关联很重要:课程评估中的双向学习和以实践为导向的研究
Susan Douglas1, Andrew C Page2, Christian Moltu3,4
1Department of Leadership, Policy and Organizations, Vanderbilt University, Peabody College, 230 Appleton Place PMB #414, Nashville, TN, 37203-5721, USA. susan.douglas@vanderbilt.edu.
嵌入式程序评估,使用以人为中心的系统镜头,增强了以实践为导向的研究. 这种方法促进了评估者和从业者的伙伴关系,以改善基于证据的实践和患者的结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 项目评估 项目评估
- 系统科学 系统科学
背景情况:
- 面向实践的研究需要系统的评估,并纳入临床工作流程.
- 现有的评估方法可能无法充分捕捉医疗保健机构的复杂性.
- 需要建立框架,将基于实践的证据与基于证据的实践联系起来.
研究的目的:
- 为临床环境中嵌入式程序评估提出一个新的概念框架.
- 利用以人为中心的系统镜头来指导评估实践.
- 加强评估者和实践者之间的伙伴关系,以实现双向学习.
主要方法:
- 利用以人为中心的系统镜头,结合设计思维和系统思维原则.
- 强调评估者与实践者的协作和相互学习.
- 推诸如系统映射,程序理论开发和逻辑模型等工具.
主要成果:
- 拟议的框架有助于将评估纳入临床常规.
- 它促进对医疗机构内部个体和系统偏见的认识.
- 从例行结果监测和进度反中获得的案例说明了框架的应用.
结论:
- 嵌入式程序评估,以以人为中心的系统镜头为指导,非常适合以实践为导向的研究.
- 加强评估员和从业人员的伙伴关系对于改善地方和系统级医疗保健至关重要.
- 需要进一步的研究来完善协作模式,并提高评估的影响.
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