目的 了解医学生对跨专业合作学习的准备程度,以期为跨专业教育的实施提供依据。方法 2018年8月至2019年8月,选取北京市某三甲医院实习或见习的471名医学生作为调查对象。采用中文版跨专业合作学习准备量表、人际交往能力问卷对医学生进行现状调查。结果 471名医学生的跨专业合作学习准备得分为(72.45±9.82)分,护理学、临床医学和其他专业(包括基础医学、预防医学等专业)医学生的跨专业合作学习准备水平差异有统计学意义[(76.02±0.64)分、(71.16±0.59)分比(70.74±1.68)分,F=12.388, P<0.01]。多元逐步线性回归结果显示,年龄、性别、专业、在校时间、人际交往能力是跨专业合作学习准备程度得分的影响因素(调整R2=0.125,F=14.479,P<0.01)。结论 医学生的跨专业合作学习准备程度总分处于中等水平,医学生对自身职业的认同及对角色和职责的认知有待提高。医学教育者可为医学生搭建跨专业合作学习的平台,逐步培养其跨专业合作学习的能力。
Objective To understand the medical students' readiness for trans-discipline learning. Methods All 471 medical students from the three top hospitals in Beijing were selected as the objects of the survey from August 2018 to August 2019. General Information Questionnaire, Chinese Version of Readiness for trans-discipline Learning Scale, and trans-discipline Communication Ability Questionnaire were used to investigate the current situation of medical students. Results The scores of the 471 medical students' readiness for trans-discipline learning were 72.45±9.82, there are differences in the level of RIPLS among medical students of different majors (76.02±0.64,71.16±0.59 vs. 70.74±1.68,F=12.388, P<0.01).The results of level analysis showed that the scores of medical students with different age, gender, major, school duration and communication skills had statistically significant differences (F=14.479,P<0.01). Conclusions The medical students' readiness for trans-discipline learning is ranked at the middle level. The recognition of occupation, their roles and responsibilities of medical students need to be improved.
[1] WHO. Framework for action on interprofessional education and collaborative practice [EB/OL].[2010-12-30].[2018-12-27]. https://www.who.int/hrh/resources/framework_action/en/.
[2]Hammick M, Freeth D, Koppel I, et al. A best evidence systematic review of interprofessional education: BEME Guide No. 9[J]. Med Teach, 2007,29(8):735-751. DOI: 10.1080/01421590701682576.
[3]Guraya SY, Barr H. The effectiveness of interprofessional education in healthcare: a systematic review and meta-analysis[J]. Kaohsiung J Med Sci, 2018,34(3):160-165. DOI: 10.1016/j.kjms.2017.12.009.
[4]Keshmiri F, Rezai M, Mosaddegh R, et al. Effectiveness of an interprofessional education model based on the transtheoretical model of behaviour change to improve interprofessional collaboration[J]. J Interprof Care, 2017,31(3):307-316. DOI: 10.1080/13561820.2016.1276051.
[5]MacDonald S,Manuel A, Dubrowski A, et al. Emergency management of anaphylaxis: a high fidelity interprofessional simulation scenario to foster teamwork among senior nursing,medicine, and pharmacy undergraduate students[J].Cureus,2018,10(7):e2915. DOI: 10.7759/cureus.2915.
[6]Tran C, Kaila P,Salminen H. Conditions for interprofessional education for students in primary healthcare:a qualitative study[J].BMC Med Educ,2018,18(1):122.DOI: 10.1186/s12909-018-1245-8.
[7]LeathersJS,Davidson H,Desai N. Interprofessional education between medical students and nurse practitioner students in a Global Health course[J]. BMC Med Educ, 2018,18(1):200-206. DOI: 10.1186/s12909-018-1307-y.
[8]中华人民共和国教育部. 国办印发意见部署深化高校创新创业教育改革[EB/OL]. [2015-05-14].[2018-12-07]. http://www.moe.gov.cn/s78/A08/gjs_left/s3854/s5673/201506/t20150611_190153.html.
[9]王喜益, 胡韵. 医学院校本科毕业生跨专业合作态度的调查研究[J].中华医学教育杂志,2017,37(1):33-37,93. DOI: 10.3760/cma.j.issn.1673-677X.2017.01.007.
[10]田雨桐,张艳,王荣华,等.护理学研究生跨专业学习态度调查及影晌因素分析[J].解放军护理杂志,2019, 36(3):6-10.DOI: 10. 3969/j. issn. 1008-9993.2019.03.002.
[11]McFadyen AK, Webster V, Strachan K, et al. The readiness for interprofessional learning scale: a possible more stable sub-scale model for the original version of RIPLS[J]. J Interprof Care, 2005,19(6):595-603. DOI: 10.1080/13561820500430157.
[12]王喜益, 胡韵. 跨专业合作学习准备量表的信效度研究[J].解放军护理杂志,2017,34(2):23-26,47. DOI: 10.3969/j.issn.1008-9993.2017.02.005.
[13]秦子冰, 王英春, 奇南香, 等.爱情·职业·人格心理测试[M].北京:中国轻工业出版社, 2003:23-33.
[14]魏源. 人际交往能力问卷在大学生中应用的信效度评价[J].中国学校卫生,2005,26(12):1046-1048. DOI: 10.3969/j.issn.1000-9817.2005.12.036.
[15]蔡福临. 跨专业学习准备量表的汉化及其在医学研究生中的应用[D].蚌埠:蚌埠医学院, 2017.
[16]孙柳, 王艳玲, 肖倩, 等. 北京市三级甲等医院临床护士跨专业合作学习准备度和感知度的调查分析[J].中华护理杂志,2019,54(3):417-421. DOI: 10.3761/j.issn.0254-1769.2019.03.018.
[17]Interprofessional Education Collaborative. Core competencies for interprofessional collaborative practice: 2016 update[EB/OL].[2018-12-07]. https://www.ipecollaborative.org/resources.html.
[18]王惠珍, 魏小雪. 国际适用型本科护理人才培养目标体系的构建[J].护理学报,2015(7):14-18. DOI: 10.16460/j.issn1008-9969.2015.07.014.