証拠に基づいた実践における教育の評価のためのツール:体系的なレビュー
Terrence Shaneyfelt1, Karyn D Baum, Douglas Bell
1Department of Medicine, University of Alabama School of Medicine, and Department of Veterans Affairs Medical Center, Birmingham, AL 35233, USA. terry.shaneyfelt@med.va.gov
JAMA
|September 7, 2006
まとめ
この研究では,エビデンスベースの実践 (EBP) 指導の評価のためのツールをレビューしました. EBPのスキルと能力を評価するための有効なツールが存在しますが,態度と行動についてはさらなる開発が必要です.
科学分野:
- 医療教育 医療教育について
- 医療 専門職 教育 教育
- 証拠に基づいた実践
背景:
- 根拠に基づいた実践 (EBP) は,意思決定のための研究証拠,患者価値,および臨床的状況を統合します.
- EBPの効果的な教育には,EBPの有効性に関する証拠に基づいた評価が必要である.
研究 の 目的:
- 証拠に基づいた実践 (EBP) の評価のための既存のツールを体系的に評価し,要約する.
主な方法:
- 複数のデータベース (MEDLINE,EMBASE,CINAHL,HAPI,ERIC) およびその他の情報源を介して,包括的な文献検索が行われました.
- 2人の独立した評価者は,楽器の開発,フォーマット,学習者レベル,評価領域,可行性,信頼性,有効性に関するデータを抽出しました.
- 楽器は,心理測定テストと評価目的の適性に基づいて3つのレベルに分類されました.
主要な成果:
- 104のユニークなツールを代表する115の論文が含まれており,主に医学部生や研修生のEBPスキルを評価しています.
- 証拠の取得と評価は,一般的に評価されたスキルであり,新しいツールは,質問の構想と患者のケアへの適用を評価しています.
- 53%の器具は有効性の証拠を示したが,10%だけが3つ以上のタイプを示した. 能力,カリキュラムの有効性,行動上の結果について,高品質の器具が特定された.
結論:
- EBPの特定の分野を評価するために有効なツールが利用可能であり,異なる評価ニーズに合わせることができます.
- EBPの態度,行動,および高度なスキルを効果的に評価するために,さらなる研究と機器の開発が必要です.
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