• 제목/요약/키워드: interprofessional

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보건의료관련 학과 간 환자안전 교육 (Interprofessional Patient Safety Education for Undergraduate)

  • 하성민;김은정;신은희
    • 한국융합학회논문지
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    • 제10권2호
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    • pp.261-268
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    • 2019
  • 다학제적 교육은 여러 보건의료 관련 학과의 학생들에게 서로의 학문과 함께 서로의 직종에 관해 배울 수 있는 기회를 제공하며, 학생들의 졸업 후 관련 업무를 할 때 요구되는 협력 기술을 증진하고 개발할 수 있다. 보건의료 관련 학과 3학년 학생 가운데 연구 참여에 동의한 30명을 대상으로 매주 90분간의 강의와 그룹 토론을 포함하여 6 주간의 교육을 실시하였다. 교육 시작 전과 종료한 시점에서 환자안전에 대한 지식, 태도, 수행자신감을 평가하였으며, 타 학과에 대한 이해도 및 팀 협력에 대한 인터뷰를 시행하였다. 6주간의 다학제 간 환자안전 교육 프로그램과 관련하여 지식에는 변화가 없었지만 (p=>0.05), 태도와 자신감이 크게 향상되었고 (p=<0.05), 타 학과에 대한 이해와 다른 전문 직업과의 협력의 중요성을 깨달았음을 나타냈다. 국내에서 처음 실시한 다학제 간 환자 안전 교육은 학생들의 태도, 자신감 및 타 전문직업인 간의 팀워크에 긍정적인 영향을 나타냈다.

전문직 간 교육의 의미와 방향: 담을 허물고 환자가 속한 현장으로 나가는 교육 (Interprofessional Education in Medical Education: Can We Break the Silos?)

  • 한희영
    • 의학교육논단
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    • 제19권1호
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    • pp.1-9
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    • 2017
  • For the last half-century, interprofessional education (IPE) has been identified and discussed as a critical educational process to facilitate collaboration in order to improve healthcare outcomes for healthcare participants. While the concept is not new, outcome-based research has provided few valid and reliable explanations of whether and how IPE can be effective in healthcare quality improvement. This challenge stems from the struggle to understand the epistemological meaning of IPE. The purpose of this literature review paper is to provide a synthesized understanding of IPE, its meaning, and to provide practical guidance for medical educators. The paper reviewed several key aspects of IPE. Professionalility was discussed to understand the historical background of IPE, followed by an explanation of the international trend of embracing the complexity of health care practice and the need for interprofessional collaboration. Additionally, several theoretical perspectives, such as general systems theory, social identity theory, and community of practice were reviewed to pinpoint what constitutes IPE. Several existing definitions were discussed with similar concepts (i.e., disciplinary vs. professional, and multi-, inter-, vs. trans-) to clarify the nature of knowledge and collaboration in IPE. Three concepts, including practice, authenticity of context, and socialization were proposed as key constructs of IPE, followed by appropriate timing of IPE, outcome research, directions for future research, and guidance for implementation. Community-based medical education practice, professional socialization within a community, and longitudinal system-based outcome research are recommended as future directions for research and practice.

전문직 간 교육에 대한 국내 간호연구 현황 분석 (Current Status of Interprofessional Education-related Research within Korean Nursing Literature)

  • 안은경
    • 산업융합연구
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    • 제19권3호
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    • pp.75-82
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    • 2021
  • 본 연구는 전문직 간 교육에 대한 국내 간호연구의 동향을 분석하여 전문직 간 교육 연구의 미래 방향을 제시하고 연구의 확장성에 기여하고자 시도되었다. 최종 분석에 포함된 논문은 총 5편이었다. 연구 결과, 국내에서 전문직 간 교육에 대한 간호연구가 시작된 것은 2017년이었고, 전문직 간 교육 개념에 대한 정의가 확립되지 않은 실정임이 확인되었다. 또한 분석 대상 논문들의 주요 결과는 전문직 간 교육에 대한 인식, 중재로서의 전문직 간 교육의 효과, 전문직 간 교육의 효과성 측정을 위한 도구의 타당화로 분류되었다. 간호사와 타 전문 인력의 협력은 양질의 보건의료 제공에 필수적인 요소이다. 그러므로, 전문직 간 교육 개념에 대한 정의를 확립하기 위한 연구와 이를 간호교육과 실무에 효과적으로 적용할 수 있도록 하는 연구의 활성화가 요구된다.

간호교육에서의 전문직 간 교육에 대한 현황과 발전방향 (Current Status and Future Direction of Interprofessional Education in Nursing Education)

  • 김건희;황은희;신수진
    • 의학교육논단
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    • 제19권1호
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    • pp.18-24
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    • 2017
  • This study examined the perception and readiness of nursing educators regarding interprofessional education (IPE), and discussed the validity and application of IPE in nursing. From December 2016 to January 2017, 239 nursing professors and nurses completed a structured questionnaire consisting of general characteristics, the Interdisciplinary Education Perception Scale, the Readiness for Interprofessional Learning Survey (RIPLS), and an IPE action plan. The collected data were analyzed by descriptive statistics and t-test using the IBM SPSS ver. 23.0 program (IBM Corp., Armonk, NY, USA). The analysis revealed that 91.6% of the participants had not experienced IPE, and only 11.7% knew about IPE. However, approximately 80.0% answered that IPE is necessary. The results of this study showed that the score of the perceived need for cooperation was higher in nurses than it was in professors, while the score on competency and autonomy was higher in professors than it was in nurses. With reference to the scores on the RIPLS, those of professors were high on the sub-scales of teamwork and collaboration, professional identity, and roles and responsibility. The results revealed that participants considered the upper-grade undergraduate years as the ideal time for imparting IPE, and it was deemed suitable to include communication, simulation, and clinical practice in IPE. Doctors, pharmacists, and physiotherapists were thought to require cooperation for IPE the most. Despite the presence of several barriers to IPE, the participants thought that IPE can achieve learning outcomes such as interprofessional communication and cooperation, conflict resolution, and teamwork. It is necessary to cooperate with professionals in the complex clinical environment as professional areas are specialized and subdivided. Therefore, it is necessary to examine the application of IPE in undergraduate education and in on-the-job training.

전문직 간 교육 평가 도구 개발 (Development of an interprofessional education evaluation tool)

  • 최혜원;임희정;김명철;임도선;황영선;정임희
    • 한국치위생학회지
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    • 제23권4호
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    • pp.277-286
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    • 2023
  • Objectives: In this study, we aimed to develop a systematic tool that can evaluate the effects of interprofessional education (IPE) by applying four core competencies (values/ethics for interprofessional practice, roles/responsibilities, interprofessional communication, and teams and teamwork) and an educational evaluation model to evaluate the learning, behavior of learners, and results step by step. Methods: Previous studies on IPE evaluation tools were analyzed, and an evaluation tool (draft) was developed by modifying questions suitable for evaluation according to the Kirkpatrick model's stages and core competencies. The evaluation tool was completed by conducting a Delphi survey twice with 4-6 experts. To analyze the Delphi survey, the content validity index (CVI) was calculated, and the reliability coefficient (Cronbach's alpha coefficient) was used to measure reliability. Results: 29 questions on pre-education, consisting of learning and behavior stages, and 54 questions on post-education, consisting of reaction, learning, behavior, and results stages, were developed. The CVI and Cronbach's alpha coefficient values were >0.8 and >0.6, respectively. Conclusions: The IPE evaluation tool developed in this study is expected to contribute to the evaluation of the educational level of IPE and the identification of points for improvement when applied to various educational settings.

국내 약학대학 학생들의 보건의료전문직간 교육에 대한 인식 (Pharmacy School Students' Perceptions of Interprofessional Education)

  • 박한슬;강현아;김현진;심미경;손현순
    • 한국임상약학회지
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    • 제33권3호
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    • pp.186-194
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    • 2023
  • Background: Interprofessional education (IPE) is important for collaboration between professionals in the team-based practices of the healthcare field. Objectives: This study aimed to examine pharmacy students across in Korea on the experience of IPE and the perceptions of the importance of interprofessional collaboration (IPC) and the need of IPE. Methods: A cross-sectional survey using a 20 questionnaire to pharmacy students nationwide was conducted from March to May 2019. Results: A total of 555 students from 32 pharmacy schools participated. They recognized that the importance of close pharmacist-medical doctor collaboration was an average of 5.38 points (out of 6 points), but the current level of pharmacist-to-medical doctor collaboration was an average of 2.51 points (out of 6 points), and the reasons for the insufficient IPC were the lack of an environment encouraging mutual cooperation (79.5%) and the psychological distance to the other professional (35.3%). They perceived the necessity of IPE between pharmacistmedical doctor was 4.95 points (out of 6 points), with the curriculum including how to cooperate with medical doctors (78.2%), communication skills (51.0%), and understanding of medical doctors' functions (44.5%), etc. Only 52 respondents (9.4%) had experience in IPE. Respondents who recognized the importance of IPC (≥5 points) showed 4.44-fold higher agreement on the need for IPE than those who did not (≤4 points) (OR 4.44, 95% CI 2.56, 7.68). Conclusions: Further attention and discussion to add IPE program in the pharmacy school curriculum is necessary in order to cultivate pharmacists with sufficient professional collaboration capabilities.

예비 간호인력 대상 다학제 전문직 간 교육 중재 연구의 체계적 문헌고찰: 동아시아권 국가 연구를 중심으로 (Systematic review on interprofessional education for pre-licensure nursing student in East Asia)

  • 임희진;김화인;김민지;이승은
    • 한국의료질향상학회지
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    • 제30권1호
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    • pp.132-152
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    • 2024
  • Purpose: This study aimed to identify and evaluate interprofessional education (IPE) interventions for healthcare professional students in East Asian countries. Methods: The reporting of this study followed the Preferred Reporting Items of Systematic Reviews and Meta-Analysis guidelines. A literature search was conducted using seven electronic databases: PubMed, EMBASE, CINAHL, Scopus, Web of Science, ERIC, and ProQuest Dissertations & Theses Global. Joanna Briggs Institute Critical Appraisal Checklists were also used to appraise the quality of the included studies. The outcomes of IPE interventions were classified based on a modified Kirkpatrick model. Results: This review included 30 studies predominantly conducted in Singapore, South Korea, and Taiwan. The prevalent research design was a one-group pre-posttest design, and most IPE interventions occurred as single events. Approximately 70% of the studies involved students from two healthcare professions, mainly nursing and medicine. Simulations, group discussions, and lectures have emerged as the most common teaching methodologies, with almost half of the studies leveraging a combination of these techniques. The IPE content primarily focused on interprofessional teamwork, communication, and clinical patient care situations; these included the management of septic shock. The effectiveness of the IPE interventions was mainly evaluated through self-reported measures, indicating improvements in attitudes, perceptions, knowledge, and skills, aligning with Level 2 of the modified Kirkpatrick model. Nonetheless, the reviewed studies did not assess changes in the participants' behavior and patient results. Conclusion: IPE interventions promise to enhance interprofessional collaboration and communication skills among health professional students. Future studies should implement rigorous designs to assess the effectiveness of IPE interventions. Moreover, when designing IPE interventions, researchers and educators should consider the role of cultural characteristics in East Asian countries.

Current status of interprofessional education learning activities in wards provided by tertiary hospitals and secondary general hospitals and barriers

  • Kang, Joonsung;Sin, Hye Yeon
    • 한국임상약학회지
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    • 제32권2호
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    • pp.106-115
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    • 2022
  • Background: The World Health Organization (WHO) has focused on the need for interprofessional education (IPE) to improve interprofessional collaboration competency and patient health outcomes. Accordingly, most European and North American medical colleges have established IPE for students. However, IPE learning activity in medical wards for the clinical experience of pharmacy students has not been fully reviewed in Korea. Therefore, this study aims to examine the current status of IPE learning activities in wards at tertiary and secondary hospitals in order to identify ways to improve the program. Methods: The official document of cooperation consists of six self-administered questions regarding IPE learning activities in wards. The preceptor's response in each hospital was evaluated. Results: Of the 22 hospitals, 9 tertiary hospitals and 12 secondary general hospitals responded. For the introductory pharmacy practice experience (IPPE), participating in intensive care (IC) was provided at one secondary general hospital (8.3%) and no tertiary hospital. Ward rounds with medical staff members were provided at two tertiary hospitals (22.2%) and one (8.3%) secondary general hospital. A major barrier to executing IPE was lack of rewards and incentives for the faculty and preceptors who participated in the program. Conclusion: In both tertiary hospitals and secondary general hospitals, pharmacy students have limited exposure to IPE learning activities in wards at hospital, and IPPE at most hospitals was carried out in pharmacy settings only. This study suggests that it is necessary for the hospitals to improve and support IPE learning activities in wards in order to improve learners' competency.

국내 의학교육에서 전문직 간 교육의 과거, 현재와 미래 (The Past, Present, and Future of Interprofessional Education in Medical Education in South Korea)

  • 박연철;이상미;박경혜
    • 의학교육논단
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    • 제26권2호
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    • pp.83-92
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    • 2024
  • Interprofessional education (IPE) fosters knowledge, skills, and attitudes related to interprofessional collaboration (IPC) for safe, quality patient care. In recent years, the importance of IPC has extended beyond the medical field to local community settings. However, IPE has only recently been introduced and has yet to become widespread. This study reviews the origin and development of IPE in Korean medical education by comparing it with established models in other countries that provide useful insights into future directions for IPE in Korea. Dedicated institutions led the IPE effort in other countries; however, IPE initiatives in Korea were mainly driven by individual professors' and medical schools' interest and commitment, without structural support systems. An important finding of this study is that the lack of awareness and organizational support within the medical education community resulted in the absence of a mandatory curriculum for IPE, as it was omitted from the accreditation standards. For more organized adoption and implementation of IPE in Korea, this study suggests the need to widely communicate the importance of IPE to the medical community and the public. It is also imperative to establish leadership capable of guiding IPE, share materials through trusted institutions with IPE experience, and include IPE in the accreditation standards. These steps are essential for actively implementing IPE and meeting societal healthcare needs in Korea.

의과대학에서의 보건의료 전문직 간 교육에 대한 현황과 인식 (Perceptions and Attitudes towards Interprofessional Education in Medical Schools)

  • 김소연
    • 의학교육논단
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    • 제19권1호
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    • pp.10-17
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    • 2017
  • Since the World Health Organization identified interprofessional education (IPE) as an important component in primary health care in the 1980s, medical and health sciences educators have continued to debate factors for implementing effective IPE in the classroom. Although IPE research is widespread internationally, few studies have been done in South Korea. This study explored the current status of IPE and examined factors that influence IPE in South Korea. A total of 30 (70%) out of 41 medical education experts in medical schools participated. Forty-seven percent of the participants reported that they allocated less than 5% of their time implementing IPE in the curriculum of their schools throughout the 4 years of medical school. Although all experts (100%) agreed that IPE is essential for medical students, they expressed practical difficulties in implementing IPE in the current education system. Factors that influence IPE are scheduling and curriculum (e.g., rigid curriculum vs. providing learning environment) and attitudes (e.g., lack of reciprocal respect vs. willingness to change). In addition, participants reported that communication skills and collaborative practice employing clinical practice or role-playing would be appropriate education methods and content for IPE in the future. The findings of this study provide a foundation for the implementation of IPE in South Korea. Future research directions for IPE in medical, nursing, and pharmacy schools are discussed.