education activities，so as to provide guidance for future research. Methods Based on the scope review method，we searched Wanfang，CNKI，VIP，PubMed，Web of Science，Embase，EBSCO（Medline，CINAHL），Ovid literature databases. The search period was from the database establishment to April 2022. Then，we identified relevant studies，screened the literature according to inclusion and exclusion criteria. In addition，data were extracted from included literature，and research results were collected，summarized and reported. Results A total of 16 relevant papers were included. The teaching methods of IPE include interprofessional courses，interprofessional training program. IPE objects have a wide range of majors and student levels，including undergraduates，postgraduate students，and doctoral students majoring in medicine，health science and sociology. The evaluation methods of IPE mainly include questionnaire，knowledge test，focus group interview and course evaluation. IPE teaching practice has positive effects on improving the interprofessional attitude，knowledge，and skills of nursing master students，enhancing their confidence in interprofessional collaborative，and improving role cognition level. However，IPE teaching activities also have some problems，such as the conflict of curriculum arrangement，the lack of teacher resources and the increasing burden of students and teachers. Conclusion The application of IPE practice in nursing postgraduates abroad has achieved good results. Nursing educators in China can learn from their experience，construct IPE courses and team training programs，and effectively promote the development of IPE in nursing postgraduate education.

Key words: Education，Nursing，Graduate, Interdisciplinary Communication, Review, Interprofessional education

傅文瑶,庄一渝. 护理硕士研究生跨专业教育的范围综述[J]. 中华护理教育, 2023, 20(6): 757-762.

FU Wenyao,ZHUANG Yiyu. Scoping review of interprofessional education for nursing postgraduates[J]. Chinese Journal of Nursing Education, 2023, 20(6): 757-762.

图/表 2

参考文献 25

[1]	The Centre for the Advancement of Interprofessional EducationCAIPE. Defining IPE[EB/OL].[2022-06-06]. https://www.cai-pe.org/.
[2]	World Health OrganizationWHO. Framework for action on interprofessional education and collaborative practice[M]. Gene-va: World Health Organization, 2010.
[3]	林为平, 潘燕霞, 陈旻, 等. 医学创新人才跨专业教育模式探讨[J]. 医学与哲学, 2021, 42(19):78-81.
	Lin WP, Pan YX, Chen M, et al. Exploration of the interdisci-plinary education model of medical innovative talents[J]. Med & Philos, 2021, 42(19):78-81.
[4]	World Health Organization. Transforming and scaling up health professionals’ education and training:World Health Organiza-tion guidelines 2013[M]. Geneva: World Health Organization, 2013.
[5]	范波, 钟清玲, 鄢鸿雁, 等. 跨专业教育在护理硕士专业学位研究生培养中的态势分析[J]. 中华护理教育, 2022, 19(7):604-608.
	Fan B, Zhong QL, Yan HY, et al. SWOT analysis of the interprofessional education for master of nursing specialist[J]. Chin J Nurs Educ, 2022, 19(7):604-608.
[6]	李绍文, 李培雯, 孙轶飞, 等. 院校医学教育阶段跨专业教育研究述评[J]. 中华医学教育杂志, 2022, 42(2):110-114.
	Li SW, Li PW, Sun YF, et al. Review of interprofessional edu-cation in undergraduate medical education[J]. Chin J Med Educ, 2022, 42(2):110-114.
[7]	王筝扬, 黄一琳, 林和风, 等. 医学跨专业教育的现状、理论与方向[J]. 中国高等医学教育, 2020(8):13-14,98.
[8]	Arksey H, O’Malley L. Scoping studies:towards a methodological framework[J]. Int J Soc Res Methodol, 2005, 8(1):19-32. doi: 10.1080/1364557032000119616
[9]	Aune I, Olufsen V. 'From fragmented to interdisciplinary understanding of integrated antenatal and postnatal care'-an interprofessional project between public health nursing students and midwifery students[J]. Midwifery, 2014, 30(3):353-358. doi: 10.1016/j.midw.2013.03.007 pmid: 23623472
[10]	Mu KL, Peck K, Jensen L, et al. CHIP:facilitating interprofessional and culturally competent patient care through experi-ential learning in China[J]. Occup Ther Int, 2016, 23(4):328-337. doi: 10.1002/oti.v23.4
[11]	Garrido MM, Dlugasch L, Graber PM. Integration of interprofessional education and culture into advanced practice simulations[J]. Clin Simul Nurs, 2014, 10(9):461-469. doi: 10.1016/j.ecns.2014.06.001
[12]	Estes KR, Robinson MV, Madigosky W. Advanced practice nursing students’ perspectives of an interprofessional advanced physical assessment learning experience[J]. J Nurse Pract, 2016, 12(5):e219-e224. doi: 10.1016/j.nurpra.2016.02.012
[13]	Saini B, Shah S, Kearey P, et al. An interprofessional learning module on asthma health promotion[J]. Am J Pharm Educ, 2011, 75(2):30. doi: 10.5688/ajpe75230 pmid: 21519420
[14]	Koo L, Layson-Wolf C, Brandt N, et al. Qualitative evaluation of a standardized patient clinical simulation for nurse practi-tioner and pharmacy students[J]. Nurse Educ Pract, 2014, 14(6):740-746. doi: 10.1016/j.nepr.2014.10.005
[15]	Supiano KP. Weaving interdisciplinary and discipline-specific content into palliative care education:one successful model for teaching end-of-life care[J]. Omega (Westport), 2013, 67(1/2):201-206. doi: 10.2190/OM.67.1-2.x
[16]	Hanyok LA, Walton-Moss B, Tanner E, et al. Effects of a graduate-level interprofessional education program on adult nurse practitioner student and internal medicine resident physician attitudes towards interprofessional care[J]. J Interprof Care, 2013, 27(6):526-528. doi: 10.3109/13561820.2013.790881 pmid: 23679673
[17]	Gainey S, Muzzy W, Dooley M, et al. Outcomes and lessons learned from an interprofessional student training program in Screening,Brief Intervention,and Referral to Treatment (SBIRT) at an academic health sciences center[J]. Nurse Educ Today, 2022, 111:105323. doi: 10.1016/j.nedt.2022.105323
[18]	Nicholl H, Price J, Tracey C. An evaluation of an interprofessional master’s level programme in children’s palliative care:the students’ evaluation[J]. Nurse Educ Pract, 2016, 17:60-66. doi: 10.1016/j.nepr.2014.03.007 pmid: 24746903
[19]	Kaplan R, Shaw-Battista J, Stotland NE. Incorporating nurse-midwifery students into graduate medical education:lessons learned in interprofessional education[J]. J Midwifery Womens Health, 2015, 60(6):718-726. doi: 10.1111/jmwh.12315
[20]	Giuliante MM, Greenberg SA, McDonald MV, et al. Geriatric Interdisciplinary Team Training 2.0:a collaborative team-based approach to delivering care[J]. J Interprof Care, 2018, 32(5):629-633. doi: 10.1080/13561820.2018.1457630 pmid: 29624089
[21]	Borman-Shoap E, King E, Hager K, et al. Essentials of ambulatory care:an interprofessional workshop to promote core ski-lls and values in team-based outpatient care[J]. MedEdPORTAL, 2018, 14:10714. doi: 10.15766/mep_2374-8265.10714 pmid: 30800914
[22]	Peeters MJ, Sexton M, Metz AE, et al. A team-based interprofessional education course for first-year health professions students[J]. Curr Pharm Teach Learn, 2017, 9(6):1099-1110. doi: 10.1016/j.cptl.2017.07.006
[23]	Stubbs C, Schorn MN, Leavell JP, et al. Implementing and evaluating a community-based,inter-institutional,interprofessio-nal education pilot programme[J]. J Interprof Care, 2017, 31(5):652-655. doi: 10.1080/13561820.2017.1343808
[24]	Larson C, O’Brien B, Rennke S. GeriWard falls:an interprofessional team-based curriculum on falls in the hospitalized older adult[J]. MedEdPORTAL, 2016, 12:10410.
[25]	Poore JA, Cooper DD. Interprofessional simulation:from the classroom to clinical practice[J]. Annu Rev Nurs Res, 2020, 39(1):105-125. doi: 10.1891/0739-6686.39.105