了解质量改进和持续的专业指导:需要评估研究,以告知实践社区的发展
Marlene Taube-Schiff1, Persephone Larkin, Eugenia Fibiger
1Dr. Taube-Schiff: Frederick W. Thompson Anxiety Disorders Center, Sunnybrook Health Care Sciences, Toronto, Canada, and Department of Psychiatry, University of Toronto, Canada. Ms. Larkin: Center for Collaborative Research on Hoarding, University of British Columbia, Department of Psychology, Canada. Ms. Fibiger: Frederick W. Thompson Anxiety Disorders Center, Sunnybrook Health Care Sciences, Toronto, Canada, and University of Toronto Scarborough, Canada. Dr. Lin: Department of Psychiatry, University of Toronto, Canada, Center for Addiction and Mental Health, Canada, and ICES, University of Toronto, Canada. Dr. Wiljer: Department of Psychiatry, University of Toronto, Canada, and University Health Network, Canada. Dr. Sockalingam: Department of Psychiatry, University of Toronto, Canada, and Center for Addiction and Mental Health, Canada.
导师可以促进精神病学中的质量提高 (QI) 和持续专业发展 (CPD). 然而,对于有效的QI指导计划,需要更清晰的QI概念化和组织支持.
科学领域:
- 精神病学是一个精神病学.
- 医学教育 医学教育
- 医疗保健的质量 医疗保健的质量
背景情况:
- 质量改进 (QI) 计划旨在使患者护理与既定标准保持一致.
- 导师是探索作为一个战略,以整合QA在持续专业发展 (CPD).
研究的目的:
- 检查加拿大学术精神病学系的指导实施模式.
- 评估指导在调整QI实践与CPD中的作用.
- 确定有效的QI和CPD指导计划的需求.
主要方法:
- 对14名参与者进行了定性访谈.
- 由两个独立的编码人员进行的主题分析,遵循COREQ的指南.
主要成果:
- 参与者对QI和CPD概念化的不确定性阻碍了对齐评估.
- 关键主题包括通过实践社区分享QI工作,组织支持的必要性以及QI指导的关系方面.
结论:
- 提高对智商的理解是实施精神病学指导的前提.
- 有效的导师需要良好的合适性,组织支持,以及正式/非正式的机会.
- 组织文化变化和培训对于推进QI实践至关重要.
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